Wilkins Chapter 32 The Patient with Nicotine Use Disorders

Which of the following is not another name for secondhand smoke?

a) Sidestream

b) Environmental tobacco smoke

c) Involuntary

d) Passive

e) Mainstream

E) Mainstream

Smoking is not a primary risk factor for which of the following?

a) Lung cancer

b) Chronic obstructive lung disease

c) Oral cancer

d) Heart disease

e) dental caries

dental caries

What is the single most preventable cause of disease and premature death in the world?

a) Sexually transmitted diseases

b) Tobacco use

c) Auto accidents

d) Diabetes

e) Obesity

*b) Tobacco use

What effect does tobacco use by parents have on their children?

a) Children of smokers are less likely to use tobacco.

b) Children of tobacco users are more likely to die before the age they would use tobacco.

c) Children of smokers are more likely to become smokers.

d) Children of smokers are more likely to use spit tobacco.

e) There is no appreciable difference in children of smokers and nonsmokers.

*c) Children of smokers are more likely to become smokers.

What is the most addictive substance in tobacco?

a) The tobacco itself

b) Pesticides

c) Nicotine

d) Formaldehyde

e) Hydrogen cyanide

c) Nicotine

What are the "5 A's" of a tobacco cessation program?

a) Arrange, ask, assess, argue, advise

b) Ask, advise, assess, assist, arrange

c) Ask, advise, assess, angle, arrange

d) Advise, argue, awful habit, advise

e) Ask, allocate, arrange, avenge, assess

*b) Ask, advise, assess, assist, arrange

The "advise" component of the 5 A's includes which of the following?

a) Patients should refrain from tobacco use.

b) The provider collects data regarding tobacco use.

c) The team discusses concerns relating to cessation.

d) Ask the patient, "Are you ready to quit?"

*a) Patients should refrain from tobacco use.

. Which of the following is not a term used to describe spit tobacco?

a) Smokeless tobacco

b) Snuff

c) Chewing tobacco

d) Quid

e) Cigarettes

e) Cigarettes

Which of the following is a true statement regarding environmental tobacco smoke?

a) Individuals exposed to environmental tobacco smoke are at risk for the same health problems as are active smokers.

b) Individuals exposed to environmental tobacco smoke are at a decreased risk for the same health problems as are active smokers.

c) Individuals exposed to environmental tobacco smoke are at an increased risk for the same health problems as are active smokers.

d) A nonsmoker may be less sensitive to the toxic effects of environmental smoke than the habitual smoker.

Individuals exposed to environmental tobacco smoke are at risk for the same health problems as are active smokers.

Which of the following is not a true statement concerning environmental tobacco smoke and children?

a) Nicotine and carbon monoxide cross the placenta and reach the fetus.

b) Adverse risks during pregnancy include miscarriage and low birth weight.

c) Cleft lip and cleft palate have also been associated with maternal smoking.

d) Chemicals are not passed through breast milk in mothers who smoke.

e) Young children exposed to ETS are at an increased risk for asthma.

*d) Chemicals are not passed through breast milk in mothers who smoke.

12. Which of the following is not true for tobacco users?

a) The degree of inflammatory response is reduced.

b) The severity of periodontal destruction is greater.

c) They have decreased healing time.

d) Tobacco use is a major risk factor for periodontal diseases.

e) There is no effect on the rate of dental biofilm accumulation.

*c) They have decreased healing time.

When users of nicotine products stop abruptly, within 24 hours they will likely experience maximal physical and/or psychological withdrawal symptoms that may include all of the following except one. Which one is the exception?

a) Insomnia

b) Drowsiness

c) Restlessness

d) Increased appetite/weight gain

e) Anxiety

*b) Drowsiness

Which of the following is not true for the clinical treatment of tobacco users?

a) Patients who use tobacco have less calculus buildup.

b) Patients who use tobacco have more stain.

c) Patients who use tobacco usually require longer and more frequent appointments.

d) Immaculate oral hygiene is required for this high-risk group.

e) Self-care for daily dental biofilm removal is a first priority.

*a) Patients who use tobacco have less calculus buildup

Nicotine is primarily metabolized by the:

a) kidneys.

b) liver.

c) plasma.

d) bone marrow.

*b) liver

The amount and rate at which a nicotine-containing product delivers nicotine to the bloodstream is a determinant of its __________ potential.

a) absorption

b) tolerance

c) withdrawal

d) addiction potential

d) addiction potential

Nicotine is considered toxic at __________ and can cause fatality.

a) 20 mg

b) 40 mg

c) 60 mg

d) 80 mg

*c) 60 mg

Of the 28 carcinogens found in chewing tobacco and snuff, the most harmful are the tobacco-specific:

a) nickels.

b) nitrosamines.

c) acroleins.

d) cadmiums.

*b) nitrosamines

The dental hygienist has found a "white patch lesion on the patient's buccal mucosa: Which of the following procedures should be

Biopsy

Which of the following is NOT a term used to describe spit tabacco ?

Hookah

What is the most commonly reported symptoms among adult nonsmokers?

A. Sore throat and itchy eyes

B. Chest pain

C. Fatigue

d. Itchy eyes and nasal irritation

E.dry mouth

A. Sore throat and Itchy eyes

As stated in your textbook, which of the following is true for smokeless tobacco?

Most smokeless tobacco products are sweetened with sugar or molasses.

How long does it take for nicotine to be delivered to the via the bloodstream?

20 secs

After your patient has had non-surgical perio therapy, it is important to inform them that the healing will be jeopardized if to use is continued . They can expect the same treatment result as non users

TRUE, FALSE