<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 21-year-old woman comes to the physician because of hair loss on her frontal scalp over the past year. Menses have occurred at irregular 40- to 60-day intervals since menarche at the age of 17 years. She has no history of serious illness and takes no medications. She is 162 cm 5 ft 3 in tall and weighs 73 kg 158.7 lb; BMI is 28 kgm2. Her pulse is 75min and blood pressure 13076 mm Hg. Physical examination shows scattered pustules on her face and patches of velvety hyperpigmentation on her axilla and groin. Her morning serum cortisol concentration is 18 μgdL. This patients condition is most likely associated with increased stimulation of which of the following types of cells?? A: Zona fasciculata cells, B: Leydig cells, C: Theca interna cells, D: Granulosa cells, E: Follicular thyroid cells,  <response>: This is a clinical vignette describing a 21-year-old woman with irregular menses, hair loss, high BMI, velvety hyperpigmentation, low morning serum cortisol, and signs of hyperandrogenism. The key findings pointing to the diagnosis are:- Irregular prolonged menses - Hair loss in a female distribution pattern- High BMI- Signs of hyperandrogenism acne, velvety hyperpigmentation in androgen-sensitive areas- Low morning serum cortisolThis presentation is most consistent with polycystic ovarian syndrome PCOS, which is associated with increased stimulation of theca interna cells in the ovaries. In PCOS, theca interna cells increase production of androgens like testosterone due to exaggerated response to luteinizing hormone LH. The high androgen levels lead to symptoms of hyperandrogenism and disrupt the hypothalamic-pituitary-ovarian axis, causing irregularprolonged menses.The other options do not fit with the clinical vignette. Leydig cells are found in the testes of males. Zona fasciculata cells are found in the adrenal cortex and produce cortisol - this patient has low cortisol. Granulosa cells interact with theca cells but are not primarily overactivated in PCOS. Follicular thyroid cells do not explain the patients presentation.C: Theca interna cells 