A 35-year-old woman presents with weight loss, heat intolerance and palpitations. She has a fine tremor and diffuse goitre. Thyroid function tests sho...

Question

A 35-year-old woman presents with weight loss, heat intolerance and palpitations. She has a fine tremor and diffuse goitre. Thyroid function tests show suppressed TSH and elevated T4 and T3. What is the most appropriate initial pharmacological management?

Accepted Answer

Start Carbimazole and consider a beta-blocker for symptom control

Answer

Start Levothyroxine

Answer

Partial thyroidectomy within 2 weeks

Answer

Radioiodine therapy as first-line in primary care

Answer

Propranolol alone with no antithyroid therapy

uk-plab-1 MCQ (SBA): Hyperthyroidism

A 35-year-old woman presents with weight loss, heat intolerance and palpitations. She has a fine tremor and diffuse goitre. Thyroid function tests show suppressed TSH and elevated T4 and T3. What is the most appropriate initial pharmacological management?