Question

A 55-year-old woman complains of weight gain, cold intolerance and constipation. Examination reveals dry skin and bradycardia. Thyroid function tests show TSH 18 mU/L (reference 0.4–4.0) and free T4 7 pmol/L (reference 9–25). What is the most appropriate management?

Accepted Answer

Start Levothyroxine replacement therapy

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Start Carbimazole

Answer

Refer urgently for thyroidectomy

Answer

Start beta-blocker alone

Practice question

A 55-year-old woman complains of weight gain, cold intolerance and constipation. Examination reveals dry skin and bradycardia. Thyroid function tests show TSH 18 mU/L (reference 0.4–4.0) and free T4 7 pmol/L (reference 9–25). What is the most appropriate management?