[02.01.2025] Updated content, AnKing Step Deck/AnKingMed, ID 2929727

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@AhmedAfifi Thanks for replacing these images! However, they’re kind of massive haha. Would you mind re-submitting these suggestions with an image width of 694 pixels?

@AhmedAfifi Also, maybe this is just me, but the image looks kind of blurrier than I remember the old one being. Just thought I’d mention it incase there’s something there. Or maybe that’s all in my head haha

@AhmedAfifi I was wondering if this batch of image updates may contain an error? I see that the original image (ed5c7e27faf7e5438e4ac5b2374cb5b7.png) has a slightly darker tan square around it that was fixed in the new version of the image (6428116b7b192922b6a7427f8f2fd5a9.webp).

However, in addition to fixing the color mismatch, the enzyme itself was also changed. Old image says androstenedione is converted to testosterone by 12B-hydroxysteroid dehydrogenase. New image says 21-hydroxylase catalyzes this reaction.

Per Amboss, the original image was correct (https://next.amboss.com/us/article/V60GPS → section titled “androgens” → image titled “biosynthesis of adrenal steroid hormones”). Googling “steroidogenesis pathway” pulls up dozens of images that agree with the original image. UWorld and FA don’t label this reaction on their diagrams.

Regardless of which enzyme is accurate, the current version of the deck seems to still include both versions of this image. Searching for “extra:ed5c7e27faf7e5438e4ac5b2374cb5b7.png” in Anki shows 65 cards that have the old, 12B-hydroxysteroid dehydrogenase version of the card. Searching “extra:6428116b7b192922b6a7427f8f2fd5a9.webp” shows 32 cards with the new version.

@jla001 Changes are in progress. This image will likely be updated across all cards soon. The enzyme goes by both 21- and 21B-, both are correct.