Title: The community pharmacist: touchpoint for tobacco cessation

CE Questions: Pharmacist and Pharmacy Technicians

1.In the U.S., what percentage of adult smokers want to quit smoking?

  1. 68%
  2. 57%
  3. 29%
  4. 7%

2.Among smokers who tried to quit, what percentage of people used a combination of both counseling and medications?

  1. 5%
  2. 15%
  3. 50%
  4. 70%

3.Across all age groups, males have a higher smoking prevalence rate compared to women?

  1. True
  2. False

4.Which person is the LEAST likely to smoke cigarettes?

  1. 22 year old male and recent college graduate
  2. 38 year old Native American male living in South Dakota
  3. 33 year old Hispanic female who is a Medicaid enrollee
  4. 34 year old Caucasian female with an MBA degree

5.How long does it take to reduce the risk of coronary heart disease by half after one stops smoking?

  1. 24 hours
  2. 6 months
  3. 1 year
  4. 10 years

6.Which of the following conditions accounts for nearly 40% of smoking-related deaths?

  1. Cardiovascular disease (CVD)
  2. Lung cancer
  3. Chronic obstructive pulmonary disease (COPD)
  4. All of the above

7.All of the following are symptoms of nicotine withdrawal EXCEPT:

  1. Depression
  2. Insomnia
  3. Tachycardia
  4. Increased appetite

8.The current U.S. Public Health Service treatment guidelines, recommend use of cessation medications for most smokers with the EXCEPTIONof?

  1. Pregnant women
  2. Breastfeeding females
  3. Adolescents
  4. All of the above

9.Effectivetobacco-control interventions that reducetobacco use in target populations with high smoking prevalence includes which of the following?

  1. Restricting sale of all tobacco products to minors under the age of 18
  2. Implementation of smoke-free policies in public housing and multifamily buildings
  3. Legislation to enforce smoking in public places only
  4. A and B

10.Which of the following is the most effective way to stop smoking?

  1. Cold turkey
  2. Any first-line pharmacotherapy for smoking cessation alone
  3. Behavioral counseling alone
  4. Combination ofcounseling and pharmacotherapy

11.Which of the following is the most effective medication for tobacco cessation when used alone?

  1. Varenicline
  2. Bupropion SR
  3. Nicotine replacement therapy
  4. All of the above

12.The most common side effect of varenicline (Chantix) is______?

  1. Nausea
  2. Insomnia
  3. Headaches
  4. Abnormal dreams

13.Which NRT is easy to use, has few side effects, and provides steady state blood levels of nicotine over the whole day?

  1. Transdermal nicotine
  2. Nicotine gum
  3. Nicotine nasal spray
  4. Nicotine inhaler

14.Which of the medications below can be used for breakthrough cravings?

  1. Bupropion SR
  2. Varenicline
  3. Nicotine patch
  4. Nicotine lozenge

15.How can nausea be minimized while taking varenicline?

  1. Reduce dose to 1.0mg twice a day
  2. Avoid the evening dose
  3. Always take with food – especially a full meal
  4. Always take with water – especially a full glass

16.Which medications should be started 1 to 2 weeks prior to the quit date?

  1. Bupropion SR
  2. Varenicline
  3. Nicotine patch
  4. A and B only

17.What would you recommend to your patient on a 24-h nicotine patch who complains of insomnia while on the patch?

  1. Remove the patch at night, replace with a new one in the morning
  2. Remove the patch at night and replace with the nicotine lozenge
  3. Do not remove the patch at night, this is a transient effect
  4. Do not remove the patch at night, take a sleeping medication instead

18.Community pharmacy personnel are well suited to play a more active role for people trying to quit tobacco use and expand access to clinical preventive services by performing which of the following interventions?

  1. Direct delivery of services
  2. Providing education
  3. Providing referrals
  4. All of the above

19.Which of the following interventionsaddresses the time barrier?

  1. Use of the 5 A model
  2. Use of the AAR model
  3. Technician involvement in the Ask and fax to the state Quitline enrollment steps
  4. B and C

20.What is the preferred initial therapy to support tobacco cessation in a pregnant woman?

  1. Patch
  2. Gum or lozenge
  3. Bupropion
  4. Behavioral therapy only