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 17-year-old male high school student is seen for an athletic physical. No symptoms. PMH. negative (measles and chicken pox). FH. negative. SH. varsity soccer player. Physical Examination: BP 140/60, P 60, R 12, Ht. 5'10", Wt. 175. General examination negative. Carotid pulses visible with brisk upstroke. No cardiac enlargement. Apex impulse quite forceful but not sustained. The following was heard on auscultation
AORTIC AREA, DIAPHRAGM (Sitting)
-
INCORRECT
This patient does not have a mid-systolic click of late systolic murmur. The heart sound matching this diagram is playing now. Please try again.
-
INCORRECT
The patient does not have a systolic murmur or S3. The heart sound matching this diagram is playing now. Please try again.
-
CORRECT
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on.