Question

A 32-year-old woman presents with weight loss, tremor and palpitations. Thyroid function tests show suppressed TSH and raised free T4. She has a diffuse goitre and eye signs suggestive of Graves disease. What is the most appropriate initial pharmacological management?

Accepted Answer

Start Carbimazole

Answer

Start Levothyroxine

Answer

Start long-term high-dose Prednisolone

Answer

Immediate radioiodine therapy without antithyroid drugs

Answer

No treatment is required

Practice question

A 32-year-old woman presents with weight loss, tremor and palpitations. Thyroid function tests show suppressed TSH and raised free T4. She has a diffuse goitre and eye signs suggestive of Graves disease. What is the most appropriate initial pharmacological management?