LMBR9 Flashcards

smoking cessation

1
Q

which of the following are true:

  1. smoking is associated with 87%lung cancer
  2. 32% of deaths in COPD
  3. 80% deaths in CHD
A

Tobacco use is associated with

  1. 87% lung cancer
  2. 80% of deaths from COPD
  3. 32% CHD deaths
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2
Q

what are the health benefits of cessation?

  1. immediate benefit is 50% reduction in Mi risk compared to a current smoker
  2. at 2 to 5 years the risk of CVA is equal to non smoker
  3. after 10years cessation risk of lung cancer is reduced by 50%
A

Immediate cessation = 50% in MI risk reduction
After 2-5 yrs risk of CVA is comparable with non smoker
In 10yearrs lung cancer risk is reduced by 50%

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3
Q

Hiw many smokers will resume in 2 weeks going cold turkey?

A

50% of those going cold turkey will resume in 2 weeks

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4
Q

how many going cold turkey will have restarted in 1 month

a. 60%
b. 90%
c. 75%

A

ans 75% eill have restarted in one monyh

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5
Q

In Drs using evidence based interventions how many will be tobacco free at 3 months?

a. 30%
b. 40-50%
c. 65%

A

ans 40 to 50 % will have successfully stopped at 3 months with physicuan supported evidence based intervention

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6
Q

Which evidence based approach is most succesful in cessation

a. counselling
b. medication

A

and
Both are successful alone but more effective combined.
four contacts of support are particulary successful

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7
Q

What are the treatment option fir smoking cessation?

A
  1. NRT
    2.Varenicline(nicotine receptor partial agonist)
    3 Bupropion(inhibits reuptake norepinephrine and dopamine
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8
Q

With NRT patch how many are tobacco free at 8weeks?

  1. 25%
  2. 45%
  3. 60%
A

ans

2. 45%

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9
Q

What is the succes rate of valenicline at 12 weeks?

a. 30%
b. 51%
c. 65%

A

Ans

b.51%(21% with placebo)

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10
Q

How many are still off tobacco with varenicline at 6 months?

a. more than 50%
b. less than 50%

A

ans

35%

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11
Q

Which is more succesful in smoking cessation at 12 weeks

varenicline or bupropion?

A

ans

varenicline is the single effective medication in cessation ss monitherapy.

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