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 48-year-old homemaker is seen because of two episodes of palpitations and dyspnea. Both were nocturnal, awakened her from sleep, and caused severe anxiety and orthopnea. (Duration 30 to 40 minutes). Physical Examination: BP 106/70, P 76+reg., R 14. Examination negative except that the following was heard on auscultation.
APEX BELL, (Supine)
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INCORRECT
There is no systolic click or systolic murmur. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
There is no systolic murmur. The heart sound matching this diagram is playing now. Please try again.
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CORRECT
Note in this diagram that this murmur is diastolic. Unfortunately you cannot time it without palpating the carotid pulse. Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on.