Question

A 36-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. TSH is undetectable and free T4 is markedly elevated. Graves disease is confirmed. Which combination of treatments is most appropriate as initial therapy?

Accepted Answer

Carbimazole and beta-blocker

Answer

Beta-blocker alone

Answer

Radioiodine immediately without other therapies

Answer

Thyroxine replacement and beta-blocker

Answer

Surgery as first-line in all cases

Practice question

A 36-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. TSH is undetectable and free T4 is markedly elevated. Graves disease is confirmed. Which combination of treatments is most appropriate as initial therapy?