Term
What is the leading cause of preventable death is the US? |
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Definition
smoking, smokers die 10 years earlier than nonsmokers |
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Term
Smoking is a major risk factor for... |
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Definition
-stroke -myocardial infarction -peripheral vascular disease -aortic aneurysm -sudden death |
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Term
What is smoking the leading cause of? |
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Definition
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Term
What cancers is smoking linked to? |
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Definition
the mouth, esophagus, stomach, pancreas, cervix, kidney, colon, and bladder |
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Term
What are some oral effects of smoking? |
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Definition
-Squamous call carcinoma -Leukoplakia -Nicotine stomatitis -Smoker’s melanosis -Hairy tongue -Halitosis |
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Term
What can smokeless tobacco cause? |
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Definition
-Squamous call carcinoma, -Tobacco or snuff dipper’s pouch -Verrucous carcinoma -Gingival recession -Periodontitis -Necrotizing ulcerative gingivitis |
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Term
What are people who smoke addicted to? |
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Definition
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Term
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Definition
a highly addictive drug that has been equated with heroin, cocaine, and amphetamine |
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Term
BLANK develops with repeated exposure. |
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Definition
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Term
Where is nicotine absorbed? |
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Definition
through the skin and the mucosal lining of the nose and mouth and by inhalation into the lungs |
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Term
How long does it take for nicotine to reach the brain? |
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Definition
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Term
How quickly do the effects of nicotine gradually diminish? |
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Definition
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Term
A person who smokes about 1 1/2 packs (30 cigarettes) a day gets BLANK hits of nicotine to the brain every day, each one within BLANK seconds after a pufs. |
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Definition
A person who smokes about 1 1/2 packs (30 cigarettes) a day gets 300 hits of nicotine to the brain every day, each one within 10 seconds after a puff |
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Term
What is the best way to stop smoking? |
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Definition
utilize more than one method to stop |
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Term
What are the 5 A's that the The U.S. Department of Health and Human Services Public Health Service guidelines are based on? |
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Definition
1.Asking patient about their tobacco use 2.Advising those who use tobacco to quit 3.Assessing the willingness of patients to make a quit attempt 4.Assisting in the quit attempt 5.Arranging for follow-up |
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Term
Patients who use smokeless tobacco should be asked what? |
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Definition
where they hold their tobacco |
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Term
What type of therapies does counseling consist of? |
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Definition
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Term
What does cognitive therapy do? |
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Definition
attempts to change the way a patient thinks about smoking |
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Term
What does behavioral therapy do? |
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Definition
attempts to help the smoker avoid situations that might trigger the desire to smoke |
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Term
What is the rationale for nicotine replacement therapy (NRT)? |
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Definition
to replace cigarettes or smokeless tobacco with a source of nicotine that does not have the tars and carbon monoxide of tobacco and then gradually reduce the use of that replacement product to the point of abstinence **helps patient not experience withdrawls** |
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Term
What are the 5 distinct types of NRT? |
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Definition
1.transdermal patch 2.gum 3.lozenges 4.inhaler 5.nasal spray |
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Term
WHat is the selection of the NRT product based on? |
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Definition
dependent on the number of cigarettes smoked per day, its potential adverse effects, and patient preference |
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Term
What is another first-line FDA-approved non-NRT pharmacotherapeutic smoking cessation agent? |
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Definition
slow-release bupropion, usually an antidepressant, affects neurologic pathways that nicotine uses, |
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Term
What may Bupropion cause? Who is it contradicted in? |
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Definition
-may cause weight gain -contraindicated in patients with seizure disorders or in those who may be prone to seizures |
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Term
What is the most recently FDA-approved pharmacotherapeutic agent? |
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Definition
verenicline- blocks nicotine receptors, prevents reward and reinforcement of smoking |
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Term
What resulted in a product label change for verenicline? |
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Definition
Reports of depression and suicidal ideation resulted in a change in product labeling; however, these effects have not been substantiated |
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Term
What re the steps used now instead of the 5 A's for us to help our patients stop smoking? |
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Definition
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Term
What is the Code for Dental Terminology (CDT)(Tobacco Counseling for the Control and Prevention of Oral Disease)? |
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Definition
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