Question

A 45-year-old Inuk woman from Nunavut presents to a nursing station with 3 weeks of cough, night sweats and weight loss. Chest radiograph shows apical infiltrates. She lives in an overcrowded home. Which action best reflects a culturally safe, guideline-consistent approach to her likely tuberculosis?

Accepted Answer

Order sputum for AFB smear and culture and arrange urgent public health TB contact tracing

Answer

Treat empirically for community-acquired pneumonia and review in 2 weeks

Answer

Discharge with a mask and advise to return if symptoms worsen

Answer

Arrange CT scan only in a southern tertiary centre and delay treatment

Answer

Advise that TB is rare in Indigenous communities and unlikely

Practice question