Community-acquired Pneumonia in Medicine / Internal Medicine — 67yo Man | Infectious Diseases | SMLE Q#11643
SMLE Question #11643
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-349
Last updated: January 2026
A 67-year-old man is admitted to the medical ward with community-acquired pneumonia and started on IV ceftriaxone, IV azithromycin, tramadol as needed for pain, and paracetamol for fever. After 24 hours, he is afebrile and feels clinically better, with improved cough and breathing. Vital signs: T 36.8 °C, BP 128/76 mmHg, HR 82/min, RR 16/min, SpO2 97% on room air. Repeat labs show new-onset thrombocytopenia compared with admission values. Which of the following medications is the most appropriate to discontinue at this time?
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