Pulmonary Arterial Hypertension 65-year-old man experienced fainting episode with exertion. Use toggle button to access additional pages in this lesson. Chart Auscultation Diagnosis Patient experienced fainting episode while carrying heavy boxes. Has also noticed abdominal bloating over the course of last six months. Physical Exam Shows clubbing of the nail bed and swollen ankles. Resting pulse rate of 65 beats per minute. Listen Heart Sounds Split second heart sound at peak expirationEarly diastolic murmurFast heart rateThird HS gallop heard at RLSB with Bell at inspiration Carotid Sounds Course Contents50-year-old man complaining of swollen ankles45-year-old woman complaining of dizziness with exertion75-year-old man with shortness of breath with minimal exertion✓65-year-old man experienced fainting episode with exertion.47-year-old man experiencing severe chest pain with exertionSigned-in users can take more quizzes and earn certificates.