66. A 20-year-old nulligravid woman comes to the physician because she has not had a menstrual period for 6 months. She also has had weakness, easy fatigability and bruisability, increasing abdominal girth, swelling of her feet, and a 10-kg (22-lb) weight gain during this period. Menarche occurred at the age of 12 years, and menses have occurred at regular 28-day intervals since the age of 15 years. She is 163 cm (5 ft 4 in) tall and weighs 80 kg (176 lb); BMI is 30 kg/m2. Her temperature is 37?C (98.6?F), pulse is 110/min, respirations are 16/min, and blood pressure is 150/100 mm Hg. Physical examination shows hirsutism on the upper lip and chin, purple striae on the anterior portion of the abdominal wall, truncal obesity, and 1+ pitting edema of the lower extremities. The most likely cause of her condition is a hormonal imbalance that involves which of the following precursors? A) Amino acids B) Cholesterol C) Testosterone D) Triglyceride E) Vitamin D

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