TTS Assessment & Treatment Planning 2

Question 1

A client smokes 1.5 packs per day and has smoked for 20 years. What is their pack-year history?

Accepted Answer

30 pack-years

Answer

Pack-years equal packs per day multiplied by years smoked, so 1.5 x 20 = 30.

Question 2

Which two items make up the Heaviness of Smoking Index (HSI)?

Accepted Answer

Cigarettes per day and time to first cigarette after waking

Answer

The HSI uses two FTND items: cigarettes per day and time to first cigarette.

Question 3

A patient using a nicotine patch reports full abstinence. Which biomarker best verifies they are not smoking?

Accepted Answer

Urinary anabasine

Answer

Anabasine is a tobacco alkaloid not found in NRT, so it separates tobacco use from NRT use.

Question 4

Which FTND item is the strongest single predictor of nicotine dependence severity?

Accepted Answer

Time to first cigarette after waking

Answer

Smoking within 5 minutes of waking is the strongest single indicator of high dependence.

Question 5

With standard varenicline dosing, when should the client's quit date be set?

Accepted Answer

One week after starting varenicline

Answer

Standard varenicline dosing sets the quit date 1 week after starting so the drug can reach steady state.

TTS - Tobacco Treatment Specialist Certification Practice Test