Review Question - QID 109190

A 43-year-old female with a history of polycystic kidney disease status post kidney transplant presents to her nephrologist for a normal follow-up visit. Her operation was 6 months ago. She was started on multiple medications prior to the transplant. Her medical history is otherwise notable for hypertension, asthma, and rheumatoid arthritis. She currently reports that she has noticed excess hair growth since the operation. A unique physical examination finding is also shown in Figure A. The medication that is most likely responsible for this patient’s current symptoms has which of the following mechanisms of action?