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Hashimoto's thyroiditis — MCCQE Part 1 MCQ

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EasyThyroid DisordersHashimoto's thyroiditisMCCQE Part 1

A 35-year-old woman has fatigue, weight gain, constipation, cold intolerance x 4 months. TSH 12.5, fT4 8 pmol/L, anti-TPO positive. Most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Start levothyroxine

Overt primary hypothyroidism with Hashimoto's. Levothyroxine standard treatment. Repeating tests appropriate for subclinical, not overt disease.

Reference: Canadian thyroid guidelines