<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 22-year-old man, accompanied by his brother, presents to the emergency department with palpitations for the past 30 minutes and nausea for the past hour. When the patient meets the physician, he says, Doctor, I am the happiest person in the world because I have the best brain possible. Its just that my heart is saying something, so I came to check with you to see what it is. The brother says the patient was diagnosed with attention-deficithyperactivity disorder ADHD 5 years ago. When the doctor asks the patient about his ADHD treatment, he replies, Doctor, the medicine is wonderful, and I love it very much. I often take one or two tablets extra! He has no history of a known cardiovascular disorder, alcohol abuse, or smoking. The patients temperature is 99.2oF 37.3oC, heart rate is 116minute, respiratory rate is 18minute, and blood pressure is 13894 mm Hg. Generalized perspiration is present. Which of the following signs is most likely to be present on ocular examination?? A: Dilated pupils, B: Rotatory nystagmus, C: Conjunctival injection, D: Bilateral foveal yellow spots, E: Bilateral optic disc edema,  <response>: This is a clinical vignette style question involving a patient with palpitations, nausea, and a history of ADHD treated with stimulant medication. The key details in the stem are the patients symptoms of palpitations and nausea, history of ADHD treated with stimulant medication, and vital signs showing tachycardia, fever, and hypertension. The question asks which ocular sign is most likely to be present on exam. The choices include dilated pupils, nystagmus, conjunctival injection, yellow spots, and optic disc edema. This patients presentation is consistent with sympathomimetic toxicity from stimulant medication overuse. Stimulants like those used to treat ADHD can cause mydriasis dilated pupils, tachycardia, hypertension, nausea, and hyperthermia. Of the choices, dilated pupils is the ocular sign most consistent with sympathomimetic toxicity from stimulant overdose.A: Dilated pupils 