A 45-year-old woman has fatigue, constipation, cold intolerance, and 12-lb weight gain. TSH is 18 mIU/L and free thyroxine is low. She is not

Question

A 45-year-old woman has fatigue, constipation, cold intolerance, and 12-lb weight gain. TSH is 18 mIU/L and free thyroxine is low. She is not pregnant and has no coronary disease. Which of the following is the most appropriate next step in management?

Accepted Answer

Start levothyroxine

Answer

Repeat testing in 5 years

Answer

Start methimazole

Answer

Order thyroidectomy

Answer

Treat with iodine solution

Hypothyroidism — USMLE Step 3 MCQ

A 45-year-old woman has fatigue, constipation, cold intolerance, and 12-lb weight gain. TSH is 18 mIU/L and free thyroxine is low. She is not pregnant and has no coronary disease. Which of the following is the most appropriate next step in management?