Question

A 32-year-old woman is newly diagnosed with Graves disease based on suppressed TSH, elevated free T4, and diffuse increased uptake on radionuclide scan. She is 8 weeks pregnant. Which is the most appropriate initial treatment?

Accepted Answer

Propylthiouracil

Answer

Radioactive iodine ablation

Answer

Methimazole

Answer

Subtotal thyroidectomy immediately

Answer

No therapy; observe until after pregnancy

Practice question

A 32-year-old woman is newly diagnosed with Graves disease based on suppressed TSH, elevated free T4, and diffuse increased uptake on radionuclide scan. She is 8 weeks pregnant. Which is the most appropriate initial treatment?