A 49-year-old woman complains of weight gain, cold intolerance and constipation. Examination shows dry skin and bradycardia. TSH is raised and free T4...

Question

A 49-year-old woman complains of weight gain, cold intolerance and constipation. Examination shows dry skin and bradycardia. TSH is raised and free T4 is low. She has no history of ischaemic heart disease. What is the most appropriate initial treatment?

Accepted Answer

Start Levothyroxine at full replacement dose and titrate according to TSH

Answer

Start Carbimazole

Answer

Start Propranolol only

Answer

Advise watchful waiting without treatment

Answer

Refer urgently for thyroidectomy

uk-plab-1 MCQ (SBA): Primary hypothyroidism

A 49-year-old woman complains of weight gain, cold intolerance and constipation. Examination shows dry skin and bradycardia. TSH is raised and free T4 is low. She has no history of ischaemic heart disease. What is the most appropriate initial treatment?