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 58-year-old woman is admitted to the hospital for gynecologic surgery for uterine cancer. She is seen because a preop EKG shows incomplete right bundle branch block. She denies all cardiovascular symptoms except mild fatigue. Physical Examination: BP 110/70. P 74+reg. R 12. Normal carotid and jugular pulses. No cardiac enlargement. Mild but definite systolic outward movement over mid-precordium. The following was heard on auscultation
PULMONIC, DIAPHRAGM (Supine)
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INCORRECT
This patient does not have a single S2. The heart sound matching this diagram is playing now. Try again.
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INCORRECT
The patient does not have 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 to the next screen.