smoking, alcohol, substance abuse

Question 1

smoking is a risk factor for?

Answer 1

cancer
coronary artery disease
other CVD
stroke
diabetes
COPD

Question 2

when someone quits smoking 20 minutes in what happens to HR and BP?

Answer 2

heart rate and BP drop

Question 3

what occurs in the first 24hrs of quitting smoking?

Answer 3

chance of heart attack decreases

Question 4

what occurs 2weeks-3months into quitting smoking?

Answer 4

circulation and lung function increase (↑)

Question 5

1-9 months into quitting smoking what occurs?

Answer 5

coughing, SOB, and sinus congestion ↓

Question 6

what risk drops to half after 1 years of not smoking?

Answer 6

risk of heart disease

Question 7

5 years after quitting smoking what drops to 1/2?

Answer 7

risk of cancer of mouth, throat, esophagus, and bladder

Question 8

10 yeas into quitting smoking what risk cuts in 1/2?

Answer 8

lung cancer risk

Question 9

15 years of non smoking results in what risk being that of a non smoker?

Answer 9

heart disease

Question 10

what are the 5 A’s of strategies to promote tobacco cessation?

Answer 10

• ask
• advice
• assess
• assist
• arrange

Question 11

what are the 5 R’s for straegies to enhance motivation to quit using tobacco?

Answer 11

• relevance
• risks
• rewards
• roadblacks
• repetition

Question 12

what should a PT relate the risks of smoking to?

Answer 12

the reasons the patient is seeking physical therapy

Question 13

substance abuse often co-occurs with what?

Answer 13

other mental health disorders
- depression
- anxiety

Question 14

risks of pathology associated with alcohol

Answer 14

• stroke
• cancers
• alcoholic dementia
• subdural hematoma from falls
• convulsions
• delirium tremors
• cardiomyopathy
• hypertension
• hepatic cirrhosis
• pancreatitis
• peripheral neuropathy

Question 15

can someone be referred to PT for substance abuse related conditions?

Answer 15

yes
-injury sustained under the influence
- physical recovery after hospitalization

Question 16

what is the role physical activity can play in decreasing alcohol abuse?

Answer 16

• may decrease substanc abuse - studies reported decrease in substance use when PA was performed
• may increase awareness of body, health, fitness and thereby reduce alcohola nd drug use
• may decrease depressive symptoms

Question 17

what is considered chronic insomnia?

Answer 17

difficulty falling asleep, staying asleep or waking up too early ≥ 3 nights aweek for ≥ 3 months

Question 18

interventions to improve sleep

what is considered a stable sleep pattern?

Answer 18

going to bed and getting up at he same time everyday (30 min difference is okay)

Question 19

interventions to improve sleep

for adults is napping optimal? what is recommended

Answer 19

not optimal - if needed 20 minutes and not after 2 pm

Question 20

what is the role of PA for sleep?

Answer 20

better sleep quality
decrease sleep latency
regular mod intensity most effective
manages sleep insomnia

Question 21

moderate intensity exercise is what range on the RPE scale?

Answer 21

5-6 RPE