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Graves disease — RCPSC IM MCQ

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EasyEndocrinologyGraves diseaseRCPSC IM

A 31-year-old woman has palpitations, tremor, weight loss, diffuse goitre, and ophthalmopathy. TSH is suppressed, free T4 is elevated, and TSH receptor antibody is positive. She is not pregnant and has no agranulocytosis history. What is the most appropriate next step?

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Correct answer: D — Start methimazole and beta-blocker after baseline safety bloodwork

Graves disease with symptomatic thyrotoxicosis is treated with a beta-blocker for symptoms and antithyroid medication such as methimazole after baseline bloodwork and counselling.

Reference: Canadian endocrine practice guidance