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Hyperthyroidism — ABFM Board MCQ

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EasyEndocrine/MetabolicHyperthyroidismABFM Board

A 31-year-old woman has weight loss, tremor, heat intolerance, and palpitations. Examination shows diffuse goiter and lid lag. TSH is suppressed and free T4 is elevated. Which of the following is the most appropriate next step?

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

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Correct answer: B — Start a beta blocker for symptoms and complete Graves disease evaluation

Symptomatic thyrotoxicosis should be treated with beta blockade while the cause is confirmed and definitive therapy is planned.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html