A 35-year-old woman with known Graves disease presents agitated, pyrexial at 39.5 degrees Celsius, tachycardic at 150 bpm and with diarrhoea. She has ...

Question

A 35-year-old woman with known Graves disease presents agitated, pyrexial at 39.5 degrees Celsius, tachycardic at 150 bpm and with diarrhoea. She has a tender goitre and atrial fibrillation. Thyroid function tests show suppressed TSH and markedly elevated free T4. What is the most appropriate immediate pharmacological treatment combination?

Accepted Answer

Propranolol, high-dose Carbimazole and intravenous Hydrocortisone

Answer

Propylthiouracil alone

Answer

Levothyroxine and Propranolol

Answer

Intravenous iodine without antithyroid drugs

Answer

Amiodarone infusion

uk-plab-1 MCQ (SBA): Thyroid storm