NBME 23 Closure of the mitral valve (NBME Answers)

You must be logged in to vote!

Retired NBME 23 Answers

nbme23/Block 4/Question#14 (reveal difficulty score)
A 61-year-old woman comes to the physician ...
Closure of the mitral valve 🔍 / 📺 / 🌳 / 📖
tags:

+14 upvote downvote
submitted by ∗lfsuarez(160)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

tiFsr erath odsun ()S1 si reteneagd yb wto hatre e:vvsal eht raimlt vlave adn uitidrcps evval. laNrye susmntiuaoel gioscln fo ehste easvlv naolymlr eengatsre a lengsi 1S du.sno pttngliiS of teh S1 nosdu si rdeha ewhn amltir dna siiudtrcp slveva locse ta llthsgyi ieretffnd t,semi wiht lausyul het ltirma cslgion febreo rdtpicuis

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

yotsubato Tnhe why het cfku is ti sbdnecrigi a lmrita ealvv donus in het cptisdriu area +29

dr.xx tsi' sidcrebngi a tignilspt 1S — sinotgisnc fo tmialr and pdrucsiti levav ursoecl — ahtt is btse herda ta eht irtpcisud letf( olwre ntreals brord)e nda mtrial dria(cca e)apx litnsnieg pst.os +40

titanesxvi kitcry nesquit,o I othuhg tawh osnud it is in the lfte leanrst br,doer so I csoeh ipsdiurct ,alevv btu hwat yeht eherw niakgs ,saw wtha si the first pntcmneoo of eht S1 sunod +5

titanesxvi ircykt i,qnteuos I ghuhto htaw nouds ti is ni the tlfe rnetasl edror,b os I echso rpdicisut ev,lav but wtah hyte rhewe ingkas a,sw htaw is teh sfirt tnnocopem fo eht S1 dnosu +1

drzed tI udhts'lno meatrt ewerh ouy reah a tislp su.ndo Fro ,leaxepm on atmret weher oyu ltauteucsa no teh eatr,h hte secndo rathe dosun ni a hethlya nliaiudivd will alwsya be 2A tenh P2 hrth(ewe you aer ta eht rtmali niiglsetn spot ro eth oricta ntsiigeln et)hp Tos yke si nrgcenoiizg thta hte griht dseid svlave in taehyhl dnavuiidsli llwi lwaays csoel ralte g.e.( eht rthae dosusn ear S1 ,2S tub rmeo sycclleapifi M1 1T A2 ).P2 eTh areson fro ihts si spil:em fi uoy ktae a baehrt in, you lilw ceeirsan edpalor on het thgri desi of eth ,retha nad uths eht eertgra uvelmo lliw eacsu a dleeady oerslcu fo het valve. ihsT si yopcsilihog n,lstigpit adn is ttrbee ecpariadpte ni hte uapomlynr dna aocirt vlvaes suaebce hety rae uredn egaertr rsespeu,r and uths elourd, but it can olsa be rdeah ni eht rifts rtahe .duson +16

alexxxx30 sye aegr!d!e sTih tqsnoiue si tlmosy nsigka if you unrdntsaed a wef bcsai tngsih rndriegga odirac so.yhip heT left deis of eht hetar is the rihegh reesupsr deis so etlf dised eavsvl illw loesc tfirs. Teh rgith seid fo hte terah si eht olwre reusersp eds,i iwchh esmna tirhg edsdi aeslvv will noep tr.fis etL[f seolsc rtf,si ghitR senpo i.,oedly.nSfr.cts] ti rrqieuse uoy to wnko whta 1S nad 2S snsoud emco ofmr. S1 is the cisp/rraitdmtiul lveva gsicnol adn S2 si the ia/rrncoluAptyom aelvsv .osnglic So eyllra eht eqotinus skas ahtw si het irtsf ncnmtpooe of S1 l(matir ro durtcsiip coless sifr.t) ndA sicne ew ownk htat teh ftle sied lwil wyasla cleso tirfs, ti umts be lratmi vlaev euo.rlsc Soyrr fi taht wsa a lngo tlp.onniaaex +16

jesusisking shnkTa ,x@3xxe0lax you hte am!n IPR bKoe +

yesa drdz@e uslnse its' docaiapaxrl stgiipltn ]Ex ctaori nsetis,os hnte it si trcaoi laevv ncglsio sritf at 2.S +

This video explains it https://www.youtube.com/watch?v=kvQ2IU3ILRo&list=PL3n8cHP87ijDnqI8_5WQlS4tN37D6P4dH&index=8&t=52s

+/- uasid(68)

I think by 'left sternal border' they're referring to the Erb's point - left 3rd ICS on sternal border.

Even I got it wrnong thinking tricuspid area is being described!

+/- abhishek021196(120)

You must be logged in to vote!

+4 upvote downvote
submitted by ∗gh889(154)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

rateG odiev no S1 adn ti's tpis!l!

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+3 upvote downvote
submitted by ∗rolubui(17)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

Teh way I emrreemb ti, :1S irMtal pa&m; itipdrcsu cb ldobo goes mfro atari ot snievrltec nthe ofmr neictrlves to edoutis eht eatrh -gt;-& .2S ,owN wnhe uoy haev a Stpli S1 the ayw I ikhtn buota is hatt ewhn yuo nlhaei uoy aveh trxea doobl mgnoci niot teh tirgh idse of the aehtr so eht tirpisduc vvslae csosel terla nad easusc a itlsp S1 noup s.tpeiinorar oHpe ttha pe.lhs

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+1 upvote downvote
submitted by ∗yogi(19)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

:Q lStip 1S aredh vroe eLft raetlns doerbr - itriuspcd raea. Frsit tmnooencp of ?: AS1 gnnithay MC( ni BRB)B that uscase eadlyde ueorlcs of dupstrcii vevla ecamdrop ot rlmita vvea-l lwli cuase tlspi 1S htiw deayedl T1 dan ryeal 1M derha at csupriTdi ea.ra

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+1 upvote downvote
submitted by usmlehulk(7)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

eaPsle daer teh astl etncsene fo eth .sonequit I inhkt eht pitls htmig eb usbceea fo .,Rbb tihs ussace the amitrl dna rcpisiudt vvlae ot csloe at terniffde is.tme

o-s ihwch of eth oiwllonfg stbe iplensax the sirft ntopcnoem fo teh rheat dosun (ptlsi ).S1 lhoSud be eht alrtim lvvae oculrse erbefo het rptudicis v.avel

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

Must-See Comments from nbme23

ferrero on Precapillary resistance
yotsubato on 99%
sne on Triglyceride
sajaqua1 on Area labeled ‘D’ (Spinothalamic tract, right)
stinkysulfaeggs on Hypoglycemia
hayayah on Iris
soph on Peak inspiratory pressure (alveolar): ...
seagull on Area labeled ‘C’ (Cranial nerve 8: ...
water on Dietary change
wired-in on 28.8
beeip on Binding of permeable ligand to nuclear ...
thomasalterman on Hypoglycemia
yotsubato on Inhibition of the cytochrome P450-dependent ...
seagull on Decreased sodium bicarbonate reabsorption in ...