Tobacco Cessation Drug Therapy and Counseling Pharmacy

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Tobacco Cessation Drug Therapy and Counseling

Question 1:

Which are risk factors for tobacco dependence?

A) Young age

B) Mental health condition

C) Use of other substances such as alcohol

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 2:

Patients of lower socioeconomic status are more likely to smoke.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 3:

Which describes motivational interviewing?

A) Motivational interviewing is only effective for those who want to quit smoking.

B) Patients should be convinced to quit smoking.

C) The goal is to help patients along the continuum of change.

D) None of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 4:

Which of the following is a goal of tobacco cessation?

A) Providers should only spend a little time with patients and hope they quit.

B) Non-pharmacologic and pharmacologic strategies should be shared.

C) Insight about the rewards of tobacco cessation should be withheld.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 5:

There is a strong dose-response relationship between the intensity of tobacco cessation counseling and its effectiveness.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 6:

What are some of the goals of behavioral support for tobacco cessation?

A) To counsel patients about risks associated with tobacco use.

B) To encourage patients about benefits of tobacco cessation.

C) To build conscientiousness around tobacco use behavior.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 7:

What is the purpose of cognitive behavioral therapy?

A) To teach patients how to change tobacco use behavior.

B) To let tobacco cravings control patients.

C) To avoid assessing tobacco use in patients.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 8:

What is a purpose of long-acting nicotine replacement therapy?

A) To replace current nicotine intake.

B) To minimize withdrawal symptoms.

C) To reduce risk of cravings.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 9:

Which is a long-acting nicotine replacement therapy?

A) Patch

B) Gum

C) Inhaler

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 10:

What is a purpose of short-acting nicotine replacement therapy?

A) To provide an expensive alternative to cigarettes

B) To treat breakthrough and sensory cravings

C) To increase withdrawal symptoms

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 11:

Which is available over-the-counter?

A) Nicotine patch

B) Nicotine inhaler

C) Nicotine nasal spray

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 12:

Which nicotine replacement therapy is only available with a prescription?

A) Patch

B) Inhaler

C) Patch

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 13:

Which is more preferred short-acting nicotine replacement for a patient with asthma?

A) Nicotine inhaler

B) Nicotine nasal spray

C) Nicotine lozenge

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 14:

Which is least preferred for a patient with dentures?

A) Nicotine gum

B) Nicotine lozenge

C) Nicotine inhaler

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 15:

Nicotine inhaler and nicotine nasal spray should be forcefully inhaled.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 16:

What is the level of dependence for a patient who smokes 20 cigarettes per day (mostly in the morning starting 5 minutes after waking), and finds it difficult to avoid smoking (even when sick)?

A) Low dependence

B) Medium dependence

C) High dependence

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 17:

Which is most appropriate initial pharmacotherapy for high dependence patient?

A) Nortriptyline 25 mg daily, slowly titrated up to 70 mg daily.

B) Nicotine patch 21 mg daily with nicotine gum 4 mg every 1-2 hours.

C) Sustained-release bupropion 150 mg daily for 3 days, and then 150 mg twice daily thereafter.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 18:

Which is recommended for a patient who has trouble sleeping after 1 week of using nicotine patch?

A) Advise the patient to discontinue the patch.

B) Advise the patient to remove the patch at bedtime.

C) Advise the patient to increase the patch dose.

D) Advise the patient to decrease the patch dose.

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Tobacco Cessation Drug Therapy and Counseling

Question 19:

A patient expresses readiness to quit smoking but strongly prefers a pill for tobacco cessation. The patient has no known allergies, comorbidities, or contraindications. Which is most appropriate for this patient at this time?

A) Varenicline 0.5 mg daily for 3 days, then 0.5 mg twice daily for 4 days, and then 1 mg twice daily thereafter

B) Sustained-release bupropion 150 mg daily for 3 days, and then 150 mg twice daily thereafter.

C) Nortriptyline 25 mg daily, slowly titrated up to 70 mg daily.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 20:

What are important counseling points for varenicline?

A) Start taking 1-4 weeks before quit date.

B) Take with a full glass of water to minimize nausea.

C) Take the nighttime dose earlier in the evening if vivid dreams occur/persist.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 21:

Clinical trials found varenicline superior to bupropion for smoking cessation.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 22:

Bupropion can suppress weight gain associated with smoking cessation.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 23:

Varenicline and bupropion should be stopped if concerning neuropsychiatric symptoms occur (e.g. suicidal ideation/attempt, hostility, agitation).

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 24:

Which is true regarding the duration of tobacco cessation pharmacotherapy?

A) The typical treatment duration is 3 weeks.

B) The typical treatment duration is 12 weeks.

C) Patients should never be treated for longer than 12 weeks.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 25:

Prescriptions should never be written for over-the-counter nicotine replacement therapy because insurance does not cover them.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 26:

Tobacco cessation pharmacotherapy should never be started before a patient is ready to quit.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 27:

Which is true regarding tobacco cessation in patients with cardiovascular disease?

A) Patients with cardiovascular disease should never receive tobacco cessation pharmacotherapy.

B) Tobacco cessation pharmacotherapy does not benefit patients with cardiovascular disease.

C) With an acute CV event, tobacco cessation pharmacotherapy can be initiated when the patient is clinically stable.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 28:

Which is true regarding tobacco cessation follow up?

A) Tobacco cessation is considered an acute condition.

B) Repeated treatment may be needed to achieve long-term abstinence.

C) Relapses never occur after one year of abstinence.

D) All of the above

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Tobacco Cessation Drug Therapy and Counseling

Question 29:

All tobacco cessation program visits must be conducted in-person.

A) True

B) False

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Tobacco Cessation Drug Therapy and Counseling

Question 30:

Four weeks of tobacco abstinence before surgery reduces the risk of major complications.

A) True

B) False

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