skip to main content

Bacterial meningitis — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

EasyChild with FeverBacterial meningitisMCCQE Part 1

An 18-month-old boy has fever 39.5C x 3 days, irritability, bulging fontanelle, neck stiffness, and petechial rash. Most appropriate immediate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — IV ceftriaxone and dexamethasone

Suspected bacterial meningitis: immediate IV antibiotics + dexamethasone (reduces hearing loss, especially H. influenzae). Do NOT delay for LP or imaging. Dexamethasone with or just before first antibiotic dose. Meningococcal disease is reportable.

Reference: CPS Meningitis Guidelines