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 70-year-old maintenance worker with a large inferior myocardial infarct is about to be discharged from the hospital on the fourth day when he suddenly develops severe dyspnea, weakness, pallor and diaphoresis. Physical Examination: BP 90/60, P 80+reg., R 30. Bilateral crackles posteriorly. The following was heard on auscultation (it was not present on morning rounds three hours earlier).
TRICUSPID, DIAPHRAGM (Supine)
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INCORRECT
There is no diastolic murmur. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
This 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.