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⏱️ 180s
🌱 Beginner Level — 0 / 70
Tobacco Use and the Lungs — Cessation & Screening Bundle
A 59-year-old man (40 pack-years, current smoker) with chronic cough seeks help to quit. Spirometry shows mild obstruction. No prior lung cancer screening.
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summaryScore
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sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
00:00 / 00:00
sfx_complete_fanfare
00:00 / 00:00
💡 Hint: Correct order adjusted to match available steps.
Optimize COPD care (long-acting bronchodilator ± ICS per symptoms/exacerbations)
Avoid recommending e-cigarettes as first-line cessation therapy
Provide structured behavioral counseling and follow-up
Order annual low-dose CT if age 50–80 with ≥20 pack-years and quit ≤15 years ago or current
Update influenza and pneumococcal vaccination
Assess nicotine dependence and readiness (5As/5Rs); set quit date
Initiate first-line pharmacotherapy: varenicline or combination NRT; bupropion as alternative
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