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Daily quiz: 2025/12/14
On December 14, you will learn how to differentiate S4 from an ejection sound by using proper stethoscope technique.The key maneuver is to press the chestpiece firmly against the chest wall while auscultating. (December 14, 2025)

Daily quiz: 2025/12/13
On December 13, this medical-student–focused quiz uses a heart murmur case presented on iPax to help differentiate hypertrophic obstructive cardiomyopathy (HOCM) based on changes in murmur intensity with alterations in preload. (December 13, 2025)

Daily quiz: 2025/12/12
On December 12, the quiz focuses on lung auscultation in a patient with a history of smoking, highlighting the importance of asymmetry of breath sounds, even in the absence of adventitious sounds. Using actual auscultatory findings, you will learn key points for identifying atelectasis that should not be overlooked. (December 12, 2025)

Daily quiz: 2025/12/11
On December 11, the quiz focuses on distinguishing wheezes from rhonchi based on auscultatory findings in a patient with dyspnea and productive cough. It reviews the characteristics of continuous adventitious sounds and helps improve clinical skills for differentiating lung sounds. (December 11, 2025)

Daily quiz: 2025/12/10
On December 10, the quiz focuses on distinguishing lung sounds by paying attention to when during inspiration the adventitious sound becomes most prominent. You will learn how lung sounds change with inspiratory effort or deep-breathing instructions, and how these characteristics can aid clinical assessment. (December 10, 2025)

Daily quiz: 2025/12/05
On December 5, the quiz focuses on distinguishing pleural friction rubs.The case involves a patient with interstitial lung disease associated with rheumatoid arthritis, complicated by COPD, in whom different adventitious sounds are heard at the left and right lung bases.At the right posterior lung base, iPax reproduces a pleural friction rub that appears symmetrically in both inspiration and expiration, like a mirror image. (December 5, 2025)

Daily quiz: 2025/12/04
On December 4, the quiz focuses on identifying pleural friction rubs commonly heard in pleuritis. These “creaking” or “squeaking” rubbing sounds are characteristically heard in both inspiration and expiration. With iPax, you can compare them directly with alveolar crackles and airway wheezes to deepen your understanding. (December 4, 2025)

Daily quiz: 2025/12/03
On December 3, the quiz focuses on distinguishing localized coarse crackles commonly heard in community-acquired pneumonia. iPax reproduces the adventitious sounds limited to the right lung field. (December 3, 2025)

Daily quiz: 2025/12/02
On December 2, the quiz focuses on the characteristic physical examination findings seen in severe aortic regurgitation (AR).You will learn about widened pulse pressure, peripheral vascular signs, Hill’s sign, and the to-and-fro murmur, as well as deepen your understanding of the Korotkoff-like sounds heard over the brachial artery. (December 2, 2025)

Daily quiz: 2025/11/30
On November 30, the quiz focuses on identifying a high-pitched, decrescendo, blowing murmur heard in early diastole.　You will learn the key points for recognizing this characteristic murmur. (November 30, 2025)

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