Oral Path II Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
5As of smoking cessation 1.) ask -- ask about their smoking behavior
2.) advise
3.) assess-- willingness to quit
4.) assist-- provide brief intervention
5.) arrange-- additional resources and follow up
SBIRT screening
brief intervention
referral for treatment
3 types of patients in smoking cessation the resistant patient
the contemplating patient
the ready to quit patient
behavioral strategies for smoking cessation education about withdrawal symptoms
identification of triggers
problem solving and coping skills
stress management and relaxation strategies
, who should be offered medications for smoking every patient who is willing to accept it
cessation exceptions-- pregnant women, smokeless tobacco users, light smokers,
adolescents
medication effects on quit rates significantly improve quit rates
reduce physical withdrawals and craving for nicotine
work synergistically with behavioral counseling to allow patients to focus on
behavioral and psychological aspect of tobacco cessation
types of tobacco cessation drugs 1.) controllers
2.) relievers
treatment considerations for tobacco cessation efficacy
medications adverse effects
costs
patient preference and previous experiences
patient specific characteristics
contraindications and preacautions to therapy
varenicline prescription only
partial agonist at alpha-4, beta-2 nicotinic acetylcholine receptors and full
agonist at alpha-7 nicotinic acetylcholine receptors
stimulates dopamine activity to lesser degree than nicotine
potential for increased risk of cardiovascular events, nausea, vomitting, sleep
disturbances, constipation, flatulence
dosing for Verenicline .5 mg PO 1x/day for 3 days
.5 mg PO 2x/day for days 4-7
1 mg PO 2x/day for 11 weeks
begin therapy at least 1 week prior to quit date
take dose after eating and with full glass of water
consider extended therapy for up to 1 year
purpose of nicotine replacement therapy (3) non prescription and prescription options
1.) reduce physical withdrawal from nicotine
2.) eliminates reinforcing effects of rapid absorption via tobacco smoke
3.) eliminates exposure to carcinogens/toxins from tobacco smoke
nicotine gym resin complex of nicotine with sugar free chewing gum base
2 mg or 4 mg strengths, multiple flavors
may stick to dental work
CORRECT Answers
5As of smoking cessation 1.) ask -- ask about their smoking behavior
2.) advise
3.) assess-- willingness to quit
4.) assist-- provide brief intervention
5.) arrange-- additional resources and follow up
SBIRT screening
brief intervention
referral for treatment
3 types of patients in smoking cessation the resistant patient
the contemplating patient
the ready to quit patient
behavioral strategies for smoking cessation education about withdrawal symptoms
identification of triggers
problem solving and coping skills
stress management and relaxation strategies
, who should be offered medications for smoking every patient who is willing to accept it
cessation exceptions-- pregnant women, smokeless tobacco users, light smokers,
adolescents
medication effects on quit rates significantly improve quit rates
reduce physical withdrawals and craving for nicotine
work synergistically with behavioral counseling to allow patients to focus on
behavioral and psychological aspect of tobacco cessation
types of tobacco cessation drugs 1.) controllers
2.) relievers
treatment considerations for tobacco cessation efficacy
medications adverse effects
costs
patient preference and previous experiences
patient specific characteristics
contraindications and preacautions to therapy
varenicline prescription only
partial agonist at alpha-4, beta-2 nicotinic acetylcholine receptors and full
agonist at alpha-7 nicotinic acetylcholine receptors
stimulates dopamine activity to lesser degree than nicotine
potential for increased risk of cardiovascular events, nausea, vomitting, sleep
disturbances, constipation, flatulence
dosing for Verenicline .5 mg PO 1x/day for 3 days
.5 mg PO 2x/day for days 4-7
1 mg PO 2x/day for 11 weeks
begin therapy at least 1 week prior to quit date
take dose after eating and with full glass of water
consider extended therapy for up to 1 year
purpose of nicotine replacement therapy (3) non prescription and prescription options
1.) reduce physical withdrawal from nicotine
2.) eliminates reinforcing effects of rapid absorption via tobacco smoke
3.) eliminates exposure to carcinogens/toxins from tobacco smoke
nicotine gym resin complex of nicotine with sugar free chewing gum base
2 mg or 4 mg strengths, multiple flavors
may stick to dental work
