Dr.D
Forum Senior
Topics: 22
Posts: 191
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A 43-year-old man comes to your office for a periodic health maintenance examination. He is a manager at a local pet store and considers his life high stress. He has no current medical issues and takes only a multivitamin daily. He smokes one pack of cigarettes per day for the previous 21 years, drinking social ethanol, but denies any illicit substance abuse. His last fasting cholesterol level is 219 mg/dL. The patient admits to having attempted to quit smoking in the past and is frustrated at his failure. However, he does not want to talk about all those risks associated with smoking right now. The most accurate statement concerning his likely success at quitting is:
A. After 6 months of abstinence, relapse rates increase dramatically
B. He is likely to gain minimal weight if successful
C. He is likely to gain 25-30 pounds if successful
D. He is likely to quit after 5 or 6 attempts
E. He is likely to quit after the second attempt
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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B. gain minimal wt?
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| Dr.D
Forum Senior
Topics: 22
Posts: 191
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No
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| kd
Forum Junior
Topics: 4
Posts: 18
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Ans:- D
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| Dr.D
Forum Senior
Topics: 22
Posts: 191
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The correct answer is D. The sad truth about the addictive nature of nicotine is that patients often require five or more attempts at quitting over the course of a few years prior to being successful. This fact makes it especially difficult to assist patients in quitting since the time to success is so long and so many attempts and failures often lead to patient frustration.
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