text: Patients with<unk><unk>  usually appear fatigued and nervous.<unk>  examination of patients with<unk><unk>  is usually remarkable for widened, palpebral fissures, tachycardia, hyperkinesis, moist, smooth skin, tremor, proximal muscle weakness, and brisk deep tendon reflexes.
option_0: Toxic Adenoma physical examination
option_1: Histoplasmosis physical examination
option_2: Silicosis physical examination
option_3: Rhinitis physical examination
option_4: Laryngeal cancer physical examination
option_5: Aspergillosis physical examination
option_6: Tuberculosis physical examination
option_7: Vulvar cancer physical examination