A 30-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination reveals a diffuse goitre and eye signs. Thyroid ...

Question

A 30-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination reveals a diffuse goitre and eye signs. Thyroid function tests show suppressed TSH and high free T4. What is the most appropriate initial symptomatic management?

Accepted Answer

Start a beta blocker such as Propranolol for symptom control

Answer

Start Carbimazole only

Answer

Start long-term high-dose Prednisolone

Answer

Advise watchful waiting with no treatment

Answer

Refer for immediate radioiodine therapy without drugs

uk-plab-1 MCQ (SBA): Thyrotoxicosis symptomatic treatment

A 30-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination reveals a diffuse goitre and eye signs. Thyroid function tests show suppressed TSH and high free T4. What is the most appropriate initial symptomatic management?