Year Woman Presents Assignment Help: How to Answer This Question

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Original Question

A 34-year-old woman presents with excessive hair growth on her face and around the areolas of her breasts for the past 4 years. A history of present illness reveals that she is extremely embarrassed because of the hair growth and has tried tweezing and waxing the hair, without relief. Her gynecologic history shows that her last menstrual period was 2 months ago. Her menses occurred at regular 28-day intervals until the age of 25. They now occur every 90 to 120 days. She has been using combined oral contraceptive pills for the past 7 months, which have not improved her menstrual cycles substantially. Her past medical history is significant for epilepsy and hypertension. Her medications are phenytoin, amlodipine, and spironolactone. Her vital signs are heart rate 101 bpm, blood pressure 135/87 mm Hg, height 168 cm (5 ft 6 in), weight 98 kg (216 lb), and BMI 35 kg/m2. Her physical examination shows excessive hair growth on the face, around areolas of the breast, and on the abdomen. The result of a urine pregnancy test is negative. What drug is aggravating her current symptoms? A. Spironolactone B. Phenytoin C. Amlodipine D. Oral contraceptive pills

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