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 26-year-old male computer programmer is seen for a routine insurance exam. No symptoms. FH. Mother died of heart attack at age 42. SH. Former varsity swimmer. Still quite athletic. Runs about 10 miles per week. Physical Examination: BP 110/70, P 64+reg., R 12. Examination entirely normal except for the apex impulse which was forceful and sustained. The following was heard on auscultation.
APEX, BELL (Supine)
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YES,
but there is more. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
The patient does not have an S3. The heart sound matching this diagram is playing now. Please try again.
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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.