A 21-year-old student presents with fever, headache and a non-blanching petechial rash on the trunk. He is drowsy with a Glasgow Coma Scale score of 1...

Question

A 21-year-old student presents with fever, headache and a non-blanching petechial rash on the trunk. He is drowsy with a Glasgow Coma Scale score of 13. In the GP surgery, what is the most appropriate immediate action?

Accepted Answer

Urgently administer intramuscular Benzylpenicillin and arrange emergency transfer to hospital

Answer

Give oral Amoxicillin and review in 4 hours

Answer

Arrange routine outpatient infectious disease clinic review

Answer

Perform lumbar puncture in the surgery

Answer

Delay treatment until blood cultures are taken at hospital

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

A 21-year-old student presents with fever, headache and a non-blanching petechial rash on the trunk. He is drowsy with a Glasgow Coma Scale score of 13. In the GP surgery, what is the most appropriate immediate action?