Question

A 40-year-old woman presents with fatigue, weight gain and cold intolerance. Examination reveals dry skin and bradycardia. TSH is 18 mIU/L (reference 0.4-4.0) and free T4 is low. She has positive thyroid peroxidase antibodies. What is the most appropriate management?

Accepted Answer

Commence levothyroxine replacement

Answer

Observe and repeat thyroid function tests in 12 months

Answer

Start carbimazole

Answer

Refer for radioactive iodine therapy

Answer

Start propranolol only

Practice question

A 40-year-old woman presents with fatigue, weight gain and cold intolerance. Examination reveals dry skin and bradycardia. TSH is 18 mIU/L (reference 0.4-4.0) and free T4 is low. She has positive thyroid peroxidase antibodies. What is the most appropriate management?