Question

A 36-year-old woman presents with recurrent episodes of palpitations and anxiety. Thyroid function tests show suppressed TSH and elevated free T4. On examination she has a diffuse goitre and eye signs. What is the most appropriate initial medical therapy?

Accepted Answer

Methimazole (or Carbimazole)

Answer

Levothyroxine

Answer

Radioiodine therapy as first-line in all cases

Answer

No treatment; observation only

Answer

Beta-blocker monotherapy without antithyroid drugs

Practice question

A 36-year-old woman presents with recurrent episodes of palpitations and anxiety. Thyroid function tests show suppressed TSH and elevated free T4. On examination she has a diffuse goitre and eye signs. What is the most appropriate initial medical therapy?