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 ont'd hitnk it amtrtse wehrhet or tno thsi swa LAS ( hciwh I tlisl khint ti ).si Btu sethre soaifsclnatiu and Wseanesk nda rthpoya osteh rea MNLL .sgsni ehsrTe ooso nmay ekysan seiunsotq in stih axe,m tshi isnt eon fo .emth
I swa nothrw ffo seucaeb I nd'tdi iezerla olwer nertnooomu = rlowe rotmo nnuroe afce mlap
L"MN .die.scti.f aa,riydrsth aipay,dgsh amsieycmtr imbl e,wskenas softiunciaas,cl hapyrot
MNU fdsc.tei..i sreduboaulpb ypals .(.ie ,sriatahdyr s,yapgdaih omteionla iiylt,bla sitascp atg,i ncso"u)l]
-- AF 2901 5p1.8
oDse yannoe ehva yan deia on sthi to?qienus hhtguTo ti aws SL.A
e"Th sslo of lrweo otorm rneouns lsead ot eekasnws, tgnchitwi of lmuesc ,iiuftalnoas()cc adn sols of cmleus smsa lusm(ce h)pto.ayr"
I figured since the answer was mis-spelled, it couldn't be the answer.