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Quantum Units Education®

Tobacco, Nicotine, and E-Cigarettes

What is the scope of tobacco use and its cost to society?

1. Which socioeconomic group has the highest prevalence, at more than 40%, of people who smoke?

A. Those with a GED

B. Those who live in rural areas

C. Those who live in the South Atlantic states

D. Those in extreme poverty

How does tobacco deliver its effects?

2. The smoke from combustible tobacco products contains more that 7,000 chemicals.

A. True

B. False

Is nicotine addictive?

3. Repeated exposure of nicotine leads to changes in brain circuits involved in all of the following, except for:

A. Learning

B. Stress

C. Anger

D. Self-control

4. When a person quits smoking, withdrawal symptoms usually peak within the first few days of the last cigarette smoked, but may persist for months for some people, and the severity of withdrawal symptoms appears to be influenced by how long a person has smoked.

A. True

B. False

5. Nicotine causes a marked decrease in the levels of monoamine oxidase as well as a reduction in MAO binding sites in the brain.

A. True

B. False

What are the physical health consequences of tobacco use?

6. Some or all of the reduced life expectancy can be recovered depending on the age a person quits.

A. True

B. False

What are the effects of secondhand and thirdhand tobacco smoke?

7. Exposure to environmental tobacco smoke among nonsmokers increases lung cancer risk by about:

A. 10%

B. 20%

C. 30%

D. 40%

How many adolescents use tobacco?

8. Which of the following is strongly linked with adolescent smoking and dependence?

A. Current parental nicotine dependence

B. Parents’ education

C. Parents’ marital status

D. Parenting behavior

Other Tobacco Products

9. Research suggests that rates of _____ use for tobacco smoking increase during the first month of college.

A. Cigar

B. Cigarillo

C. Hookah

D. Smokeless tobacco

10. One session of hookah smoking exposes users to a lower smoke volume and lower levels of tobacco toxicants than a single cigarette.

A. True

B. False

11. Longitudinal data suggest that people are more likely to switch from smokeless tobacco use to cigarette smoking than vice versa.

A. True

B. False

12. All of the following are associated with polytobacco use, except for:

A. Engaging in risk-taking behaviors

B. Use of flavored products

C. Perceived peer use

D. Female gender

Are there gender differences in tobacco smoking?

13. During abstinence, which of the following were predictive of relapse?

A. Low levels of cortisol in men and women.

B. Low levels of cortisol in men, but high levels of cortisol in women.

C. High levels of cortisol in men, but low levels of cortisol in women.

D. High levels of cortisol in men and women.

14. Research suggests that _____ may be more responsive to cravings due to environmental cues.

A. Men

B. Women

C. Both men and women are equally responsive to environmental cues

D. Neither men nor women are responsive to environmental cues

Do people with mental illness and substance use disorders use tobacco more often?

15. People with mental illness smoke at two to four times the rate of the general population.

A. True

B. False

16. Longitudinal data indicate that smoking among adults without chronic conditions has declined significantly, but remains particularly high among those reporting any of the following, except for:

A. Anxiety

B. Depression

C. Substance use disorders

D. Obsessive compulsive disorder

What are treatments for tobacco dependence?

17. It is important for cessation treatment to be as personalized as possible, as some people smoke to avoid negative effects of withdrawal, while others are more driven by the rewarding aspects of smoking.

A. True

B. False

18. During which treatment do patients learn techniques that help them tolerate negative emotions, including stress and cravings, without returning to tobacco use or other behaviors?

A. Cognitive behavioral therapy

B. Motivational interviewing

C. Mindfulness

D. Telephone support

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