1. NRT for smoking cessation is contraindicated for patients with emphysema.
a. True b. False
2. The use of Zyban® in smoking cessation therapy is contraindicated in individuals with a history of anorexia
or bulimia.
a. True b. False
3. Patients using nicotine gum, spray or inhaler should be instructed to use the product on a scheduled basis, to
aid in tapering. There is no need to taper off the dose of Zyban®.
a. The first statement is true, the second statement is false
b. The first statement is false, the second statement is true
c. Both statements are true
d. Both statements are false
4. A patient who smokes 2 packs of cigarettes a day, and who has elected to use the transdermal nicotine patch,
should be instructed to begin with the 24 hour 14 mg patch.
a. True b. False
5. A patient who routinely smokes a cigarette within 30 minutes of waking should be given the 2 mg dose form
of the nicotine lozenge.
a. True b. False
6. What is the correct order of the 5 A’s?
a. Ask, Advise, Assist, Assess, Arrange
b. Ask, Advise, Assess, Assist, Arrange
c. Ask, Assess, Advise, Assist, Arrange
d. Ask, Advise, Assess, Arrange, Assist
7. The 5 R’s include relevance, risks, rewards, repetition and…?
a. Relaxation b. Recollection c. Reflection d. Roadblocks
8. Your patient, Max, is ready to quit smoking. You have prescribed pharmacotherapy and helped him set a quit
date, reviewed his triggers for smoking, discussed social support and the importance of quitting. What else
do you need to discuss with Max?
a. Risks of continued smoking
b. Roadblocks to quitting smoking
c. Reasons for wanting to quit smoking
d. Relevance of his quit attempt to his physical health
9. Pharmacotherapy known to postpone weight gain includes:
a. Bupropion and nicotine gum
b. Bupropion and nicotine lozenge
c. Nicotine inhaler and nicotine gum
d. Nicotine lozenge and nicotine gum
10. Your patient, Bridget, says she heard that if you smoke when using the patch you could have a heart attack.
Your best response is:
a. Tell Bridget she is right to be worried. Suggest that she try Zyban® or herbal remedies instead.
b. Educate Bridget about the proper use and contraindications for NRT.
c. Explain that NRT has been proven safe in scientific clinical trials.
d. Initiate Bridget in a discussion about beliefs concerning NRT.
Match the pharmacological therapy to the proper category:
11. Nicotine gum
a. Sold over-the-counter (OTC) b. Available only by prescription
12. Bupropion SR
a. Sold over-the-counter (OTC) b. Available only by prescription
13. Nicotine nasal spray
a. Sold over-the-counter (OTC) b. Available only by prescription
14. Nicotine lozenge
a. Sold over-the-counter (OTC) b. Available only by prescription
15. Nicotine patch
a. Sold over-the-counter (OTC) b. Available only by prescription
16. Nicotine inhaler
a. Sold over-the-counter (OTC) b. Available only by prescription
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Evaluation
Please rate this Independent Study using the following scale.
Scale: P-Poor F-Fair G-Good VG-Very Good E-Excellent
1. Was the content relevant to your practice?
P F G VG E
2. Were your personal objectives met?
P F G VG E
3. Is this an effective vehicle for receiving CE credits?
P F G VG E
Objectives
Rate how the following objectives were achieved
Scale: P-Poor F-Fair G-Good VG-Very Good E-Excellent

1. Discuss tobacco use and health effects in the U.S.
P F G VG E
2. Discuss nicotine dependence
P F G VG E
3. Describe the various tobacco/nicotine delivery systems and
known carcinogens.
P F G VG E
4. List the 5 steps of smoking cessation interventions (5 A’s)
P F G VG E
5. Discuss the various methods of motivational interviewing.
P F G VG E
6. Describe how the different pharmacotherapies work in assisting
patients with tobacco dependence.
P F G VG E
7. Discuss some of the contraindications of nicotine cessation pharmacotherapy
P F G VG E