A 27-year-old woman presents to the ED with palpitations, heat intolerance, tremor and weight loss. TSH is suppressed and free T4 is markedly elevated...

Question

A 27-year-old woman presents to the ED with palpitations, heat intolerance, tremor and weight loss. TSH is suppressed and free T4 is markedly elevated. She has a diffuse goitre and eye signs. Heart rate is 130 bpm and BP 140/60 mm Hg. What is the most appropriate initial management of her thyrotoxicosis?

Accepted Answer

Start methimazole (or carbimazole) plus beta blocker

Answer

Start beta blocker and arrange outpatient endocrinology review

Answer

Start radioactive iodine immediately

Answer

Perform urgent thyroidectomy

Answer

Start high-dose levothyroxine

ca-mccqe1 MCQ (SBA): Graves' hyperthyroidism initial therapy