A 22-year-old university student presents with a 2-day history of fever, headache, neck stiffness, and photophobia. On examination, she is drowsy and ...

Question

A 22-year-old university student presents with a 2-day history of fever, headache, neck stiffness, and photophobia. On examination, she is drowsy and has a non-blanching petechial rash on her trunk and limbs. What is the single most important immediate action in primary care/A&E prior to transfer?

Accepted Answer

Administer IV/IM Benzylpenicillin

Answer

Perform lumbar puncture

Answer

Administer IV Dexamethasone

Answer

Arrange urgent CT head scan

Answer

Administer IV fluids

ukmla MCQ (SBA): Meningococcal Disease

A 22-year-old university student presents with a 2-day history of fever, headache, neck stiffness, and photophobia. On examination, she is drowsy and has a non-blanching petechial rash on her trunk and limbs. What is the single most important immediate action in primary care/A&E prior to transfer?