Check to see if the EGR is stuck open, if you reach under the diaphragm, you should be able to freely push it up with 2 fingers, and it should come back down with equal force
Obviously if the cap is shocking the guy, replace the dist cap...
If it makes a squeezing noise near the distributor, it could be a slightly seized idle-control -- you'd have to remove/clean it
If it sounds like clattering anywhere in the valvecovers, you probably have one or more collapsed/stuck lifters -- there's a writeup on cleaning them
You might as well take the upper timing cover off to check the belt, and check the belt tension using the twist method, you should be able to twist the belt something like 75-80 degrees between cam gears with 2 fingers -- if it can't go past 40, it's too tight; if it goes past 90, it's too loose
Start there
