A 32-year-old woman presents with weight loss, heat intolerance and tremor. Examination reveals a diffuse goitre and a resting tachycardia of 110 beat...

Question

A 32-year-old woman presents with weight loss, heat intolerance and tremor. Examination reveals a diffuse goitre and a resting tachycardia of 110 beats/min. Thyroid function tests confirm hyperthyroidism. While awaiting specialist assessment for definitive treatment, what is the most appropriate initial symptomatic management?

Accepted Answer

Start a non-selective beta-blocker such as Propranolol

Answer

Start high-dose Levothyroxine

Answer

Start Liothyronine

Answer

Start Carbimazole for 18 months in primary care without referral

Answer

Advise no drug treatment is needed until specialist review

uk-plab-1 MCQ (SBA): Hyperthyroidism – symptomatic management