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Kaplan Qbank USMLE



Author14 Posts
  #1

How many years a patient have stopped smoking before his tobacco use no longer counts as a risk factor?

a.-1 year

b.-5 years

c.-10 years

d.-15 years

e.-20 years


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  #2

I will guess B.

  #3

i think 10


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  #4

10 BACK TO NON SMKER LEVELS

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  #5

I picked 10 but Kaplan says 15. Anyone with a different source?

Numbers, numbers...


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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

  #6

http://www.cdc.gov/tobacco/data_statistics/sgr/sg...

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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #7

Within 20 minutes after you smoke that last cigarette, your body begins a series of changes that continue for years.
20 Minutes After Quitting
Your heart rate drops.

12 hours After Quitting
Carbon monoxide level in your blood drops to normal.

2 Weeks to 3 Months After Quitting
Your heart attack risk begins to drop.
Your lung function begins to improve.

1 to 9 Months After Quitting
Your coughing and shortness of breath decrease.

1 Year After Quitting
Your added risk of coronary heart disease is half that of a smoker’s.

5 Years After Quitting
Your stroke risk is reduced to that of a nonsmoker’s 5-15 years after quitting.

10 Years After Quitting
Your lung cancer death rate is about half that of a smoker’s.
Your risk of cancers of the mouth, throat, esophagus, bladder, kidney, and pancreas decreases.

15 Years After Quitting
Your risk of coronary heart disease is back to that of a nonsmoker’s


___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #8

IMO is not worth learning those numbers. There are other things far more important to know.
Interestingly, quitting smoking less than 2 month prior to surgery does not significantly reduce, but may also increase the risk of perioperative cardiopulmonary complications (Zwissler, Anaesthesist 2005).

  #9

farnsworth wrote:

Interestingly, quitting smoking less than 2 month prior to surgery does not significantly reduce, but may also increase the risk of perioperative cardiopulmonary complications (Zwissler, Anaesthesist 2005).


per Kaplan (Pestana) 8 wk prior surgery quitting and intensive respiratory therapy decrease postop pulmonary risk (p21)


  #10

That's what the paper says: you have to quit smoking at least 2mo prior to surgery to reduce perioperative cardiopulmonary complications. But anyway, it may make sense to quit smoking 12-24h prior to surgery, in order to reduce COHb. But it is not justify to postpone surgery just because a patient had a cigarette 30min ago (from the anesthesiologist's position)

  #11

15 years


  #12

I also remember reading from Kaplan that it was 15 years


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  #13

15 year is the correct answer.
2 month is to reduce postOP cardiopulmonary risk. But not to the level of a non-smoker.

  #14

Let me tell you one thing, as an oncologist: if you smoked for some time and did not quit before age of 30, it is LATE to avoid the lung cancer... Thus, the Q must specify the risk factor for a certain condition...

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