Smoking Cessation

Question 1

what is the age of purchase of tobacco

Answer 1

18

Question 2

what rules have been put in place to stop smoking

Answer 2

no smoking in public areas
plain packaging of tobacco
tobacco sale not visible
vending machines removed

Question 3

what are the 3As - public health England

Answer 3

ask - establish smoking status
advise - personal benefits of quitting
act - offer help

Question 4

what are the 5As

Answer 4

ask
advice
assess
assist
arrange follow up

Question 5

what is part of the ask process

Answer 5

smoking status
packs a day
number of years
quitting history

Question 6

what is lifetime exposure of smoking

Answer 6

1 pack (20)) a day per year = 10 pack years

Question 7

what is the act process

Answer 7

refer to specialist centres
pharmacy has greater reach
specialist services

Question 8

what are oral side effects of tobacco

Answer 8

oral cancer
perio disease
peri-implantitis and extraction risks

Question 9

what is aetiology of oral cancer

Answer 9

smoking
alcohol
sunlight
pre-existing mucosal abnormalities
HPV

Question 10

what is leukoplakia

Answer 10

white patch that cannot be rubbed off

Question 11

what is erythroplakia

Answer 11

patient has long history of chronic white and red lesions
more chance of becoming malignant

Question 12

what is the relationship between smokers and implants

Answer 12

failure rate of implants is at least 2 x more than non-smokers

Question 13

what are some tobacco related oral lesions

Answer 13

staining of teeth and restorations
halitosis
nicotinic stomatitis
smokers melanosis
black hairy tongue

Question 14

why do people smoke

Answer 14

enjoyment
keep weight down
help concentrate
relieve boredom
socialise
cope with stress

Question 15

what affects withdrawl symptoms

Answer 15

how long and how many you smoked

Question 16

what are some withdrawal symptoms

Answer 16

nicotine cravings
sweating
nausea
headaches
insomnia and anxiousness

Question 17

what is smokeless tobacco

Answer 17

many products - like snus

Question 18

what is snus

Answer 18

moist powder tobacco placed under lip and can cause recession

Question 19

what is shisha

Answer 19

operates by water filtration and direct heat
scented tobacco crumbled into the bowl

Question 20

what are pharmacotherapy for smoking cessation

Answer 20

patches, gum, inhalers, nasal sprays

Question 21

what are side effects of nicotine replacement therapy

Answer 21

skin irritation
oral irritation from gum/ tabs

Question 22

what is varenicline and buproprion

Answer 22

nicotine replacement therapy examples

Question 23

what is vaping

Answer 23

inhaling and exhaling water vapour produced by an electronic device

Question 24

what is in the e-cigarette liquid

Answer 24

propylene glycol
vegetable glycerine
natural/ artificial flavouring
nicotine level

Question 25

what is second hand smoke

Answer 25

term for smoke that non-smokers are exposed to

Question 26

what is mainstream smoke

Answer 26

smokers inhaled and exhales

Question 27

what is sidestream smoke

Answer 27

wafts off the end of a lit cigarette

Question 28

what is third hand smoke

Answer 28

carcinogen laden residue that builds up on surfaces

Question 29

what should you ask as part of quitting history

Answer 29

have they tried before
what helped
how many attempts
whats motivating you now

Question 30

what are e-cigarettes

Answer 30

family of non tobacco non medical nicotine delivery systems

Question 31

what are the generations of e-cigs

Answer 31

cigalikes
tan (refillable)
big tank

Question 32

who i the highest users of e-cigs

Answer 32

ex smokers

Question 33

why do people use e-cigs

Answer 33

aid to quitting
less toxic alternative
cheaper
hand to mouth habit maintained
psychological aspect of addition

Question 34

what are examples of non-saftey of e-cigs

Answer 34

exploding batteries
safety of the liquids

Question 35

oral side effects of e-cigs

Answer 35

mouth and throat dryness
oral cancer and perio disease
lichenoid eruptions