1. Which of the following medications is NOT likely to cause sleep disturbances as a potential side
effect of use?
a. Varenicline
b. Bupropion
c. Nicotine gum
d. Nicotine patch
2. Which of the following is NOT considered a first-line agent for smoking cessation?
a. Nicotine inhaler
b. Nicotine spray
c. Nortriptyline
d. Bupropion
3. Approximately what percent of U.S. adults currently smoke?
a. > 50%
b. 40%
c. 20%
d. < 10%
4. Which of the following tobacco treatment methods is associated with the greatest efficacy in
helping patients quit smoking?
a. Behavioral support and pharmacotherapy
b. Pharmacotherapy and patient education
c. Behavioral support
d. Pharmacotherapy
5. TT is a 24 year old male who quit smoking 2 weeks ago. He comes to clinic today for follow-up.
Upon interview, TT describes feeling very irritable and restless. He still has cravings which he
states are greatest in the morning and has noticed that he has been experiencing some diarrhea
lately. He wants to know if these are common symptoms after quitting smoking. Which of the
following is NOT a common withdrawal symptom?
a. Irritability
b. Restlessness
c. Insomnia
d. Diarrhea
6. DG is a 39 year old smoker with HTN and type 2 diabetes. You asked her if she would like to quit
smoking and she said no. She smokes 2 packs per day. Which of the following actions is best to
take with DG?
a. Do nothing since she is unwilling to quit at this time.
b. Use motivational interviewing strategies to discuss tobacco cessation
c. Provide behavioral counseling for a minimum of 10 minutes on how quitting will
improve her health.
d. Set a quit date with the patient and recommend a tobacco cessation agent
7. KG is 50 year old male who presents for tobacco cessation. He smokes 1 and ½ pack of
cigarettes per day (20 cigarettes per pack). His PMH is significant for asthma, seizures,
dermatitis and anxiety. All of his medical conditions are well controlled. He has tried to quit in
the past cold turkey but was unsuccessful. He is interested in pharmacotherapy today. Which of
the following agents may be most appropriate for KG?
a. Varenicline 0.5 mg daily for 3 days, then twice daily for 4 days, then 1 mg twice daily for
12 weeks
b. Bupropion SR 150 mg po BID for 12 weeks
c. Nicotine gum 2 mg; Chew 1 piece every 1-2 hours for 12 weeks
d. Nicotine patch 14 mg/24 hours for 6 weeks; then 7mg/24 hours for 4 weeks
8. Which of the following combination therapies is FDA approved for tobacco cessation?
a. Bupropion and nicotine patch
b. Varenicline and nicotine patch
c. Varenicline and bupropion
d. Bupropion and nicotine gum
9. Which of the following is NOT part of the “5A” brief intervention?
a. Arrange
b. Acknowledge
c. Advise
d. Assess
10. Which of the following statements is most consistent with “assisting” the patient to quit
smoking?
a. “I am worried that smoking will worsen your blood pressure and asthma.”
b. “Do you smoke? If so, how many cigarettes do you currently smoke?”
c. “I hear that you are worried about weight gain and not being successful in your quit
attempt.”
d. “There are many effective treatments to help you quit. Which one are you
interested in trying?”