A 45-year-old woman smokes 1 pack daily and wants to quit. She has no seizure disorder, no eating disorder, and no pregnancy. Prior nicotine gum

Question

A 45-year-old woman smokes 1 pack daily and wants to quit. She has no seizure disorder, no eating disorder, and no pregnancy. Prior nicotine gum helped cravings but she relapsed. Which of the following is the most appropriate next step in management?

Accepted Answer

Offer varenicline with behavioral support

Answer

Recommend switching to low-tar cigarettes

Answer

Delay pharmacotherapy until relapse occurs

Answer

Order spirometry before treatment

Answer

Use antibiotics during withdrawal

Smoking cessation — USMLE Step 3 MCQ

A 45-year-old woman smokes 1 pack daily and wants to quit. She has no seizure disorder, no eating disorder, and no pregnancy. Prior nicotine gum helped cravings but she relapsed. Which of the following is the most appropriate next step in management?