TTS Assessment & Treatment Planning 3

Question 1

A client smoking 8 cigarettes per day wants to start the nicotine patch. What is the recommended starting dose?

Accepted Answer

14 mg/24 hr

Answer

Patch labeling recommends 14 mg for 10 or fewer cigarettes per day and 21 mg for more than 10.

Question 2

A client has their first cigarette 15 minutes after waking. Which nicotine lozenge strength is recommended?

Accepted Answer

4 mg

Answer

The 4 mg lozenge is recommended when the first cigarette comes within 30 minutes of waking.

Question 3

Which history finding is a contraindication to bupropion SR?

Accepted Answer

History of bulimia nervosa

Answer

Bupropion is contraindicated in bulimia or anorexia nervosa because of a higher seizure risk.

Question 4

A patient on clozapine plans to quit smoking. Why should the prescriber be notified?

Accepted Answer

Clozapine levels may rise because CYP1A2 induction from smoke stops

Answer

Polycyclic aromatic hydrocarbons in smoke induce CYP1A2, so quitting can raise clozapine levels to toxic ranges.

Question 5

What is the main first-line approach for a pregnant smoker in a treatment plan?

Accepted Answer

Behavioral counseling, with pharmacotherapy considered case by case

Answer

Behavioral counseling is first-line in pregnancy; evidence for medication safety and efficacy is limited.

TTS - Tobacco Treatment Specialist Certification Practice Test