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 27-year-old male with unexplained fever, malaise and weakness of two weeks duration. PMH. Known systolic murmur; recent upper respiratory infection with severe bronchitis.FH. negative. SH. Non-smoker. Physical Examination: BP 110/70, P 88, R 16, T 101° Carotid and jugular pulses normal. Lungs clear. No cardiac enlargement. The following was heard at the apex (see picture).
APEX, BELL (Left decubitus)
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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
There is a systolic murmur but there is no S3. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
There is a systolic murmur but there is no diastolic murmur. The heart sound matching this diagram is playing now. Please try again.