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 52-year-old auto worker is admitted to CCU with a large, anterolateral myocardial infarction. He is moderately dyspneic. FH. Positive for CAD and diabetes. SH. 1 1/2 pack per day smoker. PMH. Negative. Physical Examination: BP 100/60, P 108+reg., R 20. Normal carotid and jugular pulses. Bilateral medium crackles posteriorly. No cardiac enlargement. The following was present on auscultation.
INCORRECT
Splitting of S2 is rarely audible at the apex. The heart sound matching this diagram is playing now. Please try again.
CORRECT
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on to the next screen.
INCORRECT
The patient does not have an S4. The heart sound matching this diagram is playing now. Please try again.