CHAPTER 32 THE PATIENT WITH NICOTINE DISORDERS
QUESTIONS AND ANSWERS | STUDY GUIDE & PRACTICE TEST
2026/2027
Smokers are more likely to consume alcohol.
A) True
B) False - correct answer ✔✔A) True
Nicotine has a greater potential for harmful system effects than any other component of tobacco
products.
A) True
B) False - correct answer ✔✔B) False
Concomitant use of alcohol and other psychoactive drugs with tobacco use will not necessitate
modifications of clinical procedures.
A) True
B) False - correct answer ✔✔B) False
Varenicline tartrate can be used in combination with nicotine replacement therapies.
A) True
B) False - correct answer ✔✔B) False
Third-hand smoke is
A) tobacco smoke residue absorbed by furnishings.
B) secondary smoke.
C) passive smoke.
D) indirect smoke. - correct answer ✔✔A) tobacco smoke residue absorbed by furnishings.
Mr. Smith is a patient in the dental hygiene clinic. He is a smoker. It has been 1 year since his last
appointment. He has heavy calculus and heavy stain. You talk to him about how the smoking is relevant
to the heavy calculus and heavy stain. This refers to which of the following 5 A's?
A) Ask
B) Advise
C) Assess
D) Assist
E) Arrange - correct answer ✔✔B) Advise
Which method of nicotine delivery involves the use of a hookah?
A) Waterpipe
B) Electronic
C) Smokeless
D) Cigarette - correct answer ✔✔A) Waterpipe
Smokers of nonfiltered cigarettes have a black discoloration of the fingers and fingernails.
A) True
, B) False - correct answer ✔✔B) False
What portion of smokers use an evidence-based cessation treatment when attempting to quit?
A) Less than one-third
B) About one-half
C) Nearly two-thirds
D) Over three-quarters - correct answer ✔✔A) Less than one-third
Breast cancer has surpassed lung cancer to become the leading use of cancer death among American
women.
A) True
B) False - correct answer ✔✔B) False
The most effective method to stop using tobacco is never to start.
A) True
B) False - correct answer ✔✔A) True
The mechanism of action for Bupropion SR is a partial nicotine agonist that blocks nicotine receptors in
the brain and causes reduction in dopamine release.
A) True
B) False - correct answer ✔✔B) False
With the nicotine nasal spray, nicotine is
A) released in the mouth during chewing.
B) released through the skin.
C) released in the mouth during inhalation or puffing.
D) released through the lining of the nose.
E) released in the mouth as it dissolves. - correct answer ✔✔D) released through the lining of the nose.
Smokeless tobacco use is a safe alternative to smoking.
A) True
B) False - correct answer ✔✔B) False
Bupropion SR can be used in combination with nicotine replacement therapies.
A) True
B) False - correct answer ✔✔A) True
Offspring of smokers are not likely to become smokers.
A) True
B) False - correct answer ✔✔B) False
Brief motivational interviewing has shown to help with tobacco cessation.
A) True
B) False - correct answer ✔✔A) True
What do risks refer to when using the 5 R's?
A) Patient indicates personal importance of quitting.
B) Patient identifies negative consequences of continued use.
QUESTIONS AND ANSWERS | STUDY GUIDE & PRACTICE TEST
2026/2027
Smokers are more likely to consume alcohol.
A) True
B) False - correct answer ✔✔A) True
Nicotine has a greater potential for harmful system effects than any other component of tobacco
products.
A) True
B) False - correct answer ✔✔B) False
Concomitant use of alcohol and other psychoactive drugs with tobacco use will not necessitate
modifications of clinical procedures.
A) True
B) False - correct answer ✔✔B) False
Varenicline tartrate can be used in combination with nicotine replacement therapies.
A) True
B) False - correct answer ✔✔B) False
Third-hand smoke is
A) tobacco smoke residue absorbed by furnishings.
B) secondary smoke.
C) passive smoke.
D) indirect smoke. - correct answer ✔✔A) tobacco smoke residue absorbed by furnishings.
Mr. Smith is a patient in the dental hygiene clinic. He is a smoker. It has been 1 year since his last
appointment. He has heavy calculus and heavy stain. You talk to him about how the smoking is relevant
to the heavy calculus and heavy stain. This refers to which of the following 5 A's?
A) Ask
B) Advise
C) Assess
D) Assist
E) Arrange - correct answer ✔✔B) Advise
Which method of nicotine delivery involves the use of a hookah?
A) Waterpipe
B) Electronic
C) Smokeless
D) Cigarette - correct answer ✔✔A) Waterpipe
Smokers of nonfiltered cigarettes have a black discoloration of the fingers and fingernails.
A) True
, B) False - correct answer ✔✔B) False
What portion of smokers use an evidence-based cessation treatment when attempting to quit?
A) Less than one-third
B) About one-half
C) Nearly two-thirds
D) Over three-quarters - correct answer ✔✔A) Less than one-third
Breast cancer has surpassed lung cancer to become the leading use of cancer death among American
women.
A) True
B) False - correct answer ✔✔B) False
The most effective method to stop using tobacco is never to start.
A) True
B) False - correct answer ✔✔A) True
The mechanism of action for Bupropion SR is a partial nicotine agonist that blocks nicotine receptors in
the brain and causes reduction in dopamine release.
A) True
B) False - correct answer ✔✔B) False
With the nicotine nasal spray, nicotine is
A) released in the mouth during chewing.
B) released through the skin.
C) released in the mouth during inhalation or puffing.
D) released through the lining of the nose.
E) released in the mouth as it dissolves. - correct answer ✔✔D) released through the lining of the nose.
Smokeless tobacco use is a safe alternative to smoking.
A) True
B) False - correct answer ✔✔B) False
Bupropion SR can be used in combination with nicotine replacement therapies.
A) True
B) False - correct answer ✔✔A) True
Offspring of smokers are not likely to become smokers.
A) True
B) False - correct answer ✔✔B) False
Brief motivational interviewing has shown to help with tobacco cessation.
A) True
B) False - correct answer ✔✔A) True
What do risks refer to when using the 5 R's?
A) Patient indicates personal importance of quitting.
B) Patient identifies negative consequences of continued use.