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PANCE Practice Question for June 1st

A patient arrives at the emergency department at 3 AM on a Saturday night appearing intoxicated. He has been brought in by emergency medical services after a bystander witnessed his bizarre behavior and called 911. He refuses to answer questions and seems combative and confused. His temperature is 37.0°C (98.6° F), blood pressure 100/60 mm Hg, pulse 123/min, and respirations 28/min. His breath does not smell of alcohol. Urinalysis reveals oxalate crystals.

This patient most likely ingested which of the following substances?

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