<prompt> All of the following are true regarding tetralogy of Fallot except:Ejection systolic murmur in second intercostal spaceSingle second heart soundPredominantly left to right shuntNormal jugular venous pressure  <response>: c. Predominantly left to right shuntRef: Nelsons 20e p 2211-2217, Ghai 8e p 420-423Right to left shunt is seen in ToF i.e. blood going from the pulmonary circulation to the systemic circulation Physical examination in a case of TOF shows: Cyanosis and clubbing, Normal jugular venous pulse as there is no heart failure, a Single second heart sound S2 and Ejection systolic murmur in pulmonary area. 