A 30-year-old woman presents with fatigue, cold intolerance, constipation and weight gain. TSH is 14 mIU/L and free T4 is low. She is not pregnant. Ac...

Question

A 30-year-old woman presents with fatigue, cold intolerance, constipation and weight gain. TSH is 14 mIU/L and free T4 is low. She is not pregnant. According to Canadian thyroid guidelines, what is the most appropriate management?

Accepted Answer

Start levothyroxine replacement therapy

Answer

Observe and repeat TSH in 6 months

Answer

Start liothyronine alone

Answer

Order thyroid uptake scan

Answer

Treat only if TSH >20 mIU/L

ca-mccqe1 MCQ (SBA): Overt primary hypothyroidism

A 30-year-old woman presents with fatigue, cold intolerance, constipation and weight gain. TSH is 14 mIU/L and free T4 is low. She is not pregnant. According to Canadian thyroid guidelines, what is the most appropriate management?