Session 3: Mr X (1)
An unknown middle-aged Indian gentleman (Mr X) is brought in to A&E by the police.

The police were called to attend to a brawl at a Geylang coffeeshop. On arrival, Mr X was found seated on the kerb outside the coffeeshop, gesturing wildly and hurling vulgarities at passers-by, with several broken beer bottles beside him. He resisted arrest and required three police officers to restrain him. No identity card was found on him.

At the A&E, Mr X’s vitals are T 37.9, BP 118/76, HR 103, SpO2 95% RA. He is agitated, shouts incoherently, and struggles violently against his handcuffs. As you approach to examine him, he attempts to spit on you.

Q1. Which of the following clinical features is NOT consistent with acute alcohol intoxication? (Choose 2 of 7) *
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