A 26-year-old Cree woman from a remote First Nations community in Northern Canada presents with a 3-month history of cough, night sweats and 8 kg weig...

Question

A 26-year-old Cree woman from a remote First Nations community in Northern Canada presents with a 3-month history of cough, night sweats and 8 kg weight loss. Her uncle was recently treated for pulmonary tuberculosis. According to Canadian TB and Indigenous health guidance, which statement best reflects appropriate management?

Accepted Answer

Order a chest radiograph and sputum for acid-fast bacilli and involve public health TB services urgently

Answer

Her symptoms are likely due to viral infection; reassure and review in 3 months

Answer

Treat empirically for community-acquired pneumonia with no further workup

Answer

Advise that TB is rare in Indigenous communities and unlikely

Answer

Arrange outpatient follow-up only if weight loss continues

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