A 46-Year-Old Man Is Evaluated for Decreased Sexual Performance and Moderate

A 46-year-old man is evaluated for decreased sexual performance and moderate fatigue over the last 2 years.  He was diagnosed with sick sinus syndrome a year ago after an episode of syncope and received a permanent pacemaker.  The patient takes no medications.  He is married and has 2 children.
Vital signs and BMI are within normal limits.  Physical examination shows mild testicular atrophy without gynecomastia.
Laboratory results are as follows:

The patient should be evaluated specifically for which of the following conditions?

A) Adrenal neoplasm
B) Hereditary hemochromatosis
C) Karyotype abnormalities
D) Lyme disease
E) Varicocele

Correct Answer:

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