1.Nicotinemoleculesbindto________receptorsinthebrain,stimulatingthereleaseofvasopressin,GABA,
glutamate,betaendorphins,andepinephrinewhentheindividualinhalesthesmoke.
a.serotonin.
b.norepinephrine.
c.dopamine.
d.acetylcholine.
ANSWER: d
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
2.Whichofthefollowingstatementsbestexplainswhythefirstcigaretteofthedayforregularsmokershassucha
strongeffectonthem?
a.Sometolerancetonicotinedevelopsduringtheday,butitisrapidlylostatnightwhilethesmokersleeps(and
doesn’tsmoke).
b.Smokersbuildtolerancetonicotinedependingonspecificdietarycomponents.
c.Smokersdevelopreversetolerancefornicotinethemorecigarettestheysmokeduringtheday.
d.Cigaretteshelpcalmthesmokerdownafterhavingbaddreams.
ANSWER: a
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
3.Ofthosewhosmoke,anestimated____%areaddictedtonicotine.
a.25
b.50
c.66
d.95
ANSWER: c
POINTS: 1
REFERENCES: TheEffectsofNicotineontheBody
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.3b-Therangeofpopulationsservedandneedsaddressed
byhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
4.ThemostcommonformofdeathassociatedwithcigarettesmokingintheUnitedStates(leadingtonearly400,000
deathsannually)is
a.heartdisease.
b.cancer.
c.respiratorydisease.
d.stroke.
ANSWER: c
POINTS: 1
REFERENCES: ComplicationsofLong-TermUseofTobaccoProducts
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.04-Describethecomplicationsoflong-termuseoftobacco
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
5.IntheU.S.,between__________nonsmokersdieeachyearfromcancerinducedbysecondhandsmoke.
a.250-400
b.500-1,000
c.1,500-2,000
d.3,000-8,000
ANSWER: d
POINTS: 1
REFERENCES: ComplicationsofLong-TermUseofTobaccoProducts
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.04-Describethecomplicationsoflong-termuseoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.3b-Therangeofpopulationsservedandneedsaddressed
byhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
6.Theaveragesmokerrequires____seriousattemptstoquitsmokingbeforereachingsuccess.
a.1-2
b.3-4
c.5-10
d.15-20
ANSWER: c
POINTS: 1
REFERENCES: SmokingCessation
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.06-Explainthebenefitsofsmokingcessation
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.3b-Therangeofpopulationsservedandneedsaddressed
byhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:38PM
7.WhentobaccosmokingwasfirstintroducedinEurope,itwasdeemedacrimethatcouldbepunishablebythe
________inGermany.
a.castrationofthesmoker
b.deathofthesmoker
c.deathofthosewhosuppliedtobaccotosmokers
d.lossoftitletothefamilyestates
ANSWER: b
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.1a-Thehistoricalrootsofhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
8.EvidencenowexistssuggestingthattobaccowasactivelycultivatedasacropinPeruandEcuadorasearlyas
a.4,000yearsago.
b.7,000yearsago.
c.theyear8,000B.C.E.
d.6,000yearsago.
ANSWER: b
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.1A-CareerDevelopment–Theoriesandmodelsof
UnitedStates-CSHSE.1a-Thehistoricalrootsofhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
9.Unlikestrainsoftobaccocurrentlyinuse,theoriginalstrainsoftobaccousedintheNewWorld
a.mayhavecausedhallucinations.
b.hadanalgesicproperties,thuspromptingphysiciansinEuropetorecommendtheiruse.
c.didnotcontainnicotineatall.
d.hadhigherlevelsofnicotinethanfoundinstrainsusedtoday.
ANSWER: a
POINTS: 1
REFERENCES: AVeryShortHistoryofTobaccoUseintheUnitedStates
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.1A-CareerDevelopment–Theoriesandmodelsof
careerdevelopment,counseling,anddecisionmaking
UnitedStates-CSHSE.1a-Thehistoricalrootsofhumanservices.
