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Smoking cessation — MCCQE Part 1 MCQ

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EasyPreventive MedicineSmoking cessationMCCQE Part 1

A 50-year-old man who smokes 20 cigarettes daily is ambivalent about quitting. He has tried once before and relapsed. Which of the following is the most appropriate clinician response?

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Correct answer: E — Use brief advice, motivational interviewing and offer pharmacotherapy and follow-up when ready

Smoking cessation benefits from repeated brief advice, motivational interviewing, pharmacotherapy and follow-up; relapse is common and should be normalized as part of quitting. Avoiding the topic misses a major preventable cause of morbidity. Pharmacotherapy can include nicotine replacement, varenicline or bupropion depending patient factors.

Reference: CTFPHC Tobacco Smoking in Adults Guideline; CAN-ADAPTT smoking cessation guidance