Tina's left tibial pulse is graded as 2+. This finding is normal. Pulses are graded on 4 point scale in which 4+ is a bounding pulse, sometimes visible, 3+ is bounding, full and brisk, easily palpable, 2+ is normal, average, slightly weak but palpable,1+ is weak, diminished and barely palpable, and 0 is absent.