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Meningococcal Disease — MRCEM SBA MCQ

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EasyInfectious DiseasesMeningococcal DiseaseMRCEM SBAUKMLAPARA

A 19-year-old man with meningococcal meningitis is suspected in the community (purpuric rash, sepsis). Before transfer to hospital, what is appropriate immediate treatment?

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Correct answer: B — IM benzylpenicillin if no known allergy

Administer IM benzylpenicillin immediately if meningococcal disease is suspected, unless allergy. Early antibiotics improve outcomes; delaying is harmful; IV ceftriaxone is not available prehospital typically.

Reference: CKS: Meningitis - suspected; BNF: Benzylpenicillin