Question 1

Which patient should have medical supervision when using NRT?

Accepted Answer

48 year old with severe angina

Answer

61 year old with COPD

Answer

24 year old with asthma

Answer

65 year old who recent recovered from pneumonia

Question 2

Which patient should use the 4mg lozenge?

Accepted Answer

Patient with TMJ who smokes their first cigarette within 5 minutes of awakening

Answer

Patient with asthma who smokes one pack per day

Answer

Patient with asthma who smokes 3/4 packs per day

Answer

Patient with TMJ who smokes their first cigarette within 45 minutes of awakening

Question 3

Which patient should use the 21mg patch?

Accepted Answer

Patient with asthma who smokes one pack per day

Answer

Patient with HTN who smokes their first cigarette within 45 minutes of awakening

Answer

Patient with asthma who smokes 1/2 packs per day

Answer

Patient with HTN who smokes their first cigarette within 5 minutes of awakening

Question 4

Which NRT delivers the most consistent levels of nicotine?

Accepted Answer

Patch

Answer

Nasal spray

Answer

Inhaler

Answer

Lozenge

Question 5

What is the best counseling point to provide to someone experiencing nightmares with the nicotine patch?

Accepted Answer

Remove the patch before going to bed

Answer

Chew a piece of nicotine gum before bed

Answer

Decrease caffeine intake

Answer

Switch to a higher dose of the patch

Question 6

What is the correct order of directions for nicotine gum use?

Question 7

GL currently smokes a little over 1 pack per day, and is ready to stop smoking. PMH includes diabetes and atopic dermatitis. Select the best regimen.

Accepted Answer

Varenicline titrated up to 1 mg twce daily

Answer

Bupropion SR 150 mg by mouth twice daily

Answer

14mg patch plus nicotine nasal spray

Answer

21mg patch plus nicotine inhaler

Question 8

Please use the screening questions to select the best tobacco cessation therapy using the CA protocol.

Accepted Answer

Refer

Answer

Nicotine patch

Answer

Nicotine nasal spray

Answer

Varenicline

Question 9

Per the CA protocol, what should the pharmacist do if a patient seeking tobacco cessation therapy from the pharmacist has no PCP?

Accepted Answer

Furnish appropriate tobacco cessation therapy and provide the patient written documentation of the encounter

Answer

Furnish appropriate tobacco cessation therapy

Answer

Decline to provide tobacco cessation therapy

Answer

Send the patient home with a tobacco use questionnaire

Question 10

Which patient is the best candidate to use bupropion for tobacco cessation?

Accepted Answer

28 year old patient with depression

Answer

38 year old patient with epilepsy

Answer

24 year old pregnant patient

Answer

34 year old patient with an eating disorder

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