Training for Intervention ProcedureS (TIPS) Certification Practice Exam

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Smaller individuals are affected by alcohol more quickly due to what factor?

  1. Gender

  2. Size

  3. Experience with alcohol

  4. Food intake

The correct answer is: Size

Smaller individuals are affected by alcohol more quickly primarily due to their size. The body’s composition plays a crucial role in how alcohol is metabolized. Generally, a smaller individual has less body mass and a lower volume of blood to dilute the alcohol consumed. Therefore, when a smaller person drinks the same amount of alcohol as a larger person, they will have a higher blood alcohol concentration (BAC) because there is less volume to spread the alcohol throughout. This leads to the effects of alcohol being felt more intensely and quickly in smaller individuals. While gender, experience with alcohol, and food intake can all influence a person's reaction to alcohol, they do not have as direct an effect on the immediate impact as size does. For instance, men and women metabolize alcohol differently due to body composition and hormonal factors, but those differences are secondary to the basic principle that body size influences dilution and absorption rates. Additionally, experience may affect tolerance to alcohol over time, but it does not change the immediate physiological impact of a single consumption event as related to size. Similarly, food intake can slow the absorption of alcohol but does not change individual size.