A 28-year-old man presents to a northern nursing station serving a remote First Nations community with cough, night sweats, and weight loss for 3 mont...

Question

A 28-year-old man presents to a northern nursing station serving a remote First Nations community with cough, night sweats, and weight loss for 3 months. His uncle, who lives in the same house, was recently treated for pulmonary tuberculosis. Which initial action best reflects both the Canadian Tuberculosis Standards and culturally safe care?

Accepted Answer

Order a chest radiograph, obtain sputum for AFB and GeneXpert testing, initiate appropriate infection control, and explain the process in a culturally sensitive manner

Answer

Reassure him that symptoms are likely viral and arrange review in 4 weeks

Answer

Start empiric broad-spectrum oral antibiotics and reassess if no improvement

Answer

Advise him to travel on his own to the nearest urban hospital without further support

Answer

Screen only household children and not the patient

ca-mccqe1 MCQ (SBA): Pulmonary tuberculosis in Indigenous community