Question

A 24-year-old with suspected meningococcal meningitis arrives hypotensive and febrile. What is the most time-critical initial step?

Accepted Answer

Immediate blood cultures and empiric IV antibiotics, then LP when stable.

Answer

Wait for LP before any therapy.

Answer

Start dexamethasone and delay antibiotics 2 hours.

Answer

CT head before any treatment.

Answer

Admit to ward and observe.

Practice question

A 24-year-old with suspected meningococcal meningitis arrives hypotensive and febrile. What is the most time-critical initial step?