Alcohol & Tobacco

Question 1

Tobacco use causes

Answer 1

Cancer
Heart disease and stroke
Lung diseases 
Reproductive effects
Type 2 diabetes
macular degeneration/blindness/cataracts
 rheumatoid arthritis & hip fractures
impaired immune function
 periodontitis (gum disease)

Question 2

Second Hand Smoke

Answer 2

More severe asthma attacks
Respiratory infections
Ear infections
Sudden infant death syndrome (SIDS)

Question 3

Smoking & Death

Answer 3

Cigarette smoking harms nearly every organ of
the body, causes many diseases, and reduces
the health of smokers in general

480,000 deaths/year
1 in 5

Question 4

Benefits of Quitting Smoking

Answer 4

1 yr after quitting risk of heart attack drops
2 - 5 yr stroke risk reduce to nonsmoker’s
risks for cancers of the mouth/throat drop by 1/2 in 5 years
10 years 50% lower risk for dying from lung cancer

Question 5

Nicotine withdrawal symptoms

Answer 5

Feeling irritable, angry, or anxious
Having trouble thinking
Craving tobacco products
Feeling hungrier than usual

Question 6

Ways to Quit Smoking

Answer 6

Counseling
Behaviour Therapies
Medications OTC & RX - patch, inhaler, spray
Support lines

Question 7

Substance Abuse Problems x 8

Answer 7

Teenage pregnancy
HIV/AIDS & STDs
Domestic violence
Child abuse
Motor vehicle crashes
Physical fights
Crime
Homicide
Suicide

Question 8

Drinking too much / Alcohol Abuse

Answer 8

includes binge drinking
high weekly use,
any alcohol use by pregnant women or those under age 21

Question 9

Alcohol screening and brief counseling

Answer 9

reduce drinks on an occasion by 25%
improves health & saves money
recommended for all adults, including pregnant women.

Question 10

Alcohol Screening

Answer 10

Ask about Drinking
Talk about what is good/not good about their drinking
Provide Options
Close with Rapport

Question 11

Alcohol Screening in Medical Practice

Answer 11

Clarify drink too much NOT treatment Maybe just Counseling
Build Support
Train Staff
Develop Plan

Question 12

Rx & Opioids Side Effects

Answer 12

Tolerance &  Physical dependence 
Increased sensitivity to pain
Constipation, Nausea, vomiting,dry mouth
Sleepiness and dizziness
Confusion
Depression
Low testosterone 
Itching and sweating

Question 13

Problem with Rx & Opioids

Answer 13

most common drugs involved in prescription opioid
overdose deaths include:

Methadone
Oxycodone (such as OxyContin®)
Hydrocodone (such as Vicodin®)3

Question 14

Risk Factors for Prescription Opioid Abuse and Overdose

Answer 14

Obtaining Overlapping Rx
Mental Illness/History of Sub Abuse
High Doses of Rx/Pain Reliever
Living in Rural Area or Low Income

Question 15

Opioid Addiction

Answer 15

1 in 4

Question 16

Rx opioid overdose deaths often involve?

Answer 16

benzodiazepines -
alprazolam (Xanax®),
diazepam (Valium®), and
lorazepam (Ativan®).