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Hypothyroidism monitoring — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsHypothyroidism monitoringGPhC CRA

A patient had levothyroxine increased six weeks ago and asks when the dose can be reviewed again. They still feels tired. What monitoring is required?

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Correct answer: D — Check TSH after an appropriate interval following dose change

Levothyroxine dose changes are assessed using thyroid function tests after several weeks because TSH response is delayed. Symptoms alone are insufficient for dose adjustment. In this scenario, the correct option is check TSH after an appropriate interval following dose change. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS