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 39-year-old mathematics professor has a BP of 214/110 at the time of a periodic checkup. Previous BPs described as "borderline." No symptoms. FH. Negative. Very athletic. Runs 5-10 miles per week.
Physical examination: Mild hypertensive retinopathy. Sustained double apex impule which is not displaced laterally. The following was heard on auscultation.
APEX, BELL (Left Decubitus)
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INCORRECT
This is a mid-systolic click
The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
S1 is not a split. The heart sound matching this diagram is playing now. Please try again.
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CORRECT
This is a anapestic metre.
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on.