A 7-year-old boy is brought with fever, photophobia, neck stiffness and a non-blanching purpuric rash. BP is 82/48 mmHg. What is the most appropriate ...

Question

A 7-year-old boy is brought with fever, photophobia, neck stiffness and a non-blanching purpuric rash. BP is 82/48 mmHg. What is the most appropriate immediate pre-hospital management by the GP before transfer to hospital?

Accepted Answer

Intramuscular Benzylpenicillin and urgent ambulance transfer

Answer

Oral Amoxicillin and urgent referral

Answer

No antibiotics until lumbar puncture is done

Answer

High-dose Prednisolone and review in 4 hours

Answer

Topical antibiotics to rash and same-day paediatric clinic

uk-plab-1 MCQ (SBA): Meningococcal sepsis

A 7-year-old boy is brought with fever, photophobia, neck stiffness and a non-blanching purpuric rash. BP is 82/48 mmHg. What is the most appropriate immediate pre-hospital management by the GP before transfer to hospital?