<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 14-year-old girl is referred to a gynecologist for amenorrhea. Her mother is also concerned that she hasnt grown any hair in her private parts. The patient states that she is getting used to high school and wants to join the volleyball team but complains that her weakness and headaches limit her physical activity. She does not share her mothers concerns about her menses. She reveals that her parents are maternal cousins. Her temperature is 98F 37C, blood pressure is 16090 mmHg, pulse is 70min, and respirations are 24min. Her cardiac exam is unremarkable, and her abdominal exam reveals no bruits. After obtaining permission for a pelvic exam, the exam reveals a normal appearing vagina without any hair. No cervical os can be palpated. Initial labs reveal the following:Serum:Na: 143 mEqLCl-: 110 mEqLK: 2.9 mEqLHCO3-: 26 mEqLBUN: 40 mgdLGlucose: 104 mgdLCreatinine: 1.3 mgdLWhat is the most likely diagnosis?? A: 3-beta-hydroxysteroid dehydrogenase deficiency, B: 5-alpha reductase deficiency, C: 11-beta-hydroxylase deficiency, D: 17-alpha-hydroxylase deficiency, E: 21-alpha-hydroxylase deficiency,  <response>: This is a question about diagnosing amenorrhea and lack of pubic hair in a 14-year-old girl. The key findings are:- Amenorrhea - Lack of pubic hair- Weakness and headaches- High blood pressure- Low potassium - High BUN and creatinine- Normal glucose- Parents are maternal cousinsThis suggests a disorder of sex steroid synthesis. The lack of pubic hair and amenorrhea indicate lack of androgens and estrogens. The hypertension, hypokalemia, and renal impairment point towards mineralocorticoid excess. The normal glucose rules out 11-beta-hydroxylase deficiency. The consanguineous parents raise suspicion for an autosomal recessive disorder. Given the lack of androgens and mineralocorticoid excess, the most likely diagnosis is 17-alpha-hydroxylase deficiency. This enzyme is needed to synthesize cortisol, androgens and estrogens. Deficiency leads to corticosterone and deoxycorticosterone excess, causing hypertension and hypokalemia. Lack of androgens causes lack of pubic hair. Lack of estrogens causes amenorrhea. The renal impairment is from hypokalemia and hypertension.D: 17-alpha-hydroxylase deficiency 