Question

A 45-year-old Inuk man from a remote community presents with chronic cough and weight loss. You are aware that tuberculosis (TB) incidence is substantially higher among Inuit and First Nations populations than in non-Indigenous Canadian-born populations. Which action best reflects your CanMEDS Health Advocate role in this context?

Accepted Answer

Advocate for timely TB testing, coordinate with public health, and work with community leaders to address housing and overcrowding contributing to TB transmission

Answer

Treat him the same as any other patient and avoid asking about social determinants

Answer

Assume symptoms are due to smoking and provide only inhalers

Answer

Delay investigation until specialist outreach arrives in several months

Answer

Inform him that higher TB rates are due to individual lifestyle choices

Practice question