Here is my personal way how I reasoned to the correct answer, if it helps anyone. First off, I recognized she probably has ALS, as she has purely motor symptoms (no sensory symptoms) that include both UMN (3-week history of muscle cramps) and LMN lesions (fasciculations, atrophy). In ALS, you have damage to anything that is composed of UMNs and LMNs. UMNs are found in (A) cerebral white matter, (B) corticospinal tract, and (C) internal capsule. I picked (D) for two reasons: (1) she has more LMN symptoms than UMN symptoms (the only UMN symptom was muscle cramps), and (2) choices A, B, and C are all UMNs, and so they can't all be right.
That's just what was going on through my brain. Very convoluted I know and might have errors, but if I helped at least 1 person then I did my job.
I tdon' thnki ti mtrseta heterwh ro tno tihs swa LAS ( ihwhc I tlsli htnik it ).is tuB rheste ltosafnuacsii dan Wksseena nda yhparot tsohe rea NMLL sing.s ehsTer osoo yamn nseaky uetqssion in tsih mxea, tish ntsi neo of m.eht
I was thrown off because I didn't realize lower motoneuron = lower motor neuron face palm
"LMN deficits... dysarthria, dysphagia, asymmetric limb weakness, fasciculations, atrophy
UMN deficits... pseudobulbar palsy (i.e. dysarthria, dysphagia, emotional lability, spastic gait, clonus])"
-- FA 2019 p.518
oesD enynoa aveh yna edai on hsti etn?soiqu ghuohtT it swa S.LA
Teh" ssol fo worel omtro seurnon eldas ot awenks,se thtcgiwin of muescl ,acns)ftil(iuoca dna lsso fo lucesm sams el(uscm .hypato")r
I figured since the answer was mis-spelled, it couldn't be the answer.