A 34-Year-Old Lady Arrives at the Clinic Complaining of Palpitations

A 34-year-old lady arrives at the clinic complaining of palpitations, heavy perspiration, and anxiety dating back two weeks. The patient is obese and has tried unsuccessfully to lose a lot of weight through diet and exercise. She has been ingesting excessive doses of levothyroxine, which a buddy gave it to her for. The pulse rate is 110 beats per minute. The thyroid gland is a normal size and soft, non-tender, according to a physical examination of the hands. TSH is suppressed in the laboratory examination, and free thyroxine levels are higher (T4) . Which additional finding from the list below is most likely to be present in this patient?

A) A
B) B
C) C
D) D
E) E