Question

A 46-year-old Inuit man living in a remote Northern community presents with chronic cough, night sweats and weight loss. His chest radiograph shows an apical cavitary lesion. You suspect pulmonary tuberculosis. Beyond ordering appropriate diagnostic tests and initiating airborne precautions, which additional action best reflects the Health Advocate and Collaborator CanMEDS roles in this Indigenous context?

Accepted Answer

Report the case to public health and collaborate with local Indigenous health workers to support contact tracing and culturally safe care

Answer

Advise him that TB is purely an individual issue and manage him without involving community services

Answer

Transfer him immediately to an urban hospital and leave public health follow-up to city teams

Answer

Prescribe broad-spectrum antibiotics and observe, delaying public health notification until cultures are positive

Answer

Discuss his case only with his employer to facilitate sick leave

Practice question