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 80-year-old, otherwise healthy widow, is seen because of the recent onset of mild exertional dyspnea.
Physical Examination: BP 150/70, Pulse 110 and grossly irregular, R 16. No signs of congestive failure. No cardiac enlargement. The following was heard on auscultation.
APEX BELL, (Left Decubitus)
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CORRECT
There is a systolic murmur.
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.Move on.
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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 a mid-systolic click. The heart sound matching this diagram is playing now. Please try again.