QuestionSBA
QuestionChoice
This would result in anaphylaxis which would likely worsen the clinical picture.
10035598
b
Arrange urgent hospital transfer and administer IM Benzylpenicillin
QuestionChoice
This is not appropriate as bacterial meningitis with septicaemia is a life-threatening emergency. It is to be managed in an inpatient setting.
10035600
d
Arrange assessment in ID clinic within 24 hours
QuestionChoice
This is not appropriate as bacterial meningitis with septicaemia is a life-threatening emergency. This may be advice given in some new suspected cases of TIA.
10035599
c
Arrange assessment in the neurology clinic within 24 hours
QuestionChoice
Oral therapy has no role in meningitis, especially not in septicaemia. This advice is dangerous and not appropriate as this is an emergency.
10035601
e
Prescribe 7 days of oral ceftriaxone and re-book appointment for next week
QuestionChoice
This is correct. The patient is presenting with signs and symptoms of bacterial meningitis with meningococcal septicaemia, a neurological emergency which requires ambulance transport to the nearest hospital. As he is allergic to penicillin, benzylpenicillin is not appropriate. IM Cefotaxime may be administered in GP based on local availability.
10035597
a
Arrange urgent hospital transfer
Concept
Chapter
2693
3751
Meningitis
Topic
141
Neurology
19523
Non-blanching rash, fever, and headache in a young adult may indicate meningococcal septicaemia, requiring urgent hospital transfer for immediate treatment.
An 18-year-old university student comes to the GP with a headache, fever and non-blanching rash. He is truly penicillin allergic.

What is the most appropriate course of action?
a