Exam 1 Flashcards
tobacco quitline
1-800-QUIT-NOW
true or false: Indiana is one of 17 states where pharmacists can prescribe tobacco cessation meds
true
(effective August 2019)
current U.S. Surgeon General
Vivek Murthy
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
d. cigarettes
nicotine half life
2 hours
cotinine half life
16 hours
nicotine reaches the brain within how many seconds? (range)
10-20 seconds
most nicotine withdrawal symptoms manifest within the first ___-___ days, peak within the _____ week, and subside within ___-___ weeks
1-2
first
2-4
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
a. CV disease
Which of the following compounds found in tobacco smoke are responsible for tobacco’s damaging effects?
a. cotinine
b. menthol
c. nicotine
d. nitrosamines
d. nitrosamines
What are health consequences seen with use of smokeless tobacco?
a. oral leukoplakia
b. oral cancer
c. dental caries
d. all of the above
d. all of the above
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
b. ventral tegmental area
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
a. dopamine
Which of the following compounds is responsible for most drug interactions with smoking?
a. carbon monoxide
b. nicotine
c. nitrosamines
d. polycyclic aromatic hydrocarbons
d. polycyclic aromatic hydrocarbons
Patients using hormonal contraceptives who smoke are at an increased risk of what adverse effect?
a. hepatotoxicity
b. myocardial infarction
c. osteoporosis
d. pregnancy
b. myocardial infarction
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
b. aware
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
c. remember
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
d. strongly encouraged to quit
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
d. none of the above
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
d. both 15 min before and while using the medication
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
d. both gum and lozenge
Which of the following side effects of varenicline tends to be most common among patients?
a. heartburn
b. insomnia
c. nausea
d. sleep walking
c. nausea
when is varenicline initiated?
one week before the quit date
when is bupropion SR initiated?
1 to 2 weeks before the quit date
