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Bacterial meningitis — ABEM Board MCQ

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ModerateInfectious disease emergenciesBacterial meningitisABEM Board

A 58-year-old woman arrives as ESI 2 with fever, severe headache, neck stiffness, and confusion. BP 102/62, HR 118. Petechiae are present; CT is not required before lumbar puncture by exam, but LP setup is delayed. Which of the following is the most appropriate next step in management?

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

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Correct answer: D — Administer empiric IV antibiotics immediately

Suspected bacterial meningitis requires prompt empiric antibiotics; LP should not delay treatment.

Reference: IDSA bacterial meningitis guideline; ACEP infectious disease resources