Public Health · single question
A patient discloses that they currently smoke cigarettes. What is the FIRST thing the dentist should do under the 5 A's framework?
Show answer and explanation
Correct answer: D. Ask the patient about their smoking habits
The 5 A's for tobacco cessation: Ask → Advise → Assess → Assist → Arrange. ASK is always the FIRST step — screen every patient at every visit before any intervention.
- A. Prescribing without asking about readiness to quit skips essential steps.
- B. Referral (Arrange) is the 5th step — not the first.
- C. Advise is the 2nd A — comes after asking.
- D. CORRECT. FIRST step = ASK. Establish tobacco use status. Can't intervene without screening.