20 board-style questions on smoking cessation in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 65-year-old man with known peripheral arterial disease has an ABI of 0.62. He experiences left calf claudication limiting him to walking one block. His current medications include aspirin 81 mg daily, atorvastatin 80 mg daily, and lisinopril 20 mg daily. His blood pressure is 126/74 mmHg, LDL is 68 mg/dL, and HbA1c is 6.8%. He continues to smoke 10 cigarettes per day. What additional interventions would most improve his claudication symptoms?
A 54-year-old man with a 30-pack-year smoking history wants to quit smoking. He has tried nicotine patches twice before but relapsed within 2 weeks each time. He has no history of seizures, eating disorders, or current use of MAO inhibitors. He drinks 2 beers on weekends. He is motivated to quit and asks about the most effective pharmacotherapy option. Which medication or combination has the highest smoking cessation rates in clinical trials?
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