Jaundice Quiz: Ace Your Exams

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A 2-week-old girl is brought to the emergency department by her parents for jaundice and poor muscle tone. She was born full-term via an uncomplicated vaginal delivery. The patient was jaundiced at birth and her symptoms have persisted. She is exclusively breastfed and produces 5-6 wet diapers per day. Family history is notable for type 2 diabetes mellitus in her father and asthma in her mother. Physical examination shows jaundice and reduced muscle tone throughout the body. In addition, the patient has a right eye downward gaze palsy. Laboratory testing reveals the following findings:  
 
Laboratory value  Result 
 Total bilirubin  23.0 mg/dL 
 Conjugated bilirubin  0.3 mg/dL 
 Alanine aminotransferase  14 U/L 
 Aspartate aminotransferase  12 U/L 
Which of the following conditions will present with laboratory findings similar to those found in this patient?

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