Question

A 40-year-old woman presents with weight loss, tremor, heat intolerance and palpitations. Examination reveals a diffusely enlarged, non-tender thyroid and fine tremor. TSH is suppressed and free T4 is elevated. What is the MOST appropriate initial management?

Accepted Answer

Start a beta blocker and arrange urgent thyroid scintigraphy and thyroid receptor antibody testing

Answer

Start levothyroxine and review in 6 weeks

Answer

Refer for immediate total thyroidectomy

Answer

Start long-term high-dose prednisolone

Answer

No treatment is needed as this is likely transient

Practice question

A 40-year-old woman presents with weight loss, tremor, heat intolerance and palpitations. Examination reveals a diffusely enlarged, non-tender thyroid and fine tremor. TSH is suppressed and free T4 is elevated. What is the MOST appropriate initial management?