nerdexam
Test_Prep

USMLE · Question #475

A 40-year-old woman comes to the physician because of a 6-month history of increased facial hair growth. Her last menstrual period was 4 months ago. She is 165 cm (5 ft 5 in) tall and weighs 70 kg…

The correct answer is C. Sertoli-Leydig tumor. See the full explanation below for the reasoning.

Question

A 40-year-old woman comes to the physician because of a 6-month history of increased facial hair growth. Her last menstrual period was 4 months ago. She is 165 cm (5 ft 5 in) tall and weighs 70 kg (154 lb); BMI is 26 kg/m2. Her pulse is 80/min, and blood pressure is 130/82 mm Hg. Physical examination shows temporal balding and coarse dark hair on the upper lip and chin. Pelvic examination shows clitoral enlargement. Her serum testosterone concentration is increased. Serum concentrations of androstenedione, dehydroepiandrosterone, and urinary 17- ketosteroids are within the reference ranges. Ultrasonography of the pelvis shows a 12-cm ovarian mass. Which of the following best describes this mass?

Options

  • AGranulosa tumor
  • BOvarian carcinoid
  • CSertoli-Leydig tumor
  • DTeratoma
  • EThecoma

How the community answered

(64 responses)
  • A
    3% (2)
  • B
    5% (3)
  • C
    83% (53)
  • D
    8% (5)
  • E
    2% (1)

Community Discussion

No community discussion yet for this question.

Full USMLE Practice