Smoking Cessation Supplements – CME Quiz 1. How many cigarettes per day must a man smoke to have a 1.48 increased relative risk of coronary heart disease? * a. 1 b. 5 c. 10 d. 20 2. Which group of veterans is at higher risk for tobacco use? * a. Officers b. Veterans with PTSD c. Veterans who are married d. Veterans who have never been deployed 3. According to both the 2008 US Public Health Service (USPHS) Clinical Practice Guideline for Treating Tobacco Use and Dependence and the ACC/AHA Tobacco Treatment Recommendations for Primary Prevention of Cardiovascular Disease, how often should physicians ask adult patients about their tobacco use? * a. At every visit b. Once a year c. Only if they suspect tobacco use d. Only if the patient discusses it first 4. When asked by her primary care physician at her yearly physical, a 33-year-old female current smoker with a 10-pack year history expresses an interest in quitting. Using the US Public Health Service Clinical Practice Guideline for Smoking Cessation, which of the following interventions is most effective? * a. Counseling alone b. Medication alone c. Combining counseling and medication d. Neither counseling nor medication have demonstrated efficacy in cessation 5. What action did the FDA take following the results from the EAGLES study, which investigated the safety and efficacy of varenicline in patients with and without psychiatric disorders? * a. Kept the black box warning because safety data demonstrated an increase in suicidal thoughts, aggression, and erratic behavior in all patients. b. Kept the black box warning even though the safety data did NOT demonstrate an increase in suicidal thoughts, aggression, and erratic behavior in all patients. c. Removed the black box warning because safety data did NOT demonstrate an increase in suicidal thoughts, aggression, and erratic behavior for all patients. d. Removed the black box warning but issued a statement saying that varenicline should not be use in patients with psychosis, anxiety, or mood disorders. 6. A 55-year old current heavy smoker has stable coronary artery disease and wants to quit smoking. Per the ACC-recommended therapy for tobacco cessation in patients with cardiovascular disease, which of the following is recommended as a 1 st line therapy treatment for this outpatient? * a. Bupropion b. Combination NRT c. Nortriptyline d. Pharmaceutical treatment is not recommended for patients with cardiovascular disease 7. In a pooled analysis of clinical trials comparing varenicline with placebo in smokers with diabetes, the abstinence rate at weeks 9-12 for patients receiving placebo was 24.8%. What was the abstinence rate for patients receiving varenicline? * a. 15.4% b. 23.1% c. 43.8% d. 62.7% 8. Which of the following is associated with greater success of smoking abstinence for patients who use quitlines? * a. Higher nicotine dependence scores b. Absence of medication use c. Total number of quitline calls d. Using a reduction-to-quit strategy 9. Which of the following was a recent finding from the Behavioral Risk Factor Surveillance System survey regarding rates of cardiovascular disease in patients who smoke combustible cigarettes only, e-cigarettes only, or dual use combustible and e-cigarettes? * a. Rates were similar between all three groups b. Rates were similar between combustible only and dual users but significantly lower for e-cigarette only users c. Rates were similar between combustible only and e-cigarette only users, but significantly higher for dual users d. Rates were similar between e-cigarette only and dual users, but higher for combustible only users 10. How should you respond to a patient who wishes to use e-cigarettes to help them quit smoking combustible cigarettes? * a. Explain that e-cigarette users are more likely to relapse than those who never use e-cigarettes b. Explain that there is no clinical evidence that e-cigarette use helps patients quit c. Recommend e-cigarettes to help quit because users are more likely to achieve and maintain long-term abstinence d. Recommend switching over to e-cigarettes because they are safer than combustible cigarettes
