Which of the following chronic diseases can be exacerbated by tobacco use?

Tobacco use is known to have a significant negative impact on various chronic diseases, making all the options presented valid in highlighting the connection. Asthma can be worsened by tobacco smoke as it irritates the airways, leading to increased symptoms and more frequent asthma attacks. Hypertension, or high blood pressure, can be influenced by tobacco use as well, since nicotine raises heart rate and constricts blood vessels, which can contribute to increased blood pressure levels. Chronic obstructive pulmonary disease (COPD) is especially linked to tobacco use, as smoking is the primary cause of this progressive lung disease, leading to worsening symptoms and accelerated decline in lung function.

The correct choice encapsulates the idea that tobacco use adversely affects multiple chronic conditions, illustrating the broad range of health issues associated with smoking and emphasizing the importance of tobacco cessation for improving overall health management.