10-05-2010, 04:56 PM
A 3-year-old girl is brought to the office by her father because a boy in her daycare center was diagnosed with group A meningococcal meningitis. You care for the boy that they are referring to so you know that this information is accurate. Even though this girl is asymptomatic, the father is very concerned about her health. Her physical examination is completely unremarkable. The most appropriate next step in management is to
A. administer a serogroup-specific quadrivalent meningococcal vaccine
B. administer a single dose of ceftriaxone, intramuscularly
C. admit her to the hospital for careful observation
D. obtain throat and nasopharyngeal culture to decide if treatment is indicated
E. recommend careful observation and schedule a follow-up visit in 1 week
A. administer a serogroup-specific quadrivalent meningococcal vaccine
B. administer a single dose of ceftriaxone, intramuscularly
C. admit her to the hospital for careful observation
D. obtain throat and nasopharyngeal culture to decide if treatment is indicated
E. recommend careful observation and schedule a follow-up visit in 1 week