Review Question - QID 210925

A 17-year-old girl comes in to her primary care physician's office for an athletic physical. She is on her school’s varsity swim team. She states she is doing “ok” in her classes. She is worried about her upcoming swim meet. She states, “I feel like I’m the slowest one on the team. Everyone is way more fit than I am.” The patient has polycystic ovarian syndrome and irregular menses, and her last menstrual period was 5 weeks ago. She takes loratadine, uses nasal spray for her seasonal allergies, and uses ibuprofen for muscle soreness occasionally. The patient’s body mass index (BMI) is 19 kg/m^2. On physical examination, the patient has dark circles under her eyes and calluses on the dorsum of her right hand. A beta-hCG is negative. Which of the following is associated with the patient’s most likely condition?