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Old 11-06-2015
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Question Heart murmurs with audio only on usmle step 1

Hey, so on step1 exam, there have been heart sounds with just the audio and nothing in the vignette to tell you what the patient has. I was wondering if anyone found a way to figure out the answer with just audio. I know that the loudest part on auscultation is the location of murmur (ex. it was loudest on the mitral area) but how do we know if its stenosis or regurg?

Please let me know if anyone figured this out as i am taking my exam soon and i only know how to solve heart sound questions with vignettes.

thank you
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