Question

A 35-year-old woman presents with heat intolerance, weight loss, palpitations and tremor. Examination reveals a diffusely enlarged thyroid and ophthalmopathy. TSH is suppressed and free T4 is elevated. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Carbimazole

Answer

Levothyroxine

Answer

Iodine supplementation only

Answer

Radioactive iodine immediately without antithyroid drugs

Answer

Long-term beta blocker monotherapy

Practice question

A 35-year-old woman presents with heat intolerance, weight loss, palpitations and tremor. Examination reveals a diffusely enlarged thyroid and ophthalmopathy. TSH is suppressed and free T4 is elevated. What is the most appropriate initial pharmacological treatment?