After studying the GMAT for 6 months, I've come to realize that questions like this punish most people who overly rely on formulas and trick knowledge (including myself.) A few people can think their way through it based on their grasp of number properties - and that's may be the fastest method - but the GMAT also rewards people who just crank on out of curiosity/desperation.
I rephased the 2x+2y answer as 2(x+y). So, what is the set of the possible values of the tens digit of this integer? No clue! - so let's go fishing.
Let x and y both equal 60. Tens digit of answer is a 2 (6+6=12).
I realize, trying out a few combinations of units digit, that I can only "carry over" a maximum of 1 from the units to the tens place, and therefore the tens digit of x+y either must be a 2 or a 3.
However, I'm trying to find 2(x+y). Not sure how that changes things - so again, let's go fishing.
I realize that the lowest possible x+y is 120 (60+60) and the greatest possible is 138 (69+69). No crazy number properties; it's just checking min/max at 0 and 9. Therefore, the least 2(x+y) is 240, and the greatest is 276. Doesn't take a genius to infer that this is the range of 2x+2y: 240-276. That means any number between 240 and 276 could be a solution, which means the tens digit could be 4, 5, 6, or 7.
Answer B: Four.
I realize this is difficult to do under time pressure on a test, but in the latter half of my studying, I've also realized that it's very difficult to formulate a planned solution path for many GMAT quant questions after first reading the stem. They are intentionally confusing and intimidating. Much of the time, you can get the right answer if you're willing to take the stem at face value, put pen to paper, and see where the numbers lead you.