Quick quiz: Supporting patients with smoking cessation

Our quick quizzes aim to test your knowledge through a series of illustrative cases and scenarios. Work your way through the questions to enhance your understanding of management of key conditions.

Press ‘start’ below to begin the quiz on supporting patients with smoking cessation.

Note the lists of medication side-effects/contraindications given in this quiz are not exhaustive – practitioners take responsibility for their own prescribing and should check the BNF or summary or product characteristics if unsure.

<section data-block="SingleChoice"> <h3>You are seeing a patient who has been half-heartedly trying to give up smoking for the last few years. You suggest referring her to a smoking cessation clinic, but she isn’t keen, and wonders what difference it will make. Which of the following is true about the evidence and organisation of smoking cessation services?</h3> <ul> <li>There is good evidence that attendance at a stop smoking clinic increases quit rates, whether or not any medication is prescribed.</li> <li>Very brief advice (VBA) given by a clinician does not improve quit rates over and above a consultation where this is not done.</li> <li>All smoking cessation services will prescribe their own medication and nicotine replacement.</li> <li>E-cigarettes (ECs) have no proven benefit in helping people to quit smoking.</li> </ul> </section> <section data-block="SingleChoice"> <h3>You are reviewing prescription requests in between clinics. They include a letter from a smoking cessation clinic asking you to prescribe nicotine patches and lozenges for a patient who is 22 weeks pregnant. You are unsure about prescribing for a pregnant woman and prescribing two types of nicotine replacement therapy (NRT) at once. Which of the following are true about the use of NRT?</h3> <ul> <li>A combination of short- and long-acting NRT should only be used when other NRT has not worked to help the person stop smoking.</li> <li>Nicotine patches are available on the NHS for up to eight weeks.</li> <li>NICE has approved the use of NRT for pregnant women who want to stop smoking.</li> <li>NRT should only be used for those aged 18 or over.</li> </ul> </section> <section data-block="SingleChoice"> <h3>Another prescription request is for a patient who wants to use bupropion, which has been recommended by a local stop smoking clinic. You notice that 10 years ago the patient had a seizure and was seen by neurology – they adopted a ‘watch and wait’ approach, and there have been no further seizures, but you are aware that there are some issues with bupropion and seizures. Which of the following is true about contraindications to bupropion?</h3> <ul> <li>Bupropion is contraindicated in those with epilepsy, but it can be used if there is a history of seizures but none for the last five years, in a patient who is not taking anti-seizure medication.</li> <li>This patient cannot have bupropion – it is contraindicated in those who have ever had a seizure.</li> <li>Bupropion is contraindicated in patients who have liver fibrosis.</li> <li>Bupropion is contraindicated in patients with a history of binge eating disorder.</li> </ul> </section> <section data-block="SingleChoice"> <h3>You are seeing a patient who has newly arrived in the UK from another country. He has been taking varenicline to stop smoking, and would like to continue it. You remember reading an article about varenicline being withdrawn in the UK – which of the following is correct about varenicline?</h3> <ul> <li>Varenicline is still unavailable on the NHS in the UK but can be prescribed privately.</li> <li>Varenicline only works if given with NRT – it acts to increase the ‘hit’ feeling given by the nicotine in NRT.</li> <li>Varenicline was unavailable for a few years but can now be prescribed again on the NHS.</li> <li>Varenicline is contraindicated in those with a history of depression.</li> </ul> </section> <section data-block="SingleChoice"> <h3>A third prescription request from the smoking cessation service is for cytisinicline. You have never heard of this medication and so decide to look it up on the National Centre for Smoking Cessation and Training website. Which of the following is true about cytisinicline?</h3> <ul> <li>A usual course is 8 weeks.</li> <li>It is recommended by NICE.</li> <li>It can be given in pregnancy.</li> <li>It is contraindicated in those with any history of cardiovascular disease.</li> </ul> </section> <p>  <div id="article_leaderboard2" class="article-lb mb-4 widget_text widget adbanner mpu d-none d-md-none d-lg-block "> <div class="textwidget custom-html-widget">  <div id="article-lb"><script> googletag.cmd.push(function() { googletag.display("article_leaderboard2"); }); </script></div> </div> </div> <p>  <p><strong>Related Article: </strong> <a id="related_article_link_2" href="https://www.nursinginpractice.com/clinical/respiratory/smoking-rates-increasing-in-parts-of-england-experts-warn/">Smoking rates increasing in parts of England, experts warn</a> <p>  <p>  <p>

Quick quiz: Supporting patients with smoking cessation

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