A female physical exam cannot detect smoking. During an internal medicine exam, the doctor will usually ask about a history of alcohol consumption and smoking. If a woman has a history of smoking, but she deliberately hides this history and does not give a true account of her smoking history to the doctor, smoking cannot be detected through a general physical examination and auscultation of the heart and lungs. However, if you have been smoking for a long time, there will be obvious changes in your teeth or a distinct smell of smoke on your body, plus smoking is bad for your health, which is a consensus. The World Health Organization clearly requires to quit smoking and to limit alcohol, smoking can lead to the occurrence of lung cancer, leading to nasopharyngeal cancer, smoking can damage the function of the vascular endothelium, leading to vascular endothelial damage, which can easily lead to the formation of arterial plaque, so women should try not to smoke at any time.