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
10.Upto_______%ofthetypicalcigaretteismadeupofleftoverstems,scrapsanddust.
a.40
b.14
c.24
d.64
ANSWER: a
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3F-Systemicandenvironmentalfactorsthataffect
DATECREATED: 3/28/20182:24AM
DATEMODIFIED: 3/29/20183:24AM
11.ThetypicalprofitmarginforapackofcigarettessoldintheU.S.is____%.
a.19
b.55
c.44
d.32
ANSWER: c
POINTS: 1
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
NATIONALSTANDARDS:UnitedStates-CSHSE.3c-Themajormodelsusedtoconceptualizeandintegrate
prevention,maintenance,intervention,rehabilitation,andhealthyfunctioning.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/28/20182:28AM
12.Smokersof“light”cigarettebrands________whencomparedwithsmokersofregulartobaccobrands.
a.havehalfthecoronaryarteryrisk
b.havetwicethecoronaryarteryrisk
c.haveaboutthesamecoronaryarteryrisk
d.experiencelessofa“high”fromthenicotine
ANSWER: c
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
13.Inspiteofitswidespreadpopularityasaproductforsmoking,thetobaccoplantactuallyservesasa(n)
a.waytoattractbeesforpollinationinthespring.
b.waytokilloffneighboringplantssothetobaccoplanthasbetteraccesstosunshine.
c.stimulanttothereproductivecycleofthetobaccoplant.
d.naturalinsecticide.
ANSWER: a
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.3b-theoriesoflearning
UnitedStates-CSHSE.2d-Anintroductiontotheorganizationalstructuresof
communities.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
14.Thereisgoodevidencethatcompaniesthatproducethemajorbrandsofcigaretteshave____________nicotine
foundincigarettes.
a.increasedthelevelof
b.decreasedthelevelof
c.maintainedthelevelof
d.introducedcompoundstocounteracttheeffectsof
ANSWER: a
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
15.Nicotinereducestheeffectsofmonoamineoxidase___,whichnormallybreaksdowndopamineafterithasbeen
released.
a.A
b.ß
c.I
d.monoamineÙ
ANSWER: b
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
16.Thelethaldoseofnicotinefortheaverageadultis
a.20-25mg.
b.10-15mg.
c.50-100mg.
d.40-60mg.
ANSWER: d
POINTS: 1
REFERENCES: TheEffectsofNicotineontheBody
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
17.Thebiologicalhalf-lifeofnicotineisapproximately
a.2hours
b.24hours
c.30minutes.
d.2minutes.
ANSWER: a
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
18.Ithasbeendiscoveredthatabout______ofthosewhoaredependentonalcoholalsosmoke,possiblybecausethe
nicotineismorereinforcingforthemthanitisforthosewhodonotdrink.
a.one-quarter
b.one-third
c.half
d.two-thirds
ANSWER: d
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
19.Whatpercentageofallcasesoflungcancerarethoughttobesmoking-related?
a.18%
b.28%
c.55%
d.87%
ANSWER: d
POINTS: 1
REFERENCES: ComplicationsofLong-TermUseofTobaccoProducts
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.04-Describethecomplicationsoflong-termuseoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.3b-Therangeofpopulationsservedandneedsaddressed
byhumanservices.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
20.Itisestimatedthattheglobalpercapitaconsumptionofcigarettesis________foreveryman,woman,andchildon
theplaneteachyear.
a.10
b.250
c.1000
d.2500
ANSWER: c
POINTS: 1
REFERENCES: ScopeoftheProblemofTobaccoUse
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.02-Understandthescopeoftheproblemoftobaccouse
NATIONALSTANDARDS: UnitedStates-CACREP.3F-Systemicandenvironmentalfactorsthataffect
humandevelopment,functioning,andbehavior
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
21.Secondhandcigarettesmokehasbeenfoundtoincreaseatheroscleroticplaqueformationby20%.
