Question

A 24-year-old Inuk woman from Nunavut is seen in a southern clinic while visiting family. She has no symptoms but has a family member recently treated for active pulmonary TB. She lives in a community with high TB incidence. According to Canadian TB guidance for Inuit communities, what is the most appropriate next step?

Accepted Answer

Offer TB screening with tuberculin skin test or IGRA and chest X-ray, with culturally safe counselling

Answer

Reassure; TB is rare among Inuit

Answer

Wait until she returns north, as screening is only done locally

Answer

Screen only if she develops cough and weight loss

Answer

Start empirical four-drug TB therapy without investigation

Practice question