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 vigorous and otherwise healthy 23-year-old woman is seen because of a systolic murmur on a pre-employment physical. She is a competitive mountain biker. FH. Negative. SH. Negative. PMH. Has had a "murmur since childhood." Physical Examination: BP 110/70, P 68, R12. General exam entirely normal except that the following was present on auscultation (note stethoscope is in the tricuspid area).
TRICUSPID, 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 to the next screen.
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INCORRECT
This patient does not have a diastolic murmur. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
This patient does not have an S3. The heart sound matching this diagram is playing now. Please try again..