A 28-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. She is not pregnant and...

Question

A 28-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. She is not pregnant and has no significant comorbidities. According to Australian thyroid guidelines, what is the most appropriate initial management?

Accepted Answer

Start levothyroxine and titrate according to TSH

Answer

Start carbimazole

Answer

Observe without treatment and repeat thyroid function tests in 12 months

Answer

Start propranolol alone

Answer

Refer immediately for thyroidectomy

au-amc MCQ (SBA): Primary hypothyroidism

A 28-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. She is not pregnant and has no significant comorbidities. According to Australian thyroid guidelines, what is the most appropriate initial management?