<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old woman comes to the physician because of irregular menstrual bleeding. Menarche occurred at the age of 12 years and menses have occurred at 45 to 90-day intervals. Her last menstrual period was 8 weeks ago. She is not sexually active. Serum studies show:Fasting glucose 178 mgdLFasting insulin 29 mcIUmL N 2.624.9 mcIUmLLuteinizing hormone 160 mIUmLTotal testosterone 3.2 ngdL N 0.061.06 ngdLSerum electrolytes are within the reference range. Further evaluation of this patient is most likely to show which of the following findings?? A: Elevated serum beta-HCG level, B: Adrenal tumor on abdominal MRI, C: Enlarged ovaries on transvaginal ultrasound, D: Intrasellar mass on cranial contrast MRI, E: Elevated serum TSH level,  <response>: Based on the information provided in the question stem, this patient is a 25-year-old woman with irregular menstrual periods, elevated fasting glucose and insulin levels, elevated luteinizing hormone and testosterone levels, and normal electrolytes. The key findings are irregular menses, hyperandrogenism elevated testosterone, and evidence of insulin resistance based on the elevated fasting glucose and insulin levels. This suggests polycystic ovary syndrome PCOS as the most likely diagnosis. PCOS is characterized by irregular menses, hyperandrogenism, and polycystic ovarian morphology on ultrasound. The elevated LH and testosterone are consistent with PCOS. An adrenal tumor would cause elevated testosterone but normal LH. A pituitary tumor would not cause hyperandrogenism. Thyroid disease would not explain the hyperandrogenism or ovarian dysfunction. Beta-hCG is associated with pregnancy, which is unlikely in this virginal patient.Therefore, the question is asking what the most likely finding on further evaluation would be in this patient with suspected PCOS. Enlarged, polycystic appearing ovaries on transvaginal ultrasound would be the most likely finding.C: Enlarged ovaries on transvaginal ultrasound 