Question

A 33-year-old woman presents with weight loss, tremor and palpitations. Her TSH is suppressed and free T4 is elevated. She has a diffuse goitre and eye signs consistent with Graves’ disease. What is the most appropriate initial symptomatic treatment?

Accepted Answer

Start Propranolol

Answer

Start Levothyroxine

Answer

Start long-term high-dose Prednisolone

Answer

Immediate total thyroidectomy

Answer

No treatment is required

Practice question

A 33-year-old woman presents with weight loss, tremor and palpitations. Her TSH is suppressed and free T4 is elevated. She has a diffuse goitre and eye signs consistent with Graves’ disease. What is the most appropriate initial symptomatic treatment?