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NBME 23 Answers

nbme23/Block 2/Question#31

A 40-year-old man has had enlarging breast tissue ...

Spironolactone

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Spironolactone inhibits 17a-hydroxylase and also directly blocks the androgen receptor (useful for treatment in PCOS). It can cause gynecomastia, impotence and decreased libido. In the K-sparing diuretics video on sketchy, it is symbolized by the man with the lids on his chest (gynecomastia) and the droopy churro (impotence).