Exam #01 (Smoking Cessation) Flashcards
Which of the following statements regarding nicotine is false?
A. Represents the addictive component of cigarettes
B. It is the most dangerous part of a cigarette
C. Gets carried by tar droplets into lungs
D. Gets to the brain within seconds of inhaling
E. None of the above
(B) Nicotine is NOT the most dangerous part of a cigarette. The carcinogens are
Which of the following contents are included in cigarettes?
A. Tar B. Nicotine C. Water D. A & B only E. All of the above
(E) All of the above
What is the #1 health risk from smoking?
Heart disease (NOT cancer!)
After quitting, why do smokers often experience coughing in the first several weeks?
Smoking paralyzes cilia and after quitting, they begin to regain their function and start trying to clean out all the tar in the lungs
Which of the following statements is false?
A. Between 2 weeks and 3 months of quitting smoking, lung function can increase by up to 30%
B. Smoking has a cumulative effect that increases your risk of certain diseases
C. Thirdhand smoke may be a risk for children
D. Secondhand smoke is not dose dependent
E. B & D
(D) Secondhand smoke IS dose dependent. It is also cumulative - meaning the more you inhale, the more dangerous it is
Secondhand smoke can cause:
A. Asthma exacerbations B. Lower respiratory infections C. Increased hospitalization in kids D. A & B only E. All of the above
(E) All of the above
Why does the WHO want to ban menthol cigarettes?
Menthol mildly numbs your throat so you can inhale deeper and extract more contents from each cigarette
All of the following are true, except?
A. Regular cigarettes are shorter than 100’s
B. A lower number of cigarettes are being smoked today, but nicotine levels remain the same
C. There is less nicotine in a “light” cigarette
D. Addiction to nicotine can be stronger than heroin
E. C & D
(C) Regular and “light” cigarettes contain the same amount of nicotine. The only difference is an extra row of ventilation holes in a “light” cigarette
How many cigarettes in a pack? How many packs in a carton?
20 cigarettes in a pack
10 packs in a carton
What part of the brain does nicotine affect?
Mesolimbic system which is responsible for basic survival
Which of the following statements is incorrect?
A. Most smokers don’t quit b/c of a lack of motivation
B. Smoking is a chronic disease
C. Goal of pharmacologic smoking cessation therapy is to normalize brain function so patient has little to no symptoms of nicotine withdrawal and to quiet cravings
D. Relapse is defined as resuming normal smoking patterns for a least 1 week or more
E. None of the above
(A) Smokers don’t quit b/c their compulsion to smoke is stronger than their motivation to quit (surveys indicate 3 out of 4 smokers want to quit)
Which of the following statements is true?
A. Nicotine binds to muscarinic receptors in the brain
B. Nicotine makes you more alert
C. Nicotine binding triggers dopamine release in the CNS
D. B & C only
E. All of the above
(D) B & C only.
B - Nicotine makes you more alert, gives you focus, and calms you down. This is one reason baseball players chew tobacco before stepping up to the plate
C - Nicotine binds to the nucleus accumbens which releases a “safety signal”
A - Nicotine binds to nicotinic cholinergic receptors in the brain
True or False - smoking cigarettes give peak/trough levels which lead to addiction whereas pharmacologic treatment gives a more steady level of nicotine which prevents development of addiction?
True
Which of the following statements is false?
A. Counting the # of cigarettes smoked/day is no longer a useful method of predicting level of nicotine dependence
B. Fagerstrom score is useful in predicting level of nicotine dependence for a smoker who recently quit smoking
C. Cotinine is a metabolite of nicotine that stays in the bloodstream for 24 hr
D. A & B
E. None of the above
(B) Fagerstrom score can ONLY be used to predict level of nicotine dependence if the person is STILL SMOKING.
A - # cig smoked/day is no longer useful b/c guidelines don’t match up with smokers habits of smoking deeper and extracting more nicotine from each expensive cigarette
