<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 45-year-old man walks into an urgent care clinic complaining of a headache and dizziness. Earlier today he was in his normal state of health when symptoms started and lasted about 20 minutes. He did not lose consciousness or actually vomit. He also mentions that he was sweating a lot at that time. He has had similar dizzy spells on three separate occasions. His past medical history is significant for a total thyroidectomy 10 years ago for carcinoma. He takes levothyroxine and a multivitamin every day. Several family members seem to suffer from similar spells. At the clinic, his blood pressure is 14090 mm Hg, his heart rate is 120min, his respiratory rate is 18min, and his temperature is 36.6 C 98.0 F. On physical exam, he appears quite anxious and uncomfortable. His heart rate is tachycardic with normal rhythm and his lungs are clear to auscultation bilaterally. Small nodules are observed on his buccal mucosa and tongue. The patient is referred to an endocrinologist for further assessment and CT. On CT exam, a mass is observed involving the medulla of his right adrenal gland. Which of the following additional symptoms is associated with this patients condition?? A: Bronchospasm, B: Decreased cardiac contractility, C: Pale skin, D: Bradycardia, E: Pupillary constriction,  <response>: This is a clinical case scenario describing a 45-year-old man presenting with episodic headaches, dizziness, sweating, tachycardia, and anxiety. He has a history of thyroid cancer status post thyroidectomy and is on levothyroxine replacement. Family history is significant for similar spells. Physical exam reveals tachycardia and oral mucosal lesions. Imaging identifies a mass in the right adrenal gland medulla. Based on the clinical presentation and imaging findings, this patient likely has pheochromocytoma - a tumor of the adrenal medulla that secretes excess catecholamines like epinephrine and norepinephrine. This explains his paroxysmal symptoms of headache, sweating, tachycardia, and anxiety which are classic for catecholamine excess. The question asks to identify an additional symptom associated with pheochromocytoma from the multiple choice options.C: Pale skin 