<prompt> All of the following statements about Tetralogy of fallot are true, ExceptJVP is normalSecond Hea sound is singleEjection systolic murmur is third left intercostal spaceFirst Hea sound is soft  <response>: Answer is D First Hea Sound is soft The murmur in tetralogy of Fallot relates to the degree of right ventricular outflow obstruction pulmonic stenosis. It is a harsh ejection systolic murmur resulting from turbulent flow across the stenotic pulmonic valve The shunt murmur is absent because the shunt operates at a low pressure difference 