Question

A 28-year-old Inuk man living in a remote Arctic community presents for employment screening. His grandmother died from tuberculosis, and the community has a known high incidence of TB. He has no symptoms. What is the most appropriate strategy regarding TB?

Accepted Answer

Screen with a tuberculin skin test or interferon-gamma release assay and offer latent TB infection treatment if positive

Answer

No screening is necessary because he is asymptomatic

Answer

Only screen if chest x-ray is abnormal

Answer

Empirically start full 4-drug TB treatment

Answer

Advise him to seek care only if he develops cough or weight loss

Practice question

A 28-year-old Inuk man living in a remote Arctic community presents for employment screening. His grandmother died from tuberculosis, and the community has a known high incidence of TB. He has no symptoms. What is the most appropriate strategy regarding TB?