Instructions: After reading the patient summary, click on the stethoscope head to listen to the heart sound. Then click on the diagram that best matches what you hear.
A 19-year-old female university sophomore is seen because of palpitation that comes on in the evening. Irregularity only--no fast pounding. No other symptoms. FH. Mother has heart murmur. SH. Drinks about10 cups of coffee/day. Physical Examination: BP 110/70, P 72, R 12, Ht. 5' 5", Wt. 130. Examination is negative except for two premature beats and the following:
APEX BELL, (Supine)
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CORRECT
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on.
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INCORRECT
The patient does not have splitting of S1. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
The patient does not have a S3. The heart sound matching this diagram is playing now. Please try again.