Shared Flashcard Set

Details

Smoking Cessation
OSCE PLAB 2
26
Medical
Graduate
06/23/2025

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Cards

Term
2. Common diagnoses of Smoking Cessation counselling patients
Definition
2. Angina for angioplasty, COPD, PNeumonia, HTN, DM and breastfeeding mother.
Term
4. Give an example of the smoking habit?
Definition
4. 40 cigarettes/day for 20 years (Scenario A) or recently reduced from 30 to 20/day (Scenario B)
Term
7. Why is it important to discuss smoking cessation
Definition
7. Smoking increases cardiovascular risks and can affect angioplasty outcomes 8.
Term
8. What might patient say about their health?
Definition
"My lungs are fine"
Term
9. What approach should you use when discussing smoking cessation?
Definition
9. GRIPS approach (Greet, Rapport, Information, Provide options, Summarize)
Term
10. What opening statement could you use to begin the consultation?
Definition
1. "I understand you had a heart attack and are scheduled for angioplasty. How are you feeling?"
Term
11. What questions should you ask about Jennifer's understanding of her heart condition?
Definition
0 11. "What do you know about heart attack?" "Has this happened before?" "Were you told smoking increases risk?"
Term
12. How would you introduce the topic of smoking?
Definition
12. "I'd like to discuss an important aspect of your lifestyle. Do you smoke?"
Term
13. What specific questions should you ask about Jennifer's smoking habits?
Definition
13. "How many cigarettes/day?" "How long have you smoked?" "When do you typically smoke?"
Term
14. How would you assess patients's motivation to quit smoking?
Definition
14. "How important is quitting for you?" "Have you tried before?" "What makes it difficult?"
Term
15. What questions would help understand Jennifer's smoking triggers?
Definition
15. "What's the main reason you smoke?" "Which cigarette would be hardest to give up?" "Who do you smoke with?"
Term
16. How would you address Jennifer's statement "I really love smoking"?
Definition
16. "What do you think could make you as happy as smoking?" "Do you think you could enjoy life without it?"
Term
17. How would you respond to "I smoke with my friends"?
Definition
17. "Perhaps you could suggest smoke-free activities with your friends?" "Many social activities don't require smoking"
Term
18. How would you address the concern "It's my little reward to myself"?
Definition
18. "We could help you find other rewarding activities that are healthier for your heart"
Term
19. What would you say about electronic cigarettes if Jennifer thinks they look stupid?
Definition
19. "There are discrete options available, and the health benefits outweigh any appearance concerns"
Term
20. How would you respond to "My grandfather is 90 and still smokes and is fine"?
Definition
20. "Smoking affects people differently. With your heart condition, continuing increases your risks significantly"
Term
21. What are the health risks of continuing to smoke that you should mention?
Definition
21. Increased risk of heart attack, stroke, lung disease, cancer, and poorer surgical outcomes
Term
22. How does smoking affect angioplasty outcomes?
Definition
22. "Continuing to smoke may make the angioplasty less effective and you might need repeat procedures"
Term
23. What support can you offer for smoking cessation? 2
Definition
23. Smoking cessation clinic, nicotine replacement therapy (patches, gums, pills), support groups 2
Term
4. How would you address weight gain concerns after quitting?
Definition
4. "Any weight gain can be managed with healthy eating and exercise, and the health benefits outweigh this"
Term
25. How would you respond to concerns about depression after quitting?
Definition
25. "There are healthy ways to manage stress, and support groups can help with the transition"
Term
26. What practical steps can Jennifer take to quit smoking? 2
Definition
26. Set a quit date, use NRT, avoid triggers, join support groups, use distraction techniques
Term
7. What should you do at the end of the consultation?
Definition
27. Provide a smoking cessation leaflet and reinforce support availability
Term
28. What would you say if Jennifer is resistant to quitting completely?
Definition
28. "Would you consider cutting down further as a first step toward eventually quitting?"
Term
29. How would you emphasize the benefits of quitting smoking? 3
Definition
29. "Quitting reduces heart disease and cancer risks, improves surgery outcomes, and saves money"
Term
0. What should you remember about patient autonomy in smoking cessation
Definition
30. Ultimately it's the patient's decision - we provide information and support but don't force them
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