A 52-year-old woman presents with weight gain, cold intolerance and fatigue. TSH is 18 mIU/L (elevated) and free T4 is low. She has positive anti-TPO ...

Question

A 52-year-old woman presents with weight gain, cold intolerance and fatigue. TSH is 18 mIU/L (elevated) and free T4 is low. She has positive anti-TPO antibodies. What is the most appropriate management?

Accepted Answer

Start levothyroxine with dose adjusted to normalise TSH

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Start carbimazole to suppress thyroid function

Answer

Arrange radioiodine ablation

Answer

Commence propranolol only

au-amc MCQ (SBA): Autoimmune hypothyroidism

A 52-year-old woman presents with weight gain, cold intolerance and fatigue. TSH is 18 mIU/L (elevated) and free T4 is low. She has positive anti-TPO antibodies. What is the most appropriate management?