Deck 20: Tobacco Cessation

Question 1

One can of snuff equals approximately what?

A)Two packs of cigarettes
B)Three packs of cigarettes
C)Four packs of cigarettes
D)Five packs of cigarettes

Answer 1

C
Explanation: C)All smokeless tobacco contains tobacco-specific cancer-causing nitrosamines and nicotine added by the tobacco companies,which are "free" or available for absorption by the body in the presence of base chemicals.The higher the pH,the greater the available (approximately one can of snuff equals four packs of cigarettes)nicotine,and therefore the greater potential effect on the brain.

Question 2

Because smoking alters the body's ability to mount a host response,how does periodontal inflammation present itself in a smoker?

A)Red,swollen gingival margins,with profuse bleeding
B)Smooth tissue with minimal bleeding
C)Smooth tissue with profuse bleeding
D)Tight and firm margins with pyramidal papilla

Answer 2

B
Explanation: B)Smoking alters the body's ability to mount a host response at both the local and systemic levels by changes in vasculature.These changes manifest as reduced bleeding upon probing,potentially causing misinterpretation of periodontal health,and reduction of oxygen in the periodontal pocket,which may alter subgingival flora.

Question 3

Smokers have greater probing depths,gingival recession,loss of attachment,and bone loss than non-smokers.Cigarette smoking is a potential contributing factor in necrotizing ulcerative gingivitis.

A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.

Answer 3

A
Explanation: A)The number of cigarettes plus the number of years someone has been smoking is known as a dose response.Smokers have greater probing depths,gingival recession,loss of attachment,and bone loss.In addition,cigarette smoking contributes to necrotizing ulcerative gingivitis.

Question 4

Patients who smoke are more likely to present with what periodontal condition?

A)Healthy tissue
B)Gingivitis
C)Early periodontal disease
D)Moderate to advanced periodontal disease

Question 5

What does smokeless tobacco diffuse through?

A)Saliva
B)Mucous membrane
C)Tongue
D)Salivary glands

Question 6

Which are products that assist patients with nicotine withdrawal?

A)Gum
B)Patches
C)Medications
D)All of the above

Question 7

What are referred to as a "poor man's" cigarette and are small hand rolled cigarettes imported from India or Southeast Asia?

A)Hookas
B)Flavored cigarettes
C)Kreteks
D)Bidis

Question 8

Both bidis and kreteks deliver more nicotine,carbon monoxide,and tar than standard cigarettes.Users feel that water in the hookas "filters" out the toxins;hooka smoke has been shown to contain many of the same toxins found in cigarette smoke.

A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.

Question 9

What are dental providers likely to see in the oral cavity of a smoker?

A)Leukoplakia
B)Leukoedema
C)Linea alba
D)Ectopic sebaceous glands

Question 10

Second-hand smoke exposes the non-smoker to more chemicals than the smoker.How much worse are these chemicals?

A)25 fold
B)50 fold
C)100 fold
D)125 fold