You are examining a 70-year-old male patient who is being ev…

You are examining a 70-year-old male patient who is being evaluated for an episode of syncope.  Auscultation of his heart reveals a mid-systolic ejection murmur, medium pitch, crescendo-decrescendo, heard best at the second right intercostal border with the diaphragm of the stethoscope.  The sound of this murmur radiates to his neck.   Which heart murmur is present?

A 74-year-old female patient has symptoms of increased SOB,…

A 74-year-old female patient has symptoms of increased SOB, especially when she lies down.  She is tired all of the time and feels lightheaded more often lately.  Her echocardiogram results revealed grade IV mitral valve regurgitation.  Which of the following statements would you expect to hear when you are auscultation her heart sounds?