Instructions: After reading the patient summary, click on the stethoscope head to listen to the heart sound. Next, click on the diagram that corresponds to what you hear.
A 55-year-old female administrator is seen because of chest pain which is classic for mild, stable, angina pectoris. She has never been hospitalized for any reason. FH. Strongly positive for CAD. SH. 1 pack per day cigarette smoker. PMH. Negative. ROS. Negative. Physical Examination: BP 120/72, P 74, R 12. Ht 5'5", Wt. 138. General examination entirely normal. No cardiac enlargement but the apex impulse is sustained with a palpable presystolic movement. The following was heard on auscultation.
APEX BELL, (Supine)
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INCORRECT
There is more than just a systolic murmur. 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.
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INCORRECT
The patient does not have an S3. The heart sound matching this diagram is playing now. Please try again.