D. ALS - A 58 year-old male presents complaining of weakness of his grip. Your examination reveals

that the problem is bilateral. During the next few office visits, you note the development of

hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient's sensory system remains

normal and he denies any urinary symptomatology. Which of the following is the most likely diagnosis?

A. multiple sclerosis

B. Alzheimer's disease

C. Huntington's chorea

D. ALS

E. myasthenia...
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