A 29-year-old woman presents with palpitations, weight loss and tremor. Examination shows a diffuse goitre and eye signs consistent with Graves diseas...

Question

A 29-year-old woman presents with palpitations, weight loss and tremor. Examination shows a diffuse goitre and eye signs consistent with Graves disease. TSH is suppressed and free T4 is markedly elevated. She is not pregnant and has no major comorbidities. What is the MOST appropriate first-line pharmacological treatment?

Accepted Answer

Carbimazole

Answer

Levothyroxine

Answer

Radioactive iodine as initial therapy in all patients

Answer

Total thyroidectomy as first-line treatment

Answer

Propranolol alone without antithyroid therapy

au-racp MCQ (SBA): Graves hyperthyroidism