A 23-year-old university student presents with sudden onset fever, headache, photophobia and a purpuric rash on his trunk and legs. He is drowsy with ...

Question

A 23-year-old university student presents with sudden onset fever, headache, photophobia and a purpuric rash on his trunk and legs. He is drowsy with a GCS of 12. What is the most appropriate immediate management in primary care while awaiting transfer to hospital?

Accepted Answer

Give intramuscular Benzylpenicillin and urgent blue-light transfer to hospital

Answer

Give oral Paracetamol and arrange routine referral

Answer

Arrange urgent ambulance transfer without giving any medication

Answer

Start oral Amoxicillin and review tomorrow

Answer

Perform lumbar puncture before transfer

uk-plab-1 MCQ (SBA): Suspected meningococcal sepsis – pre-hospital antibiotics

A 23-year-old university student presents with sudden onset fever, headache, photophobia and a purpuric rash on his trunk and legs. He is drowsy with a GCS of 12. What is the most appropriate immediate management in primary care while awaiting transfer to hospital?