Leydig cells make testosterone. Leydig cell tumors aren’t always physiological active, but those that are can cause masculinization. Granulosa cell tumors, on the other hand, sometimes produce estrogen (which can lead to precocious puberty in young girls but otherwise may be occult). Teratomas are oddballs that typically have fat, hair, teeth, etc. Thecomas will not be on your test. Ovarian carcinoid is highly unlikely to show up on your test, but if it did, it would likely present with a classic carcinoid syndrome.

FA 2020 pg 647 states:

Sertoli-Leydig cell tumor - May produce androgens Ž virilization (eg, hirsutism, male pattern baldness, clitoral enlargement)

Granulosa cell tumor presents with postmenopausal bleeding, endometrial hyperplasia, sexual precocity (in preadolescents), breast tenderness.

Thecoma - presents as abnormal uterine bleeding in a postmenopausal woman.

the sketchy on ovarian masses is golden.