A 30 year old woman has developed increased facial hair and acne for last 5 months. She has noticed deepening of voice and clitoris enlargement. On physical examination her height is 170 cm, weight is 95kg, BP=130/75 with abdominal obesity. There is no evidence of striae or bruising. All of the following would be impoant steps in clinical assessment of patient, except?

**Core Concept**
The patient's symptoms suggest **hyperandrogenism**, which can be caused by various conditions, including polycystic ovary syndrome (**PCOS**), congenital adrenal hyperplasia, or androgen-secreting tumors.

**Why the Correct Answer is Right**
Since the correct answer is not provided, let's analyze the given options in the context of hyperandrogenism. Typically, important steps in clinical assessment include measuring **testosterone** levels, assessing for signs of **Cushing's syndrome**, and evaluating **ovarian function**.

**Why Each Wrong Option is Incorrect**
**Option A:** Would be incorrect if it suggested ignoring **testosterone** levels, as this is a crucial step.
**Option B:** Might be incorrect if it proposed not assessing for **Cushing's syndrome**, given the patient's abdominal obesity and potential for hormonal imbalance.
**Option C:** Could be incorrect if it recommended against evaluating **ovarian function**, which is essential in diagnosing conditions like **PCOS**.
**Option D:** Without the specific text, we can't assess its correctness directly, but typically, all these steps are important.

**Clinical Pearl / High-Yield Fact**
In patients with suspected **hyperandrogenism**, it's crucial to assess for signs of **virilization**, such as deepening of the voice, clitoral enlargement, and male pattern baldness, as these can indicate more severe androgen excess.

**Correct Answer:** Not provided in the query.

✓ Correct Answer: D. USG abdomen