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 50-year-old office worker comes to the emergency room with severe dyspnea and mild diffuse anterior chest pain of one hour's duration. No previous symptoms. PMH. Negative. FH. Negative. SH. Noncontributory. An EKG shows only sinus tachycardia. No evidence of MI. Physical Examination: BP 90/60, P 110, R 20. Mild jugular venous distention. Bilateral moist crackles. No cardiac enlargement. The following was heard on auscultation.
APEX BELL, (Supine)
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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
There is more than just an S3. 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.