Question

A 28-year-old woman presents with weight loss, tremor and palpitations. On examination she has a diffuse goitre with bruit, fine tremor and a pulse of 120 beats per minute. TSH is suppressed and free T4 is elevated. What is the most appropriate initial treatment?

Accepted Answer

Carbimazole plus a beta blocker

Answer

Levothyroxine

Answer

Radioactive iodine therapy as first-line

Answer

Thyroidectomy immediately

Answer

Observation only with repeat tests in 6 months

Practice question

A 28-year-old woman presents with weight loss, tremor and palpitations. On examination she has a diffuse goitre with bruit, fine tremor and a pulse of 120 beats per minute. TSH is suppressed and free T4 is elevated. What is the most appropriate initial treatment?