Well, I guess it's time for me to look in the transmission.
I got my M35A2 out for a short drive yesterday. Once on the main road, I started going up through the gears. Everything was fine until I hit 5th gear. At first, I heard the "metal 'clacking' sound" mentioned above. The clacking continued and next it sounded like small pebbles were flying up from my tires hitting directly below the cab. That was followed by a horrible grinding noise. I slowed down and dropped back into 4th gear. The noise and grinding stopped. I continued in 4th gear and got home without any other issues. While the truck made a lot of noise (and the grinding increased my pucker factor), the truck shifted and ran well even in 5th gear. The noise/grinding did not impact performance. Granted, I did not leave it in 5th gear for long.
Wahoo... My truck got a fresh engine earlier this year. I guess now it's begging for a transmission!!!