Which is an example of an adverse effect?

According to family, a 24-year-old woman suddenly began to act in a hostile manner. After assessing her, you determine that she cannot remember her name or present location and is drooling. Based on these findings, you should suspect a:

A) psychological condition related to a traumatic experience. B) psychological emergency caused by alcohol consumption. C) behavioral emergency without physical cause. D) behavioral emergency resulting from a physical condition.

Of the following symbols, which would indicate "without"?

A) B) q C) @ D) ?