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Smoking cessation pharmacotherapy — MCCQE Part 1 MCQ

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ModeratePreventive MedicineSmoking cessation pharmacotherapyMCCQE Part 1

A 50-year-old man who smokes 20 cigarettes daily wants to quit. He has tried willpower alone several times and relapsed. He has stable depression treated with sertraline and no seizure history. What should you tell this patient?

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Correct answer: B — Behavioural support plus nicotine replacement, varenicline or bupropion can improve quit rates

Combining behavioural support with pharmacotherapy improves smoking cessation success, and stable depression is not a blanket contraindication to evidence-based options. Low-tar products and cigars do not remove tobacco-related risk. Treatment choice should consider preference, contraindications, cost and provincial coverage.

Reference: CAN-ADAPTT Smoking Cessation Guidelines