Question

A 5-year-old Inuit boy living in a remote northern community presents with a 3-week history of cough, weight loss and night sweats. His grandfather was recently treated for pulmonary tuberculosis. Which of the following is the most appropriate next step in management?

Accepted Answer

Order a chest radiograph and refer urgently to public health and TB services for assessment and isolation

Answer

Reassure the family that TB is rare in Canada and offer routine follow-up only

Answer

Treat empirically for viral upper respiratory infection and review in two weeks

Answer

Start broad-spectrum oral antibiotics for presumed bacterial pneumonia

Answer

Arrange routine outpatient spirometry at the tertiary hospital in three months

Practice question

A 5-year-old Inuit boy living in a remote northern community presents with a 3-week history of cough, weight loss and night sweats. His grandfather was recently treated for pulmonary tuberculosis. Which of the following is the most appropriate next step in management?