Question 53 · LEK · Introduction

Indicate the false statement concerning the second heart sound splitting in children:

  1. A. it occurs physiologically only on inspiration.
  2. B. pathological split occurs most frequently in children with the atrial septal defect.
  3. C. fixed second tone split occurs in children with pulmonary valve stenosis.
  4. D. pathological second tone split audible on expiration is a characteristic feature of hypertrophic obstructive cardiomyopathy.
  5. E. second heart sound splitting in a newborn always indicates a pathology.
Hint

Think about whether splitting of S2 can be a normal auscultatory finding in the neonatal period.

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