USMLE Step 2 Quiz
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NEUROLOGY
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A 66-year-old man with a 5-year history of amyotrophic lateral sclerosis presents with difficulty swallowing solids and liquids, frequent coughing during meals, and a 10-lb weight loss over the past 3 months. His speech has become markedly slurred and difficult to understand.
Which of the following is the most appropriate intervention to address this patient's nutritional and hydration needs and reduce the risk of aspiration?
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