MCQ – 89040

Question

A 4-day old newborn has a fluid and resistant shock and currently on double inotropes to maintain pressures. serum electrolytes were suggestive of hyponatremia and hyperkalemia. Genitalia is shown in the image, what are the most probable diagnosis and the next best step in the workup:

A.

CAH,21-OH progesterone levels

B.

21-hydroxylase deficiency,17-OH progesterone levels

C.

17-hydroxylase deficiency,17-OH progesterone levels

D.

Denys Drash syndrome ,WT-1 mutation analysis

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