Sun21November0735PM 10

Is it true that features of diabetic autonomic neuropathy include the following?

True / False

Loss of heart rate variation with deep breathing Correct

Increased pulse rate on standing Incorrect answer selected

Rapid pupillary dilatation in the dark Correct

Large bladder with residual after voiding Correct

A greater than 30 mmHg fall in blood pressure on standing Incorrect answer selected

Explanation

Diabetic autonomic neuropathy tends to affect the parasympathetic arm of the autonomic nervous system with particular vagal disturbance which causes nocturnal diarrhoea.

It may present with impotence, postural hypotension, diarrhoea and nausea and vomiting as a result of gastroparesis. Additionally bladder involvement may result in a neuropathic bladder with painless urinary retention.

Regarding this question, pulse rate may actually slow on standing and the pupils may constrict or dilate very slowly in the dark.

Answer Statistics

Not enough data to display the statistics

Average score: 79.85%

Times answered: 271