Question

A 30-year-old woman presents with weight loss, heat intolerance and palpitations. Examination reveals a diffuse goitre and fine tremor. Blood tests show suppressed TSH and elevated free T4 and free T3. What is the most appropriate first-line specific treatment?

Accepted Answer

Carbimazole

Answer

Levothyroxine

Answer

Propranolol alone

Answer

Radioiodine as first-line in all cases

Answer

Total thyroidectomy for all patients

Practice question

A 30-year-old woman presents with weight loss, heat intolerance and palpitations. Examination reveals a diffuse goitre and fine tremor. Blood tests show suppressed TSH and elevated free T4 and free T3. What is the most appropriate first-line specific treatment?