a.True
b.False
ANSWER: True
POINTS: 1
QUESTIONTYPE: True/False
HASVARIABLES: False
NATIONALSTANDARDS:UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/28/20182:28AM
22.Itisestimatedthatapproximately85%ofinfantswhodieafterdischargefromthehospitalarefoundtohavebeen
exposedtosecondhandcigarettesmoke.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: SecondhandSmoke
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.05-Describetheconcernsregardingsecondhandsmoke
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
23.EstablishmentofthefirstEuropeancoloniesintheNewWorldwaspartiallyfueledbydemandfortobacco.
a.True
b.False
ANSWER: True
POINTS: 1
REFERENCES: AVeryShortHistoryofTobaccoUseintheUnitedStates
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.1A-CareerDevelopment–Theoriesandmodelsof
careerdevelopment,counseling,anddecisionmaking
UnitedStates-CSHSE.1a-Thehistoricalrootsofhumanservices.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
24.“Light”cigarettesexposetheusertofewertoxinsthanregularcigarettes.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: ThePharmacologyofCigaretteSmoking
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.03-Comprehendthepharmacology,methodsofuse,and
subjectiveeffectsoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.3c-Themajormodelsusedtoconceptualizeandintegrate
prevention,maintenance,intervention,rehabilitation,andhealthyfunctioning.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
25.Peoplewhousesmokelesstobaccoareatalowerriskforafatalmyocardialinfarctionthancigarettesmokers.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: ComplicationsofLong-TermUseofTobaccoProducts
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.04-Describethecomplicationsoflong-termuseoftobacco
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.3b-Therangeofpopulationsservedandneedsaddressed
byhumanservices.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
26.DescribethebegrudgingacceptanceonthepartofEuropetotobacco.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.01-UnderstandthehistoryoftobaccouseintheUnited
States
NATIONALSTANDARDS: UnitedStates-CACREP.1A-CareerDevelopment–Theoriesandmodelsof
careerdevelopment,counseling,anddecisionmaking
UnitedStates-CSHSE.1a-Thehistoricalrootsofhumanservices.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
27.Describethetimecourseandsymptomsexperiencedwithnicotinewithdrawal.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: TheEffectsofNicotineontheBody
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.05-Describetheconcernsregardingsecondhandsmoke
NATIONALSTANDARDS: UnitedStates-CACREP.3E-Biological,neurological,andphysiologicalfactors
thataffecthumandevelopment,functioning,andbehavior
UnitedStates-CSHSE.3c-Themajormodelsusedtoconceptualizeandintegrate
prevention,maintenance,intervention,rehabilitation,andhealthyfunctioning.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
28.ListtheDSM-5diagnosesthatarerelatedtotobaccouse,andcommentonthepresenceofcomorbiddisordersin
peoplewhohavetobacco-relateddiagnoses.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: TobaccoUseandtheDiagnosticandStatisticalManualofMentalDisorders(5th
Edition)
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.07-UnderstandtheDSMcriteriafortobacco-related
disorders
NATIONALSTANDARDS: UnitedStates-CACREP.-GroupCounselingandGroupWork–Typesofgroups
andotherconsiderationsthataffectconductinggroupsinvariedsettings
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
29.Explainwhysmokelesstobaccoisnotasafealternativetosmoking.
ANSWER: Noanswerprovided.
POINTS: 1
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.04-Describethecomplicationsoflong-termuseoftobacco
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM
30.Listseveralmedicalconditionsthatcanbeimprovedbythediscontinuationofcigaretteuse,notingthespecificbenefit
ofeachcondition.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: SmokingCessation
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.15.06-Explainthebenefitsofsmokingcessation
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.3c-Themajormodelsusedtoconceptualizeandintegrate
prevention,maintenance,intervention,rehabilitation,andhealthyfunctioning.
DATECREATED: 3/28/20182:25AM
DATEMODIFIED: 3/29/20183:24AM