A 52-year-old man smokes 1 pack per day and wants help quitting. He has stable hypertension and no seizure disorder. He previously failed nicotine

Question

A 52-year-old man smokes 1 pack per day and wants help quitting. He has stable hypertension and no seizure disorder. He previously failed nicotine gum because of cravings and is willing to set a quit date. Which of the following is the most appropriate next step in management?

Accepted Answer

Offer varenicline with behavioral counseling

Answer

Use antibiotics to reduce withdrawal symptoms

Answer

Advise gradual reduction without follow-up

Answer

Prescribe long-term diazepam for cravings

Answer

Order chest CT before discussing cessation

Smoking cessation — USMLE Step 3 MCQ

A 52-year-old man smokes 1 pack per day and wants help quitting. He has stable hypertension and no seizure disorder. He previously failed nicotine gum because of cravings and is willing to set a quit date. Which of the following is the most appropriate next step in management?