The medical record of your patient lists a grade III systolic ...

[Jipu 123]

The medical record of your patient lists a grade III systolic murmur. This indicates the patient has a heart murmur that is:
 
  A. Soft and after S2
  B. Loud and crescendo in quality
  C. Moderately loud and after S1
  D. Loud and after S2

Question 2

It is important for clinicians to recognize that individuals with ____ often sustain silent myocardial infarction.
 
  A. Diabetes mellitus
  B. Hypertension
  C. Valvular disorders
  D. Congenital heart defects

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Answer to Question 1

ANS: C
A grade III murmur is moderately loud and a systolic murmur immediately follows S1.

Answer to Question 2

ANS: A
Pain sensitivity may be blunted in persons with diabetes. Peripheral and autonomic neuropathy is common in long-term diabetes. Individuals with diabetes often suffer infection or other disorders without sensing the pain and sustain complications without warning.