A 54-year-old Cree man living on-reserve in a remote northern community presents with chronic cough and 6-kg weight loss. His uncle was recently treat...

Question

A 54-year-old Cree man living on-reserve in a remote northern community presents with chronic cough and 6-kg weight loss. His uncle was recently treated for pulmonary tuberculosis. According to Canadian TB standards and Indigenous health data, what is the most appropriate next step?

Accepted Answer

Order a chest X-ray and three sputum samples for TB testing and arrange public health follow-up

Answer

Reassure and treat as viral bronchitis

Answer

Start empiric broad-spectrum oral antibiotics only

Answer

Advise over-the-counter cough suppressants and review in 3 months

Answer

Refer only if haemoptysis develops

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

A 54-year-old Cree man living on-reserve in a remote northern community presents with chronic cough and 6-kg weight loss. His uncle was recently treated for pulmonary tuberculosis. According to Canadian TB standards and Indigenous health data, what is the most appropriate next step?