Question

A 45-year-old woman presents with heat intolerance, weight loss and tremor. TSH is <0.01 mIU/L and free T4 is elevated. She has a diffuse goitre and eye irritation. What is the most appropriate initial medical management?

Accepted Answer

Carbimazole antithyroid therapy

Answer

Propranolol alone long-term

Answer

Levothyroxine

Answer

Radioiodine immediately in all

Answer

Subtotal thyroidectomy first-line

Practice question

A 45-year-old woman presents with heat intolerance, weight loss and tremor. TSH is <0.01 mIU/L and free T4 is elevated. She has a diffuse goitre and eye irritation. What is the most appropriate initial medical management?