Immigrant Health

Question 1

List four geenral areas to cover on an immigration physical or someone who just immigrated to Canada

Answer 1

Infectious Disease
Chronic Disease
Mental Health
Womens Health

Question 2

What is required on the immigration medical examination

Answer 2

Physical exam 
Urinalysis (Diabetes, shistomiasis)
CXR (TB)
HIV
Syphilis

Question 3

List 5 things to screen for in a recent immigrant

Answer 3

HEp B
Hep C
HIV
TB
Strongyloides
Shistosomiasis 
Diabetes
Iron deficiency 
Dental disease

Question 4

How do you test for TB

Answer 4

Mantoux skin test (intradermal)
IGRA (to pick up latent TB)
If positive do CXR

Question 5

How to treat for TB

Answer 5

Rigampicin
Isoniazid
Pyrazinamide
Ethambutol

Question 6

Recent immigrant presents with painless hematuria. What should you check for besides normal things and how woul dyou find it

Answer 6

Schistosomiasis serology

Treat with Praziquantel

Question 7

If someone who recently immigrated from the carribean or south east asia presents with vague GI symptoms what would you check for and how would you treat it

Answer 7

Strongyloides

Ivermectin

Question 8

A recent immigrant presents with no previous vaccine records. What should you vaccinate them with and what should you test for.

Answer 8

Just give Tdap IPV and MMR

Test for HBV and varicella and give if not immune

Question 9

List three referals you should consider making for a recent immigrant

Answer 9

Optometry
Dentistry
Medical interpreter
Social work for coordination of resources

Question 10

What should you screen for mental health wise and what should you not screen for

Answer 10

Screen for depression

Don’t screen for PTSD, domestic violence, mistreatment of children

Question 11

What should you screen for in a recently immigrated woman ( list three)

Answer 11

Contraception 
Iron levels 
Vaccines 
Pap testing 
HPV vaccine