frequent headaches - okt3

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A 35-year-old African American female presents to the outpatient clinic with complaints of frequent headaches, blurry vision, and elevated blood pressure found during evaluation at her work site. She appears to have prominent coarse facial hair, a deep voice, and well-developed musculature. A physical exam reveals a blood pressure of 196/110 and moderate lower-extremity edema. Laboratory results reveal decreased cortisone and aldosterone, with elevated deoxycorticosterone.

Which enzyme is most likely deficient?

A 17-Alpha-hydroxylase

B 3-Beta-hydroxysteroid dehydrogenase

C 11-Beta-hydroxylase

D 21-Alpha-hydroxylase

E Aromatase