A 26-year-old man presents with fever, headache, photophobia and a purpuric rash on his trunk and legs. He appears septic and is hypotensive. You are ...

Question

A 26-year-old man presents with fever, headache, photophobia and a purpuric rash on his trunk and legs. He appears septic and is hypotensive. You are in a GP surgery 20 minutes from the nearest hospital. What is the most appropriate immediate management?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange urgent transfer to hospital

Answer

Arrange urgent outpatient review the next day

Answer

Start oral Amoxicillin and review in 24 hours

Answer

Give Paracetamol and advise rest at home

Answer

Wait for blood test results before treatment

uk-plab-1 MCQ (SBA): Meningococcal sepsis

A 26-year-old man presents with fever, headache, photophobia and a purpuric rash on his trunk and legs. He appears septic and is hypotensive. You are in a GP surgery 20 minutes from the nearest hospital. What is the most appropriate immediate management?