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 30-year-old teacher is seen because of a family history of mitral valve prolapse (mother). She has no symptoms but is concerned because she has been told it is hereditary. Physical Examination: BP 114/70, P 66+reg, R 12. General examination entirely negative. The following was heard on auscultation.
TRICUSPID AREA, BELL (Supine)
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INCORRECT
This patient does not have a mid-systolic click. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
This patient does not have an S4. 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.