Tobacco Use disorder

• Fagerstrom Test - Assessing Level of Dependence 

• Nicotine Cessation MACS

1. What is the main reinforcing effect of nicotine in the brain?

a) Reducing anxiety

b) Increasing serotonin

c) Binding to dopamine receptors

d) Release of dopamine in the mesolimbic system
Answer: d) Release of dopamine in the mesolimbic system

2. Which approach is recommended for healthcare providers to help patients quit smoking?

a) The 5C’s approach

b) The 5A’s approach

c) The 4D’s approach

d) The 3R’s approach
Answer: b) The 5A’s approach

3. Which of the following is NOT a symptom of nicotine withdrawal?

a) Anxiety

b) Restlessness

c) Increased hunger

d) Decreased heart rate
Answer: d) Decreased heart rate

4. What is the primary goal of smoking cessation therapy?

a) Help people reduce tobacco use gradually

b) Encourage smoking only on social occasions

c) Achieve complete and sustained remission from tobacco use

d) Replace nicotine with other substances

5. Which medication is contraindicated in patients with a seizure history, pre-existing eating disorders, or those under 18 years old?

a) Nicotine patches

b) Bupropion

c) Nicotine lozenges

d) Varenicline

6. Which of the following is a common side effect of nicotine patches?

• a) Nausea and vomiting

• b) Insomnia and vivid dreams

• c) Dry mouth

• d) Dizzines

7. Which of these therapies is NOT generally supported by evidence for smoking cessation?

• a) Hypnosis

• b) Behavioral therapy

• c) Nicotine gum

• d) Nicotine spray

8. What is the recommended treatment strategy if a patient experiences strong cravings during nicotine replacement therapy?

• a) Increase dosage of current therapy

• b) Combine with additional NRT as needed (PRN)

• c) Stop therapy and switch to behavioral therapy only

• d) Use acupuncture to manage cravings