Public Health week 19

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What is the maximum recommended daily salt intake for adults?

6g/day

What is the recommended maximum weekly alcohol consumption for both men and women?

14 units

Which drug is listed as a 'First line option' for people with a BMI > 50 as a treatment for obesity?

Saxenda

What is the most effective treatment for smoking cessation according to the text?

Varenicline

What is the approximate number of deaths attributable to smoking in 2019/20?

60,000

What is the purpose of very brief advice (VBA) for smoking cessation?

Offer practical advice and support for quitting

What are the short-term withdrawal symptoms experienced by patients when reducing nicotine intake?

Difficulty concentrating and irritability

What begins to re-normalize in the body after quitting cigarette smoking?

 Blood pressure and pulse rate

What did the World Health Organisation define as overweight or obesity?

BMI greater than 30

Which of the following is a risk factor for high blood pressure?

Convenience food consumption

What is recommended to help patients reduce high blood pressure by looking at their modifiable risk factors?

Modifying lifestyle habits

What is the role of a pharmacist in lifestyle interventions?

Providing guidance on making lifestyle changes

Which of the following is NOT a cause of obesity?

Regular physical activity

How often does the World Health Organisation recommend consuming fish for a healthy diet?

Twice a week (one oily)

What is the recommended daily intake of saturated fat for women?

$20g$

Which of the following is NOT part of the dietary advice provided?

$3$ portions of oily fish a day

"Calorie imbalance" as a cause of obesity refers to:

$Eating$ more calories than the body needs

What are the two portions of fish that the World Health Organisation recommends per week?

One portion of oily fish and one portion of white fish

What is the recommended duration for a structured smoking cessation programme?

12 weeks

How is nicotine dependence measured using the Heaviness of Smoking Index (HSI)?

By assessing the number of cigarettes smoked per day and the time to first cigarette in the morning

What is the purpose of carbon monoxide testing in smoking cessation?

To assess the level of nicotine dependence objectively

Which NRT product(s) can be used in combination with patches to improve quit rates?

All of the above

What is the mechanism of action of Varenicline (Champix) in smoking cessation?

Acts as a partial agonist at nicotinic receptors to reduce withdrawal symptoms and urge to smoke

What role does Bupropion (Zyban) play in smoking cessation?

Inhibits noradrenaline re-uptake to reduce severity of withdrawal symptoms and urge to smoke

What is the latest aim for tobacco control in England according to the text?

To have a smoke-free generation by 2030

What is the recommended initial NRT dose for individuals smoking more than 10 cigarettes per day?

$21mg$

Which NRT product has been found to help with cravings?

Gum

What is the main purpose of measuring dependence using HSI (Heaviness of Smoking Index)?

To evaluate nicotine dependence

What do fast-acting NRT products aim to help with during smoking cessation?

Withdrawal symptoms

What is the maximum daily salt intake recommended for adults?

6g

How many units of alcohol per week should both men and women not exceed on a regular basis?

14 units

For overweight people with a BMI of 27 and associated risk factors, when should drug treatment for obesity be considered?

Only after lifestyle interventions have been evaluated

What is the preferred management for people who are ready to quit smoking?

Referral to the local NHS Stop Smoking Services

What happens to the body after quitting cigarette smoking?

Pulse rate decreases

What is the health burden of smoking in terms of hospital admissions in 2019/20?

506,100

What is the primary activity that aims to support people who smoke to stop smoking?

NHS Stop Smoking Services

What is the first line option for people with a BMI > 50 as a treatment for obesity?

'Bariatric surgery'

What type of advice should be provided if a person does not want to quit smoking?

'Harm reduction' advice

How might we affect change to promote healthy behaviors among people who smoke?

Highlighting the benefits of second hand smoke exposure

What is the short-term withdrawal symptom experienced by patients when reducing nicotine intake?

Increased appetite and weight gain

What are the settings where NHS Stop Smoking Services are offered?

Hospitals and healthcare facilities

What is the primary focus of Week 19 in the PHA113 MPharm course?

Exploring the role of pharmacists in public health

According to the World Health Organisation, how is overweight or obesity defined?

Body Mass Index (BMI) greater than 30

What are the primary causes of obesity as mentioned in the text?

Poor diet and lack of physical activity

What advice is provided for dietary intake in the text for managing obesity?

Include at least 5 servings of fruits and vegetables daily

What is the recommended weekly alcohol consumption for both men and women according to the text?

14 units for men and 8 units for women

How does the World Health Organisation measure overweight or obesity?

Body Mass Index (BMI) greater than 30

What is the recommended intake of saturated fat according to the text?

$30g$ for men and $20g$ for women

What is the World Health Organisation's recommendation for consuming fish in a week?

$2$ portions, one being oily fish

'Calorie imbalance' as a cause of obesity primarily refers to:

Excessive calorie intake without adequate physical activity

Which of the following is NOT listed as a cause of obesity in the text?

$20$ minutes of physical activity daily

What is the main purpose of carbon monoxide testing in smoking cessation?

To objectively assess nicotine dependence

How is nicotine dependence measured using the Heaviness of Smoking Index (HSI)?

By assessing the number of cigarettes smoked per day and time to first cigarette in the morning

What are some common behavioral support components included in a structured smoking cessation programme?

Setting a quit date and preparation for stopping smoking

Which NRT product has been found to help with cravings during smoking cessation?

