Question

A 32-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination reveals a diffuse goitre and lid lag. TSH is suppressed and free T4 is elevated. What is the most appropriate initial pharmacological management?

Accepted Answer

Start Carbimazole and consider a beta-blocker

Answer

Start Levothyroxine

Answer

Start long-term Amiodarone

Answer

Offer radioiodine as first-line therapy in primary care

Answer

Reassure and observe without treatment

Practice question

A 32-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination reveals a diffuse goitre and lid lag. TSH is suppressed and free T4 is elevated. What is the most appropriate initial pharmacological management?