Question

A 30-year-old woman presents with anxiety, weight loss, heat intolerance and palpitations. Examination shows a diffuse goitre and fine tremor. TSH is suppressed and free T4 is elevated. You suspect Graves disease. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Carbimazole

Answer

Radioiodine therapy alone as first-line

Answer

Levothyroxine

Answer

Subtotal thyroidectomy

Answer

Propranolol alone without disease-modifying therapy

Practice question

A 30-year-old woman presents with anxiety, weight loss, heat intolerance and palpitations. Examination shows a diffuse goitre and fine tremor. TSH is suppressed and free T4 is elevated. You suspect Graves disease. What is the most appropriate initial pharmacological treatment?