A 68-year-old woman with long-standing hypothyroidism feels increasingly tired. Her TSH is 12 mU/L (high) and free T4 is low. She is taking Levothyrox...

Question

A 68-year-old woman with long-standing hypothyroidism feels increasingly tired. Her TSH is 12 mU/L (high) and free T4 is low. She is taking Levothyroxine 75 micrograms once daily and is otherwise well. What is the most appropriate management?

Accepted Answer

Increase Levothyroxine dose by 25 micrograms daily

Answer

Stop Levothyroxine immediately

Answer

Switch to Liothyronine monotherapy

Answer

Continue current dose and recheck TFTs in 12 months

Answer

Start high-dose steroids for suspected thyroiditis

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

A 68-year-old woman with long-standing hypothyroidism feels increasingly tired. Her TSH is 12 mU/L (high) and free T4 is low. She is taking Levothyroxine 75 micrograms once daily and is otherwise well. What is the most appropriate management?