A 30-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. Thyroid peroxidase anti...

Question

A 30-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. Thyroid peroxidase antibodies are positive. According to Australian thyroid guidelines, what is the most appropriate initial management?

Accepted Answer

Begin levothyroxine replacement therapy

Answer

Observe without treatment and repeat thyroid function in 12 months

Answer

Start carbimazole

Answer

Refer for thyroidectomy

Answer

Start high-dose iodine supplementation

au-racgp MCQ (SBA): Primary hypothyroidism

A 30-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. Thyroid peroxidase antibodies are positive. According to Australian thyroid guidelines, what is the most appropriate initial management?