A 50-year-old man returns 3 weeks after setting a quit date. He reduced smoking from 20 to 5 cigarettes daily but relapsed during a stressful

Question

A 50-year-old man returns 3 weeks after setting a quit date. He reduced smoking from 20 to 5 cigarettes daily but relapsed during a stressful weekend. He wants to keep trying and has no contraindication to pharmacotherapy. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Provide behavioural support and offer pharmacotherapy for tobacco cessation

Answer

Avoid medications because he reduced smoking

Answer

Advise switching to cigars

Answer

Tell him relapse means further attempts are futile

Answer

Schedule follow-up in 5 years

Smoking cessation relapse — USMLE Step 3 MCQ

A 50-year-old man returns 3 weeks after setting a quit date. He reduced smoking from 20 to 5 cigarettes daily but relapsed during a stressful weekend. He wants to keep trying and has no contraindication to pharmacotherapy. Which of the following would you recommend at the follow-up visit?