A 49-year-old woman has TSH 7.5 mIU/L (reference 0.4-4.0) and free T4 within normal range on repeat testing. She has no symptoms, is not pregnant and ...

Question

A 49-year-old woman has TSH 7.5 mIU/L (reference 0.4-4.0) and free T4 within normal range on repeat testing. She has no symptoms, is not pregnant and has negative thyroid peroxidase antibodies. What is the most appropriate management?

Accepted Answer

Observe with repeat thyroid function tests in 6-12 months

Answer

Start levothyroxine immediately

Answer

Start liothyronine

Answer

Refer for thyroidectomy

Answer

Commence iodine supplementation only

au-racgp MCQ (SBA): Subclinical hypothyroidism treatment threshold

A 49-year-old woman has TSH 7.5 mIU/L (reference 0.4-4.0) and free T4 within normal range on repeat testing. She has no symptoms, is not pregnant and has negative thyroid peroxidase antibodies. What is the most appropriate management?