A 46-year-old woman with newly diagnosed Graves disease has palpitations, tremor, and weight loss. TSH is undetectable and free T4 is elevated. She

Question

A 46-year-old woman with newly diagnosed Graves disease has palpitations, tremor, and weight loss. TSH is undetectable and free T4 is elevated. She is not pregnant and has no ophthalmopathy. Which of the following is the most appropriate at this time?

Accepted Answer

Start a beta-blocker and antithyroid medication

Answer

Give empiric glucocorticoids for adrenal crisis

Answer

Begin high-dose iodine as sole outpatient therapy

Answer

Schedule parathyroidectomy

Answer

Start levothyroxine

Graves disease — USMLE Step 3 MCQ

A 46-year-old woman with newly diagnosed Graves disease has palpitations, tremor, and weight loss. TSH is undetectable and free T4 is elevated. She is not pregnant and has no ophthalmopathy. Which of the following is the most appropriate at this time?