The correct option is D All of the above
Smoking is a practice in which a substance is burned and the resulting smoke breathed in to be tasted and absorbed into the bloodstream.
Emphysema is a form of chronic lung disease, usually caused by smoking.
Bronchitis is caused by tobacco smoke, dust, fumes, vapors and air pollution.
Changes in lung tissue begin when one inhale cigarette smoke.
Therefore, the correct answer is option D.