「 iPax 」 一覧

Daily quiz

  2025/06/19 

On June 19, we presented a case of lung adenocarcinoma with a thin-walled cavity in the right lower lobe, featuring amphoric (cavernous) breathing. In amphoric breathing, high-pitched bronchial breath sounds are heard in areas where vesicular breath sounds are normally expected. (June 19, 2025)

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Daily quiz

  2025/06/18 

June 18 – Question on Crackles Today’s question focuses on crackles. The question includes a description of the characteristics of the crackling sound. Please listen to the two MP3 audio files and choose the one that matches the description. (June 18, 2025)

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Daily quiz

  2025/06/17 

On June 17, a question was presented regarding heart murmurs following premature contractions. Ejection murmurs become louder after a premature beat, whereas holosystolic murmurs show no change in volume. Which type of murmur was presented in the quiz? (June 17, 2025)

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Daily quiz

  2025/06/16 

On June 16, a quiz on heart murmurs was presented. It focused on distinguishing between ejection murmurs and holosystolic murmurs. (June 16, 2025)

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Daily quiz

  2025/06/15 

On June 15, a case study of an 81-year-old woman with a heart murmur was posted. Please check which auscultation site reveals which characteristic heart sounds. (June 15, 2025)

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Daily quiz

  2025/06/14 

On June 14, a question from a past Japanese National Medical Licensing Examination was featured, focusing on a condition that causes decreased left ventricular preload. Choose the correct answer from among five heart murmurs. (June 14, 2025)

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Daily quiz

  2025/06/13 

June 13 – Question on a Specific Breath Sound Today’s question focuses on a specific sound often heard in cases of bronchiectasis or interstitial pneumonia. You will listen to three sound files and select the one that contains this sound. The explanation includes a real clinical case in which this sound was auscultated. (June 13, 2025)

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Daily quiz

  2025/06/12 

June 12 – Focus on Idiopathic Pulmonary Fibrosis (Fine Crackles) Today’s topic is idiopathic pulmonary fibrosis (IPF) with fine crackles. The question is designed for beginners and asks about the typical location where fine crackles are heard. The explanation also includes details on the respiratory phase, breathing technique, and patient position for auscultation. (June 12, 2025)

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Daily quiz

  2025/06/11 

June 11. Today’s case concerns a change in lung sounds. The question is based on a case in which high-frequency sounds are heard in a region where vesicular breath sounds are normally expected. Please listen carefully in a quiet environment. (June 11, 2025)

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Daily quiz

  2025/06/10 

On June 10, a case was presented involving shortness of breath and rapid weight gain. At the apex, a rhythmic heart sound resembling a galloping horse was heard. The quiz focused on interpreting the cardiac function of a patient presenting with such heart sounds. (June 10, 2025)

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