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Daily quiz: 2025/11/18
On November 18, the quiz focuses on systolic heart murmurs.　First, you will identify the point of maximal intensity of the murmur.　Then, you will divide systole into three phases—early, mid, and late—and determine in which phase the murmur is heard. (November 18, 2025)

Daily quiz: 2025/11/17
On November 17, we will learn about the summation gallop, a finding seen during the exacerbation of heart failure. Due to tachycardia, the diastolic phase shortens, causing S3 and S4 to merge into a single low-pitched gallop sound. By listening to the actual audio, you will deepen your understanding of this important sign that suggests severe heart failure. (November 17, 2025)

Daily quiz: 2025/11/16
On November 16, the quiz focuses on how the second heart sound (S2) changes between inspiration and expiration.　By listening to the actual sounds, you will gain a clear understanding of the mechanism of physiological S2 splitting. (November 16, 2025)

Daily quiz: 2025/11/15
On November 15, we will learn about the characteristic changes in heart murmurs seen in Hypertrophic Obstructive Cardiomyopathy (HOCM). By listening to how murmur intensity varies with changes in preload, you will strengthen your ability to distinguish HOCM from other types of heart murmurs. (November 15, 2025)

Daily quiz: 2025/11/14
On November 14, the daily quiz features lung sounds from a home-care patient with heart failure. Based on typical findings seen during heart failure exacerbation—such as shortness of breath when lying down and pitting edema of the lower limbs—you will determine which lung sound corresponds to the one heard on iPax. (November 14, 2025)

Daily quiz: 2025/11/13
On November 13, the case features a 6-year-old girl with fever and cough for the past two days.　On auscultation, bubbling sounds were heard over the right anterior chest, and over the left posterior lung base, both bubbling sounds and low-pitched gurgling sounds were audible. (November 13, 2025)

Daily quiz: 2025/11/12
On November 12, the case features croup, characterized by a barking cough resembling a dog’s bark and a high-pitched inspiratory wheeze (stridor).　You will listen to the respiratory sounds caused by upper airway obstruction and answer the quiz. (November 12, 2025)

Daily quiz: 2025/11/11
On November 11, the case features a patient with dyspnea on exertion and easy fatigability.　A high-pitched holosystolic murmur is heard throughout systole at the cardiac apex, and the murmur radiates toward the left axilla. (November 11, 2025)

Daily quiz: 2025/11/10
On November 10, the quiz focuses on the water-flow–like murmur heard in early diastole. We will learn about the typical heart murmur of aortic regurgitation (AR), including the auscultation site at Erb’s area and how the murmur changes when the patient leans forward in a sitting position. (November 10, 2025)

Daily quiz: 2025/11/09
On November 9, the case featured a 65-year-old man with exertional dyspnea.　A systolic murmur with its point of maximum intensity at the second intercostal space along the right sternal border was heard, and the murmur radiated to the neck. (November 9, 2025)

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