A tumor is excessive growth of cells. The higher number of cells affected often

A tumor is excessive growth of cells. The higher number of cells affected often results in an over secretion by a gland. If a tumor occurred in the adrenal medulla, a hypersecretion of epinephrine occurs. Possible symptoms of the tumor include

Question 33 options:
   
a) increased heart rate, increased blood sugar, increased metabolic rate

   
b) decreased heart rate, increased blood sugar, increased metabolic rate

   
c) increased heart rate, decreased blood sugar, decreased metabolic rate

   
d) increased heart rate, decreased blood sugar, decreased metabolic rate

For some reason c) and d) are the same. I'm thinking its either a) or c) which is the same as d).