Lysosomal storage disorders Quiz: Ace Your Exams

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A 3-year-old boy is being evaluated for developmental delay. He recently learned to sit up on his own; however, he is unable to stand up without support. His past medical history is significant for recurrent upper respiratory infections. His family is of Ashkenazi Jewish descent. Physical examination shows coarse facial features, kyphoscoliosis, and restricted joint mobility. Abdominal examination reveals hepatosplenomegaly. Ophthalmic examination reveals corneal clouding. A genetic condition is suspected. Which of the following intracellular processes are defective considering the most likely diagnosis? 

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