Question

A 32-year-old woman presents with weight loss, palpitations, tremor and heat intolerance. TSH is suppressed and free T4 is elevated. She has a diffuse goitre and eye signs. What is the most appropriate initial pharmacological management?

Accepted Answer

Start Carbimazole and consider a beta-blocker such as Propranolol

Answer

Start Levothyroxine

Answer

Start Methotrexate

Answer

Advise observation only

Answer

Start long-term high-dose steroids alone

Practice question

A 32-year-old woman presents with weight loss, palpitations, tremor and heat intolerance. TSH is suppressed and free T4 is elevated. She has a diffuse goitre and eye signs. What is the most appropriate initial pharmacological management?