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Smoking Cessation
Smoking Cessation
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Questions
53
Answers
1
Arrange the 5As
Ask, advise, assess, assist, arrange
Advise, ask, assess, arrange, assist
Ask, assist, arrange, assess, advise
Arrange, assist, asses, advise, ask
2
What should not be done during the precontemplation stage?
Ask noninvasive questions
Leave decision up to patient
Provide a treatment plan
Strongly advise to quit
3
Nicotine works on what neurotransmitter to increase addition
Epinephrine
ACh
Serotonin
Dopamine
4
At what stage of assess should you discuss the 5 R's?
Precontemplation
Action
Preparation
Contemplation
5
Consider quitting in the next 6 months but not in the next 30 days is what stage of assess
Comtemplation
Precontemplation
Preparation
Action
6
Which below is a nonpharm method
Cold turkey
Self-help programs
All of the above
Tapering
7
Caffeine levels increase or decrease upon quitting
Decrease
Increase
8
Nicotine gum and lozenge can help delay weight gain
False
True
9
What can the nictoine patch be combined with to improve therapy
Short-acting NRT
Long-acting NRT
10
What is the takeaway from the EAGLES trial?
Varenicline demonstated better efficacy
Bupropion demonstrated better efficacy
Incidence of neuro events was different among all groups
Nicotine patch demonstartaed better efficacy
11
Medication and what interactions via combustion and leads to issues
Tobacco smoke
Nicotine
12
Nicotine cartridge has to be used all at once
False
True
13
Do not use same area again for at least
1 week
4 days
2 days
2 weeks
14
What is a possible side effect associated with nictoine patches?
Throat irritation
Dizziness
Vivid dreams
Headache
15
You should avoid nasal spray in patients with chronic nasal disorders or severe reactive airway disease
False
True
16
Do NOT eat or drink for 15 minutes BEFORE or after using the nicotine inhaler
True
False
17
Who is pharmacotherapy ideal for?
15 year old who vapes
19 year old male who smokes 1/2 pack a day
24 year old tobacoo chewer
32 year old female that is pregnant
18
Your patient smokes and is on a hormonal IUD, they should be worried about the efficacy of their birth control
False
True
19
How much nicotine is delievered in total when using the nasal spray?
1mg
2mg
4mg
0.5mg
20
What is the maximum amout of cartridges a day
30
5
16
10
21
Your patient smokes one pack per day, what patch dose should they start out with?
21mg
7mg
14mg
22
Smoking is linked to what health consequences
Cardiovascular diseases
Metabolic diseases
Cancer
All of the above
23
Chantiz blocks ___ stimulation responsible for reinforcement
Epinephric
Dopaminergic
Serotonin
Nicotinic
24
Nicotine gum can be chewed like regular gum
True
False
25
How long does it take for nictoine in cartridges to be depleted
30 minutes
20 minutes
10 minutes
60 minutes
26
You can cut nicotine patches
True
False
27
A patient wants to stop quitting today but does not want to take a bunch of medication, what could you offer?
Bupropion
Chantix
Patch
Spray
28
Bupropion has a black box waring for neuropsychiatric symptoms
True
False
29
Smokers with hormonal contraceptives have an increase risk of
All of the above
Stroke
Myocardial infarction
Thromboembolism
30
Varenicline has a current black box warning for neuropsychaitric symptoms
False
True
31
Patients should begin therapy 2 weeks prior to their quit date to avoid insomnia
True
False
32
Which two NRT need a Rx?
Gum and lozenge
Inhaler and nasal spray
Spray and patch
Inhaler and gum
33
Where should the patch be placed?
Upper leg
Back
Lower leg
Upper outer part of arm
34
Nicotine is the addictive component of tobacco and causes the ill health effects
True
False
35
Ask, advise, refer can be used to be a brief intervention
False
True
36
Bupropion is a
nicotine aid
non-nicotine aid
37
What is a patient education point when taking nicotine lozenge
Lozenge will dissolve in 60 minutes
Place in mouth and chew
Rotate to different areas of mouth
Avoid drinking for 20 minutes before and while using lozenge
38
Higher the Fagerstrom Test, the more dependence
False
True
39
There are different approaches to quitting while using Varenicline
False
True
40
To ensure effectiveness, bupropion needs to be started
Same day as quit day
1-2 weeks before quit date
! month before quit date
41
"Do you ever use or smoke a tobacco product" is what stage of the 5As
Assist
Ask
Assess
Arrange
42
What dose(es) are available for nictoine patch
21mg
7mg
All of the above
14mg
43
Chantix is a
Nicotinic agonist
Nicotinic antagonist
44
Who below can be safely given NRT?
A 24 year old pregnant female
A 16 year old with bipolar disorder
A 52 year old male with a MI 12 weeks ago
A 48 year old female with worsening angina
45
It is contraindicated to use NRT with someone with underlying cardiovascular disease
True
False
46
What is a patient counseling point when giving Chantix?
Avoid water for 15 minutes
Dose can be taken with food
Can drink alcohol and drive freely
May expereince vivid dreams
47
Who below is safe to take bupropion?
A 32 year old with epilepsy
A 42 year old recovering from Lorazepram use
A 37 year old who had a MI 2 months ago
A 16 year old with major depressive disorder
48
Your patient smokes their first cigarette 20 minutes after waking, they should use
2mg gum
4mg gum
8mg gum
6mg gum
49
Chantix (Varenicline) is a
non-nicotine aid
nicotine aid
50
Fagerstrom Test is used to assess
Cancer risk
Nicotine dependence
Lung function
Health risks
51
It is contraindicated to take Varenicline in patients with seizures, cardiovascular events, somnambulism, angioedema
True
False
52
You should ask patients about prescirption preference and medication frequence questions before offering treatment
False
True
53
You can shower, bath, swim with a nictoine patch
False
True
