A 43-year-old woman with suspected primary hypothyroidism has TSH 7.8 mIU/L, free T4 low-normal, and anti-TPO positive. Symptomatic fatigue and weight...

Question

A 43-year-old woman with suspected primary hypothyroidism has TSH 7.8 mIU/L, free T4 low-normal, and anti-TPO positive. Symptomatic fatigue and weight gain. Best step?

Accepted Answer

Start levothyroxine

Answer

Observe and repeat TFTs in 6 months

Answer

Start liothyronine

Answer

Iodine supplementation

Answer

Refer for pituitary MRI

ukmla MCQ (SBA): Subclinical Hypothyroidism

A 43-year-old woman with suspected primary hypothyroidism has TSH 7.8 mIU/L, free T4 low-normal, and anti-TPO positive. Symptomatic fatigue and weight gain. Best step?