A 37-year-old woman presents with fatigue and weight gain over several months. Examination reveals dry skin and delayed reflex relaxation. TSH is 14 m...

Question

A 37-year-old woman presents with fatigue and weight gain over several months. Examination reveals dry skin and delayed reflex relaxation. TSH is 14 mIU per litre and free T4 is low. According to Canadian thyroid guidelines, what is the most appropriate management?

Accepted Answer

Start levothyroxine replacement therapy

Answer

Observe and repeat thyroid function tests in six months

Answer

Treat with liothyronine alone

Answer

Refer for radioactive iodine therapy

Answer

Start antithyroid medication such as methimazole

ca-mccqe1 MCQ (SBA): Primary hypothyroidism

A 37-year-old woman presents with fatigue and weight gain over several months. Examination reveals dry skin and delayed reflex relaxation. TSH is 14 mIU per litre and free T4 is low. According to Canadian thyroid guidelines, what is the most appropriate management?