Tobacco and Nicotine Use

Question 1

SMOKING TOBACCO PRODUCTS
ALL CONTAIN —

Answer 1

CARCINOGENS

Question 2

When inhale cigarette (directly or secondhand) inhaling more than — chemicals
— of these are hazardous
— are known carcinogens

Answer 2

7,000
Hundreds
70

Question 3

Health Consequences Causally
Linked to Smoking
Cancers
(10)

Answer 3

 Oropharynx
 Larynx
 Esophagus
 Trachea, bronchus, lung
 Acute myeloid leukemia
 Stomach
 Pancreas
 Kidney and ureter
 Cervix
 Bladder

Question 4

Health Consequences Causally
Linked to Smoking
Chronic Diseases
(11)

Answer 4

 Stroke
 Blindness, cataracts
 Periodontitis
 Aortic aneurysm
 Coronary heart disease
 Pneumonia
 Vascular Diseases
 Respiratory effects
 COPD
 Hip Fractures
 Reproductive effects

Question 5

Health Consequences Causally Linked to
Secondhand Smoke Exposure
Children
(5)

Answer 5

• Middle ear disease
• Respiratory symptoms
• Impaired lung function
• Lower respiratory illness
• SIDS

Question 6

Health Consequences Causally Linked to
Secondhand Smoke Exposure
Adults
(4)

Answer 6

• Nasal irritation
• Lung cancer
• Coronary heart disease
• Reproductive effects in
  women
  – Low birth weight

Question 7

— is the leading cause of cancer related
death in US for both men and women

Answer 7

Lung cancer

Question 8

Smoking accounts for more than –% of lung
cancer cases reported in men and –% in women

Answer 8

90
89

Question 9

skipped
SMOKING EFFECTS ON
THE MOUTH
(11)

Answer 9

 Bad breath
 Periodontal (gum) disease
 Sore throat/hoarseness
 Reduced smell/taste
 Unhealthy tissue
 Delayed healing
 Oral cancer
 Throat cancer
 Teeth staining
 Poor response to dental treatment
 Oral lesions
- Sores on mouth, lips, tongue

Question 10

CONTAINS OVER – CHEMICALS
KNOWN TO CAUSE CANCER

Answer 10

28

Question 11

skipped
SMOKELESS TOBACCO EFFECTS
ON THE MOUTH

Answer 11

 Bad breath
 Irritates and inflames tissue
 Tissue changes
 Oral cancer
 Increased risk of tooth decay
 Painful ulcers
 Teeth staining
 Periodontal/Gum disease

Question 12

Approximately — Americans are diagnosed
with OPC (oral and/or pharyngeal cancer)

Answer 12

42,000

Question 13

— die each year from disease
 —% of OPC can be attributed to tobacco use, heavy
alcohol consumption and in many cases both

Answer 13

8,000
75

Question 14

–% of leukoplakia’s caused by tobacco use

Answer 14

70

Question 15

According to the CDC:
 —% of adults over 18 currently use e-cigs
 —% of High School students currently use e-cigs
 —% of Middle School students currently use e-cigs

Answer 15

4.7
11.3
2.8

Question 16

2.8% of Middle School students currently use e-cigs
 —% of these students used flavored e-cigs
 Fruit, candy, desserts most popular flavor

Answer 16

84.7

Question 17

Device type of choice was disposables at —%

Answer 17

53.7

Question 18

FDA issued marketing approval for NJOY products
(4)

Answer 18

 2 specific disposable e-cigarettes
 Not all NJOY products
 Allows legal marketing in the US
 Not FDA approved, nor deemed safe

Question 19

“VAPING”…..
 Act of

Answer 19

inhaling and exhaling the aerosol, often referred to as vapor, which is produced by an e-cigarette or similar device.

Question 20

E-cigarettes do not produce tobacco smoke, but rather

Answer 20

an aerosol, often mistaken for water vapor, that actually consists of fine particles.

Question 21

Vapor is generated from a

Answer 21

solid, semi-solid, or liquid substance

Question 22

COMPONENTS
(5)

Answer 22

 Battery
 Heating element
 Atomizer
 Cartridge/pod
 Indicator light

Question 23

E-LIQUID INGREDIENTS
(6)

Answer 23

 Vegetable glycerin
 Propylene glycol
 Flavorings
 Nicotine**
 Other compounds/chemicals
 Diacetyl
 Benzoic acid

Question 24

E-LIQUID/E-SOLUTION/E-JUICE
 Ingredients may be deemed safe for use and/or ingestion
 But

Answer 24

not evaluated for inhalation and heat

Question 25

 Can remain on surfaces for weeks to months  Potential for

Answer 25

3rd hand exposure or accidental ingestion by children

Question 26

May cause adverse effects during or after

Answer 26

pregnancy  Nicotine can cross the placenta

Question 27

NICOTINE SALTS (3)

Answer 27

 “Smoother hit”  More like a cigarette rush  Higher nicotine concentrations

Question 28

Higher nicotine concentrations (3)

Answer 28

 Potential to be more addictive  1.8 % - 5% nicotine solutions available  Each pod contains same amount of nicotine as an entire pack of cigarettes**

Question 29

AEROSOL (4)

Answer 29

 Volatile organic compounds  Nicotine  Ultrafine particles  Heavy metals – nickel, tin, lead

Question 30

skipped POPULARITY OF DEVICES (5)

Answer 30

 Easy to get  Via online, convenience stores*, Smoke/vape shops  Flavorings make these devices appealing  Discreet use/sleek design  11 to 17-year olds think e-cigarettes are less harmful than smoking

Question 31

COST  Variety in cost based on device  Single use, disposable e-cigs -  Rechargeable starter kits -  Refill cartridges – monthly cost

Answer 31

$1 - $15 $25 - $150 $50-$75

Question 32

HEALTH CONCERNS ASSOCIATED (5)

Answer 32

 Increased heart rate due to spike in adrenaline  Increased blood pressure  Increase in bronchitis  Increase in lung disease  May cause blood sugar levels to rise

Question 33

 Increased heart rate due to spike in adrenaline

Answer 33

 Higher risk for heart attack

Question 34

 Increase in lung disease

Answer 34

 “popcorn lung” – bronchiolitis obliterans

Question 35

EFFECTS ON ORAL HEALTH (4)

Answer 35

 Chemical vapors produced can alter or damage epithelial cells  Indicates an inflammatory response in the PDL fibroblasts  Sore throat  Dry mouth

Question 36

 Chemical vapors produced can alter or damage epithelial cells (2)

Answer 36

 Oral ulcerations  Oral cancer may result

Question 37

Indicates an inflammatory response in the PDL fibroblasts  May lead to greater risk for

Answer 37

periodontal disease

Question 38

EFFECTS ON ORAL HEALTH  Heat and chemicals (5)

Answer 38

 Dry mouth  Bone loss  Inflammation  Increased plaque, calculus  Tooth decay

Question 39

EFFECTS ON ORAL HEALTH  Nicotine as a stimulant (1)

Answer 39

 Increase bruxism

Question 40

Burns from device ---

Answer 40

batteries/explosions

Question 41

Nicotine poisoning/overdose (2)

Answer 41

 Pods can leak solution  Nicotine is rapidly absorbed via the skin

Question 42

Second hand --- exposure

Answer 42

aerosol

Question 43

--- concerns

Answer 43

Environmental