Regarding making the diagnosis of autonomic
neuropathy, which one of the following
statements is CORRECT?
a) Anhydrosis is the most common presenting symptom
b) A normal sinus arrhythmia involves mild elevation
of heart rate during expiration
and mild depression during inspiration
c) A Valsalva manoeuvre is of no use as a bedside
test
d) During a sustained handgrip, a normal response
would be an increase in diastolic
blood pressure of >16mmHg in the opposite arm
e) The patient’s ability to perform mental arithmetic may aid diagnosis at the
bedside