Exam 1

Question 1

tobacco quitline

Answer 1

1-800-QUIT-NOW

Question 2

true or false: Indiana is one of 17 states where pharmacists can prescribe tobacco cessation meds

Answer 2

true

(effective August 2019)

Question 3

current U.S. Surgeon General

Answer 3

Vivek Murthy

Question 4

which is currently used the most?

a. E-cigs
b. cigars, cigarillos, filtered little cigars
c. smokeless tobacco
d. cigarettes
e. regular pipes, waterpipes, hookah

Answer 4

d. cigarettes

Question 5

nicotine half life

Answer 5

2 hours

Question 6

cotinine half life

Answer 6

16 hours

Question 7

nicotine reaches the brain within how many seconds? (range)

Answer 7

10-20 seconds

Question 8

most nicotine withdrawal symptoms manifest within the first ___-___ days, peak within the _____ week, and subside within ___-___ weeks

Answer 8

1-2
first
2-4

Question 9

The effects of which of the following tobacco-related diseases are reversed/improved over time, after quitting smoking?

a. CV disease
b. lung cancer
c. COPD
d. kidney cancer

Answer 9

a. CV disease

Question 10

Which of the following compounds found in tobacco smoke are responsible for tobacco’s damaging effects?

a. cotinine
b. menthol
c. nicotine
d. nitrosamines

Answer 10

d. nitrosamines

Question 11

What are health consequences seen with use of smokeless tobacco?

a. oral leukoplakia
b. oral cancer
c. dental caries
d. all of the above

Answer 11

d. all of the above

Question 12

One of the primary areas of the brain where nicotine exerts its effects to induce pleasure is the:

a. temporal lobe
b. ventral tegmental area
c. somatosensory cortex
d. medulla oblongata

Answer 12

b. ventral tegmental area

Question 13

The neurotransmitter that is primarily responsible for the pleasure associated with smoking and reinforcing effects of nicotine is:

a. dopamine
b. serotonin
c. GABA
d. glutamate

Answer 13

a. dopamine

Question 14

Which of the following compounds is responsible for most drug interactions with smoking?

a. carbon monoxide
b. nicotine
c. nitrosamines
d. polycyclic aromatic hydrocarbons

Answer 14

d. polycyclic aromatic hydrocarbons

Question 15

Patients using hormonal contraceptives who smoke are at an increased risk of what adverse effect?

a. hepatotoxicity
b. myocardial infarction
c. osteoporosis
d. pregnancy

Answer 15

b. myocardial infarction

Question 16

Which of the following is NOT a component of the “5 A’s” for tobacco cessation intervention?

a. ask
b. aware
c. assess
d. arrange

Answer 16

b. aware

Question 17

Which of the following is NOT a component of the 5 R’s to enhance motivation?

a. relevance
b. risks
c. remember
d. repetition
e. roadblocks
f. rewards

Answer 17

c. remember

Question 18

Patients who are not yet considering quitting should be:
a. advised to set a quit date in the next 30 days
b. advised to set a quit date in the next 6 months
c. educated on medication options for cessation
d. strongly encouraged to quit

Answer 18

d. strongly encouraged to quit

Question 19

Which of the following smoking cessation medications has a boxed warning for serious neuropsychiatric side effects?

a. bupropion SR
b. varenicline
c. both bupropion SR and varenicline
d. none of the above

Answer 19

d. none of the above

Question 20

When using nicotine gum, lozenge, or oral inhaler, patients should be advised not to eat or drink anything other than water:

a. 15 min before using the medication
b. while using the medication
c. 15 minutes after using the medication
d. both 15 min before and while using the medication

Answer 20

d. both 15 min before and while using the medication

Question 21

For which of the following nicotine replacement therapy products is dosing based on time-to-first cigarette (TTFC)?

a. gum
b. inhaler
c. lozenge
d. both gum and lozenge

Answer 21

d. both gum and lozenge

Question 22

Which of the following side effects of varenicline tends to be most common among patients?

a. heartburn
b. insomnia
c. nausea
d. sleep walking

Answer 22

c. nausea

Question 23

when is varenicline initiated?

Answer 23

one week before the quit date

Question 24

when is bupropion SR initiated?

Answer 24

1 to 2 weeks before the quit date

Question 25

which is true regarding use of bupropion SR for smoking cessation?

a. its use is CI in pregnant women
b. the doses must be spaced at least 10 hours apart
c. its effectiveness is comparable to varenicline
d. insomnia is a common side effect

Answer 25

d. insomnia is a common side effect