A 57-year-old woman has fatigue and mild depression. TSH is 6.8 mIU/L, free T4 is normal, and thyroid peroxidase antibody is negative. She has no

Question

A 57-year-old woman has fatigue and mild depression. TSH is 6.8 mIU/L, free T4 is normal, and thyroid peroxidase antibody is negative. She has no goiter, pregnancy, or cardiac disease. Which of the following is the most appropriate at this time?

Accepted Answer

Repeat TSH and free T4 in several months

Answer

Start methimazole

Answer

Begin high-dose levothyroxine today

Answer

Order thyroidectomy

Answer

Start radioactive iodine

Subclinical hypothyroidism — USMLE Step 3 MCQ

A 57-year-old woman has fatigue and mild depression. TSH is 6.8 mIU/L, free T4 is normal, and thyroid peroxidase antibody is negative. She has no goiter, pregnancy, or cardiac disease. Which of the following is the most appropriate at this time?