A 19-year-old university student presents to her GP with headache, fever and myalgia. During examination she develops a non-blanching petechial rash o...

Question

A 19-year-old university student presents to her GP with headache, fever and myalgia. During examination she develops a non-blanching petechial rash on her trunk and becomes photophobic. She is tachycardic but normotensive. What is the most appropriate immediate management in primary care?

Accepted Answer

Administer intramuscular Benzylpenicillin and arrange urgent transfer to hospital by blue-light ambulance.

Answer

Arrange routine hospital referral for further investigation.

Answer

Start oral Amoxicillin and review in 24 hours.

Answer

Give oral Paracetamol and reassure her that this is influenza.

Answer

Take blood cultures and await the results before treating.

uk-plab-1 MCQ (SBA): Suspected meningococcal meningitis

A 19-year-old university student presents to her GP with headache, fever and myalgia. During examination she develops a non-blanching petechial rash on her trunk and becomes photophobic. She is tachycardic but normotensive. What is the most appropriate immediate management in primary care?