North American Registry of Midwives (NARM) Practice Exam

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What causes more deaths annually in the United States than any other substance combined?

  1. Alcohol-related diseases

  2. Tobacco-related illnesses

  3. Cocaine overdoses

  4. Traffic accidents

The correct answer is: Tobacco-related illnesses

The leading cause of death annually in the United States attributable to a specific substance is indeed tobacco-related illnesses. Tobacco use is responsible for a significant number of deaths due to various chronic diseases, particularly lung cancer, heart disease, and respiratory conditions. This widespread health issue has been extensively documented and is often linked to both smoking and secondhand smoke exposure. While alcohol-related diseases, cocaine overdoses, and traffic accidents also contribute to mortality rates, their combined totals do not surpass those associated with tobacco. The pervasive nature of tobacco use and its well-documented health effects make it a critical focus of public health initiatives aimed at reducing smoking rates and improving overall health outcomes. Thus, recognizing the profound impact of tobacco on mortality is essential in understanding the broader context of substance-related health issues in the United States.