Audio Qbank – Q163 – A 4M with an enzyme deficiency

 

A 4-year-old boy is brought to the pediatrician by his mother who is concerned about the presence of small axillary hairs. Blood pressure is slightly elevated. Serum studies are as follows:

Na+: 141 mEq/L
K+: 3.8 mEq/L
HCO3:  26 mEq/L
Glucose: 76 mg/dL
DHEA-S: Elevated

Which of the following is most likely deficient in this patient?

 

  11β-hydroxylase
  17α-hydroxylase
  21-hydroxylase
  ACTH
  Desmolase

 

Cut-to-the-chase Answer (1:39):
HY USMLE Answer (7:16):