Cigarettes
This addictive chemical in cigarettes is responsible for quick dependence and stimulates the nervous system
Nicotine
Vaping delivers this substance into the body that is also found in cigarettes and is highly addictive.
Nicotine
What is another common name for smokeless tobacco that refers to how users often consume it?
Spit tobacco, dip, chew, or chew (any one)
Name one over-the-counter nicotine-replacement option the text recommends for quitting smokeless tobacco (with doctor consultation).
Nicotine gum or a nicotine patch (with doctor consultation).
Name two long-term diseases that smoking increases the risk of developing
heart disease; stroke; lung damage; many types of cancer (lung, throat, stomach, bladder)
True or False: According to the text, vaping vapor is just water vapor and harmless. Explain your answer in one sentence.
False — The vapor contains harmful chemicals and very fine particles; it is not just water vapor
Name two forms of smokeless tobacco described in the text.
Snuff and chewing tobacco.
The text suggests several quick activities to try when you feel the urge to vape. Name two.
Chew sugar-free gum; drink water; text/call/hang out with a supportive friend; listen to music; go for a walk or jog; try yoga or meditation; take 10 deep breaths — any two.
When someone first tries smoking, their body often reacts negatively. List two immediate reactions mentioned in the text.
Pain or burning in throat and lungs; vomiting (throw up)
Name two ways vaping may harm teenage brain development or behavior as described in the text.
slows brain development in teens; affects memory, concentration, learning, self-control, attention, and mood; increases risk of other addictions later in life
Smokeless tobacco delivers nicotine through this part of the body, allowing it into the bloodstream.
Through the gums/inner cheek (buccal mucosa).
Give two social supports or digital tools recommended in the text to help someone quit vaping or tobacco.
Talk to friends and family for support; download apps or texting programs for cravings and encouragement; call quitlines or visit Smokefree.gov — any two.
Smoking reduces the body’s ability to make collagen. Explain one sports-related effect this causes and one healing-related consequence.
sports effect: trouble keeping up in sports/poor performance (fast heartbeat, decreased circulation, shortness of breath). Healing consequence: slower healing of injuries (tendons/ligaments) due to reduced collagen.
Besides nicotine, e-cigarette liquids often contain flavorings and other chemicals. Give one example of a reported severe lung outcome linked to vaping.
Serious lung damage and reported deaths (acute severe lung injury).
List three serious health risks of smokeless tobacco mentioned in the text (including at least one cancer risk).
cracked/bleeding lips and gums; receding gums/tooth loss; increased heart rate/high blood pressure/irregular heartbeat; higher chances of heart attacks and strokes; oral cancer (mouth), stomach, throat, bladder cancers — any three including a cancer.
List three tobacco-free substitutes suggested in the text that someone quitting smokeless tobacco could try.
Tobacco-free mint leaf snuff; sugarless gum; hard candy; beef jerky; sunflower seeds; shredded coconut; raisins; dried fruit — any three.
List three non-cancer physical effects of long-term cigarette smoking from the text (not including lung disease or cancers).
gum disease; yellow teeth; eye disease; increased infections; greater risk of diabetes; weaker bones; skin problems (psoriasis, wrinkled skin); ulcers — any three.
Describe two reasons the text gives for why the long-term effects of vaping are still uncertain.
Vaping is relatively new so long-term studies are lacking; recent reports of serious lung injuries and deaths show possible harms but long-term consequences remain unknown.
Explain how smokeless tobacco can lead to digestive-system cancers according to the text.
Chemicals from the tobacco get into the digestive system through swallowed saliva/spit, exposing stomach and throat and increasing cancer risk there.
Summarize the overall quitting strategy from the text in three steps (pick core steps described across the sections).
Example three-step summary: (1) Pick a quit day and tell supportive people; (2) Remove all tobacco/vaping supplies and use substitutes or nicotine-replacement if appropriate; (3) Use social supports, apps or quitlines and healthy distractions (exercise, breathing techniques) when cravings occur.