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NBME 22 Answers

nbme22/Block 1/Question#12 (15.3 difficulty score)
During the first week of life, a male newborn ...
21-Hydroxylase🔍
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submitted by dr.xx(125),
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onlenCtgia rdealan syaihprelpa ued ot xsy12le-ayordh ci.ndeieyfc

eo_.2ohridintuipadhrawieiaer_p_1geiolewickad_k/aity_lnsn/gecx.htdeeniCpsypo:sdt/f_ae/-ylynalr

wutuwantbruv  Can't be 17α-hydroxylase because this would present with hypertension and some sort of ambiguous sexual presentation (males) or lack of secondary sexual development (females). Can't be 11β-hydroxylase because this would present with the opposite of the kid's presentation due to the production of 11-deoxycorticosterone (similar effects to aldosterone but not nearly as potent). The other two would not really make sense since there are increased levels of 17-hydroxyprogesterone. +