A 20-year-old man is admitted to the emergency department after an automobile accident, in which his friend drove their car into a light pole. In the emergency department, the man smells strongly of alcohol, and his blood alcohol level is 300 mg/dL. However, he does not show any typical signs of intoxication. His gait is steady, his speech is clear, and he does not appear emotionally disinhibited. Which of the following is the most likely explanation for such a presentation?

a. The adrenaline generated in the patient because of the effects of the car crash has counteracted the alcohol in his system

b. A value of 300 mg/dL is below the intoxication level

c. The man has developed a tolerance to the effects of alcohol

d. There has been a laboratory error

e. The man has recently used cocaine, whose effects counteract the effects of alcohol intoxication

the answer is below…

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