A 28-year-old woman is brought to the hospital with altered mental status. She is lethargic

A 28-year-old woman is brought to the hospital with altered mental status. She is lethargic but arousable to verbal stimuli and is able to obey commands. She is hostile when aroused but is not verbally or physically threatening. Vital signs reveal heart rate 82 bpm, blood pressure 118/70 mm Hg, respiratory rate 18 breaths/min, temperature 97.1 °F (36.2 °C), and oxygen saturation 97% on room air. The patient has sluggish 3 mm pupils bilaterally and a non-focal neurologic exam. Which of the following is the most likely substance responsible for the patient’s presentation? Question 17 options: Marijuana Alcohol Amphetamines Cocaine

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