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Bacterial meningitis — RCPSC EM MCQ

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HardInfectious disease emergenciesBacterial meningitisRCPSC EM

CTAS 1. A 42-year-old has fever, headache, neck stiffness, and confusion. BP is 102/66, HR 118, and petechiae are present. CT head is delayed due to scanner outage. Blood cultures have been drawn. What is the most appropriate initial management?

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Correct answer: C — Give dexamethasone and empiric IV antibiotics now

Suspected bacterial meningitis with altered mental status should receive immediate empiric antibiotics and dexamethasone; imaging or LP delays must not delay therapy.

Reference: Association of Medical Microbiology and Infectious Disease Canada meningitis resources