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 69-year-old engineer is brought to the emergency room due to chest pain of 1-hour duration. The pain came on suddenly (instantaneously) while he was shaving. PMH. Positive for long-standing hypertension FH. Positive for hypertension and CAD. EKG shows no evidence of myocardial infarction. Physical Examination: BP 170/80, P 90, R 16. Right carotid pulse absent. Left carotid pulse normal. No signs of heart failure. No cardiac enlargement. The following was heard on auscultation:
AORTIC AREA, DIAPHRAGM (Sitting)
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CORRECT
S1 is hard to hear because it is engulfed by the systolic murmur.
Play the phono and then, if you wish, click on the incorrect diagrams to compare heart sounds.
Move on to the next screen.
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INCORRECT
This patient does not have a mid-systolic click. The heart sound matching this diagram is playing now. Please try again.
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INCORRECT
This patient has more than just a systolic murmur. The heart sound matching this diagram is playing now. Please try again.