The correct answer is D. Difficulty walking, a loss of balance, difficulty performing ADLs.
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects motor neurons, leading to symptoms such as muscle weakness, atrophy, and difficulties with movement, balance, and daily activities.
Here’s a brief explanation of the other options:
A. Bowel and bladder dysfunction, acute exacerbations, and fatigue - These symptoms are not specific to ALS. Bowel and bladder dysfunction can occur as the disease progresses, but acute exacerbations are not characteristic of ALS.
B. Bradykinesia, resting tremor, and postural instability - These are more characteristic of Parkinson’s disease, not ALS.
C. Chorea, dystonia, and motor impersistence - These symptoms are associated with other movement disorders, such as Huntington's disease or dystonic conditions, rather than ALS.
In summary, option D accurately reflects symptoms associated with ALS.