0010.1177/1039856214565568Australasian Psychiatry other2015
Australasian
Psychiatry
Self-assessment
Smoking and mental illness
1. A ccording to the most recent mental health survey, 16% of the general population smoke cigarettes. Approximately what percentage of people with mental illness smoke according to this survey?
A. 10% B. 30% C. 50% D. 70% E. 90% 2. Treatments to cease smoking Options:
A. Bupropion B. Buspirone C. Counselling D. Fluoxetine E. Mindfulness therapy F. Motivational interviewing G. Nicotine replacement therapy H. Sildenafil I. Varenicline For each of the following choose the option that represents the most correct answer.
I. This treatment when combined with nicotine replacement therapy involving a patch and a short acting agent (e.g. lozenges, gum, inhaler) leads to three times the quit rate of placebo. II. This treatment is best started one week prior to ceasing smoking and continued for 9 weeks. III. This treatment can increase the risk of seizures. 3. Smoking and liver enzyme induction Options:
A. Increased level of drug/substance due to CYP enzyme induction
Australasian Psychiatry 2015, Vol 23(1) 80 © The Royal Australian and New Zealand College of Psychiatrists 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1039856214565568 apy.sagepub.com
B. Increased level of drug/substance due to CYP enzyme inhibition C. Increased level of drug/substance due to cessation of CYP enzyme induction D. Increased level of drug/substance due to cessation of CYP enzyme inhibition E. Reduced level of drug/substance due to CYP enzyme induction F. Reduced level of drug/substance due to CYP enzyme inhibition G. Reduced level of drug/substance due to cessation of CYP enzyme induction H. Reduced level of drug/substance due to cessation of CYP enzyme inhibition For each of the following scenarios, choose the option that best explains the clinical presentation.
I. A patient who was a smoker at the time of admission and who drinks 10 cups of coffee a day complains of increased nicotine withdrawal symptoms ten days after admission to an inpatient ward, despite symptoms having been controlled quite well initially with nicotine patches and lozenges. II. A patient whose depression has been in remission since commencing mirtazapine four months ago develops troublesome sedation after commencing bupropion to assist with smoking cessation. III. A patient who was a smoker at the time of admission was stabilised on clozapine during a four month inpatient admission with a relapse of schizophrenia. He returns a low clozapine level two weeks post discharge.
Answers are available on p.86 Continuing Professional Development In accordance with the RANZCP CPD Program Guide, credit for completing journal reading and related MCQs as CPD activities may be categorised as a Self-guided learning activity under Section 4.4 Informal learning activities. Each hour of participation is awarded one credit. Please keep a verified log of journal readings in case of audit of your CPD annual claim. 80 Downloaded from apy.sagepub.com at FU BerlinLateinamerikanisches on May 2, 2015
Australasian
Psychiatry
Self-assessment
Smoking and mental illness
1. A ccording to the most recent mental health survey, 16% of the general population smoke cigarettes. Approximately what percentage of people with mental illness smoke according to this survey?
A. 10% B. 30% C. 50% D. 70% E. 90% 2. Treatments to cease smoking Options:
A. Bupropion B. Buspirone C. Counselling D. Fluoxetine E. Mindfulness therapy F. Motivational interviewing G. Nicotine replacement therapy H. Sildenafil I. Varenicline For each of the following choose the option that represents the most correct answer.
I. This treatment when combined with nicotine replacement therapy involving a patch and a short acting agent (e.g. lozenges, gum, inhaler) leads to three times the quit rate of placebo. II. This treatment is best started one week prior to ceasing smoking and continued for 9 weeks. III. This treatment can increase the risk of seizures. 3. Smoking and liver enzyme induction Options:
A. Increased level of drug/substance due to CYP enzyme induction
Australasian Psychiatry 2015, Vol 23(1) 80 © The Royal Australian and New Zealand College of Psychiatrists 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1039856214565568 apy.sagepub.com
B. Increased level of drug/substance due to CYP enzyme inhibition C. Increased level of drug/substance due to cessation of CYP enzyme induction D. Increased level of drug/substance due to cessation of CYP enzyme inhibition E. Reduced level of drug/substance due to CYP enzyme induction F. Reduced level of drug/substance due to CYP enzyme inhibition G. Reduced level of drug/substance due to cessation of CYP enzyme induction H. Reduced level of drug/substance due to cessation of CYP enzyme inhibition For each of the following scenarios, choose the option that best explains the clinical presentation.
I. A patient who was a smoker at the time of admission and who drinks 10 cups of coffee a day complains of increased nicotine withdrawal symptoms ten days after admission to an inpatient ward, despite symptoms having been controlled quite well initially with nicotine patches and lozenges. II. A patient whose depression has been in remission since commencing mirtazapine four months ago develops troublesome sedation after commencing bupropion to assist with smoking cessation. III. A patient who was a smoker at the time of admission was stabilised on clozapine during a four month inpatient admission with a relapse of schizophrenia. He returns a low clozapine level two weeks post discharge.
Answers are available on p.86 Continuing Professional Development In accordance with the RANZCP CPD Program Guide, credit for completing journal reading and related MCQs as CPD activities may be categorised as a Self-guided learning activity under Section 4.4 Informal learning activities. Each hour of participation is awarded one credit. Please keep a verified log of journal readings in case of audit of your CPD annual claim. 80 Downloaded from apy.sagepub.com at FU BerlinLateinamerikanisches on May 2, 2015
