A 3-week-old female infant (46, XX) presents with ambiguous genitalia, poor feeding, and lethargy. Vital signs show BP 78/52 mmHg, HR 148/min, RR 32/min, temp 36.8°C. Laboratory studies reveal serum potassium 6.8 mEq/L, sodium 128 mEq/L, and elevated 17-hydroxyprogesterone. Abdominal ultrasound shows normal adrenal glands without hemorrhage. 21-hydroxylase deficiency is confirmed. The adrenal steroid hormones that cannot be synthesized in this patient normally bind to receptors with which of the following characteristics?
- A)Tyrosine kinase activity
- B)Helix-loop-helix motif with dyad symmetry
- C)Seven transmembrane helices
- D)Guanylate cyclase activity
- E)Zinc finger motifGABARITO
Explicação
The correct answer is E. Source: Kaplan USMLE Step 1 QBank — Biochemistry Test 2. Ver explicação completa e trilha adaptativa →