Lozenges

What is the role of Varenicline (Champix) in smoking cessation?

It reduces withdrawal symptoms and prevents the 'reward' from nicotine intake

What is the aim of e-cigarettes in the context of tobacco control?

To provide a healthier alternative to traditional smoking

When should Bupropion (Zyban) be started for smoking cessation?

1-2 weeks before the quit date

How often should clients hold their breath for carbon monoxide testing?

15-20 seconds

What is the main purpose of very brief advice (VBA) for smoking cessation?

To offer quick and practical guidance to individuals on quitting smoking during routine healthcare interactions

How can a pharmacist contribute to lifestyle interventions for smoking cessation?

By offering support, advice, and counseling to individuals attempting to quit smoking

What is the recommended duration for a structured smoking cessation programme?

Up to 12 weeks

What is the main purpose of measuring dependence using HSI (Heaviness of Smoking Index)?

To determine the level of addiction to nicotine and influence appropriate NRT choices

What is the aim of a structured smoking cessation programme?

To support individuals in quitting smoking through a structured and supportive approach.

What is the purpose of carbon monoxide testing in smoking cessation?

To objectively assess nicotine dependence and validate quit status at 4 weeks.

How does the Heaviness of Smoking Index (HSI) measure nicotine dependence?

It measures dependence based on how soon after waking individuals smoke their first cigarette and the number of cigarettes smoked per day.

What are the potential benefits of using a second NRT product in combination with patches?

Higher quit rates

What is the role of Varenicline (Champix) in smoking cessation?

It acts as a partial agonist at nicotinic receptors, reducing withdrawal symptoms and preventing the 'reward' from nicotine intake.

What is the main aim of the government's tobacco control plan for England?

To achieve a smoke-free generation by the year 2030.

What is the primary aim of using e-cigarettes in the context of tobacco control?

To provide a safer alternative to regular smoking.

What is the recommended duration for wearing a 24-hour carbon monoxide detector?

24 hours

What are the possible withdrawal symptoms experienced by patients when reducing nicotine intake?

Withdrawal symptoms such as craving, irritability, and anxiety.

What is the primary factor considered when choosing the right NRT product(s) for a patient?

Patient preference

What is the recommended start time for Bupropion (Zyban) in relation to the quit date?

1-2 weeks before the quit date

How often should consultation with a trained smoking cessation adviser occur in a structured programme?

Every 1-2 weeks

How does the World Health Organisation define overweight or obesity?

Abnormal or excessive fat accumulation that may impair health, measured as BMI > 30

What are the risk factors for high blood pressure as mentioned in the text?

Poor diet, calorie imbalance, frequency of eating, convenience foods, lack of physical activity, medical conditions/medication, alcohol intake, psychological factors, genetics, social factors

According to the text, what should be the recommended daily intake of saturated fat for women?

20g

What is the main purpose of measuring dependence using the Heaviness of Smoking Index (HSI)?

To assess the level of nicotine dependence in smokers

What is the World Health Organisation's recommendation for consuming fish in a week?

2 portions, with one being oily fish

What is the aim of e-cigarettes in the context of tobacco control?

To provide an alternative to traditional tobacco products and reduce harm

What is the maximum daily salt intake recommended for adults according to the text?

5g

What is the primary cause of obesity referred to as 'calorie imbalance'?

The mismatch between calorie intake and energy expenditure

What are the two portions of fish that the World Health Organisation recommends per week?

One oily fish, and another non-oily fish

What is the latest aim for tobacco control in England according to the text?

To reduce smoking prevalence and health inequalities

What is the maximum recommended daily salt intake for adults?

6g/day

What are the short-term withdrawal symptoms experienced by patients when reducing nicotine intake?

Light headedness, difficulty concentrating, sleep disturbance, depressed mood, irritability, and restlessness

What is the maximum recommended weekly alcohol consumption for both men and women?

14 units

What is the health burden of smoking in terms of hospital admissions in 2019/20?

506,100

What is the purpose of very brief advice (VBA) for smoking cessation?

Providing brief support and advice for smoking cessation

What is the role of Varenicline (Champix) in smoking cessation?

Helping to reduce withdrawal symptoms and cravings

What is the first line option for people with a BMI > 50 as a treatment for obesity?

Bariatric surgery (gastric band/gastric bypass)

What begins to re-normalize in the body after quitting cigarette smoking?

Blood pressure, pulse rate, reduction in carbon monoxide in lungs, and oxygen levels

What is the preferred management for people who are ready to quit smoking?

Referral to the local NHS Stop Smoking Services

What are the settings where NHS Stop Smoking Services are offered?

Children’s centres, community, community psychiatric, dental, general practice, hospital, maternity, military base, pharmacy, prison, psychiatric hospital, school, and workplace

What is the primary focus of Week 19 in the PHA113 MPharm course?

Dietary advice, alcohol guidelines, exercise, obesity and smoking cessation

How might we affect change to promote healthy behaviors among people who smoke?

Smoking ban, increased taxation on cigarettes, plain packaging campaign, highlighting the dangers of second hand smoke, incentivizing quitting, and supporting people to quit

This quiz covers the role of public health in pharmacy practice, including understanding public health concepts, the pharmacist's role in lifestyle interventions, and making interventions for patients at risk of high blood pressure, overweight, and smoking. It also recaps the previous week's topics.

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