3 Normal
    Cardiac Exam - Auscultation ULSE
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You are incorrect - our patient's second sound at the upper left sternal edge is split in inspiration and the first component is louder.

Your choice: Split in inspiration, 2nd component louder
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This is a graphic example of inspiratory splitting of S2 in which the second component, P2, is louder than the first component, A2.

An abnormally loud pulmonary component of the second heart sound is typical of pulmonary hypertension.