A 28-year-old man with suspected meningococcal meningitis is seen by his GP. He has fever, headache, photophobia and a non-blanching purpuric rash. Wh...

Question

A 28-year-old man with suspected meningococcal meningitis is seen by his GP. He has fever, headache, photophobia and a non-blanching purpuric rash. What is the most appropriate immediate management?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange immediate transfer to hospital

Answer

Arrange urgent hospital admission without treatment

Answer

Start oral Amoxicillin and review in 12 hours

Answer

Advise paracetamol and safety-netting only

Answer

Delay antibiotics until lumbar puncture is performed in hospital

uk-plab-1 MCQ (SBA): Meningococcal sepsis – pre-hospital care

A 28-year-old man with suspected meningococcal meningitis is seen by his GP. He has fever, headache, photophobia and a non-blanching purpuric rash. What is the most appropriate immediate management?