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Thyroid eye disease — SCE Endocrinology MCQ

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ModerateThyroidThyroid eye diseaseSCE Endocrinology

A 35-year-old woman has Graves' disease and painful gritty eyes with diplopia. She smokes 20 cigarettes daily. Thyroid tests show active thyrotoxicosis. What is the most appropriate management principle?

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

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Correct answer: E — Urgent ophthalmology referral and restoration of euthyroidism

Diplopia suggests active thyroid eye disease requiring urgent ophthalmology assessment and endocrine control. Smoking worsens thyroid eye disease and should be addressed. Radioiodine can worsen eye disease in active cases unless carefully selected with prophylaxis.

Reference: NICE NG145; EUGOGO Guidance