Tobacco Connection

Self-Study Examination

Instructions: After studying the text answer the following true/false or multiple choice questions.  Remember, there's only one answer to each question.

1. Tobacco smoke is as dangerous to non-smokers as firsthand smoke is to smokers themselves.

a) true
b) false

2. The link between tobacco and oral cancer has yet to be established

a) true
b) false

3. The average five-year survival rate of patients with oral cancer is about ____ percent.

a) 20
b) 50
c) 75
d) 90

4. According to one study, the habit of chewing tobacco has __________, but the snuff use has _________.

a) declined, increased
b) increased, declined

5. Many well-known diseases manifest clinically as a white plaque but only one of them may be a byproduct of chewing tobacco.

a) lichen planus
b) candidiasis
c) leukoplakia

6. White or red oral mucosal lesions are almost always precancerous.

a) true
b) false

7. Which of the following forms of lesions has a much greater potential for malignancy?

a) leukoplakia
b) erythroplasia
c) erythroleukoplakia

8. One study found the highest prevalence of oral cancer in:

a) tongue
b) floor of the mouth
c) gingiva
d) hard palate

9. Smokers have a greater risk of developing periodontitis which continues to worsen even after the patient has quit smoking.

a) true
b) false

10. There are three components of cigarette smoke that seem to interfere with wound healing.  Which one acts by depriving the wounded tissues of oxygen?

a) nicotine
b) carbon monoxide
c) hydrogen cyanide

11. Smokers undergoing surgical procedures should be advised to stop smoking for at least ________ prior to surgery.

a) one week
b) 48 hours
c) 24 hours
d) 12 hours

12. Nicotine stomatits, also known as smoker’s palate, affects most frequently one of the following groups:

a) pipe smokers
b) cigarette smokers
c) cigar smokers

13. Exogenous teeth pigmentation caused by smoking is resistant to prophylactic dental cleaning.

a) true
b) false

14. What is the typical profile of a high-risk oral cancer patient?
  1. male
  2. between the ages of 20 and 40
  3. uses tobacco and/or heavy alcohol

a) 1 and 2
b) 1 and 3
c) 1, 2, and 3

15. About 95 percent of all oral cancers occur in persons over 40 years of age.

a) true
b) false

16. Tobacco use is highest in the following demographic segments:
  1. adults with 16 or more years of education
  2. adults living below the poverty level
  3. Utah residents
  4. American Indians

a) 1 and 3
b) 3 and 4
c) 2, 3, and 4
d) 2 and 4

17. Which state has the highest prevalence of smoking among adults?

a) Ohio
b) Kentucky
c) Nevada
d) Utah

18. Which of the following groups has the lowest prevalence of smoking?

a) American Indians
b) African Americans
c) Caucasians
d) Hispanics
e) Asians

19. Which of the following statements is true?

a) The prevalence of smoking among African Americans is higher than among Caucasians
b) A much higher percent of African American smokers smoke menthol cigarettes than Caucasians.
c) African Americans have higher lung cancer and oral cancer incidence than whites.
d) All of the above

20. Among women, which group is likely to have the highest smoking prevalence?
  1. Caucasian
  2. Chicano/ Latino
  3. college graduate
  4. high-school dropouts

a) 2 and 4
b) 1 and 4
c) 2 and 3
d) 1 and 3

21. Among women, which cancer causes higher mortality?

a) breast cancer
b) lung cancer

22. Which of the following substances is most addictive?

a) nicotine
b) heroin
c) cocaine
d) alcohol

23. Inhaled nicotine gets to a person’s brain faster than intravenous drugs.

a) true
b) false

24. Select the best response about nicotine:
  1. increases the heart rate
  2. has a tranquilizing effect
  3. is a stimulant
  4. is a sedative

a) 1 and 3
b) 2 and 4
c) 1 and 4
d) all of the above

25. What is the single greatest risk factor for oral cancer?

a) heredity
b) poor oral care
c) tobacco
d) carcinogens in the air

26. Smokers who smoke pipes or cigars without inhaling do not face the diseases caused by tobacco.

a) true
b) false

27. Cigars are generally safer than cigarettes for the smoker as well as for those around the smoker.

a) true
b) false

28. Which of the following are true statements?
  1. Cigar smoking is on the rise among older mates, age 65 and older.
  2. Cigar smoking occurs primarily among males between the ages of 35 and 64 who have higher educational backgrounds and incomes.

a) 1 and 2
b) 2 and 3
c) 3 and 4
d) 2 and 4
e) all of them

29. Select the correct statements from the following:
  1. Smokeless tobacco is a known carcinogen.
  2. Smokeless tobacco users absorb two to three times the amount of addictive nicotine as those who smoke cigarettes.
  3. Chewing tobacco is a safer

a) 1 and 2
b) 2 and 3
c) 3 and 4
d) all but 3

30. What is the most harmful carcinogen found in smokeless tobacco?

a) formaldehyde
b) acetaldehyde
c) arsenic
d) nitrosamines

31. Select the true statements from below:
  1. Smokeless tobacco is harmless as it does not contain nicotine.
  2. Nicotine is absorbed by smokeless tobacco users at a rate 2 to 3 times higher than that of cigarette smokers.
  3. Smokeless tobacco i

a) 3 only
b) 2 and 4
c) 1 only
d) 2, 3, and 4

32. Harmful effects of smokeless tobacco include all of the following except:

a) addiction to nicotine
b) oral leukoplakia
c) gum disease
d) lung cancer

33. Harmful effects of smoking are irreversible.

a) true
b) false

34. Within _________ after quitting a person’s risk of coronary heart disease is reduced to half that of a smoker’s.

a) 6 months
b) 1 year
c) 5 years
d) 10 years