Question

A 32-year-old woman presents with palpitations, weight loss and heat intolerance. She has diffuse thyroid enlargement and eye discomfort. TSH is undetectable and free T4 is elevated. Which initial treatment is most appropriate in a non-pregnant woman with Graves disease?

Accepted Answer

Thionamide therapy (e.g., methimazole)

Answer

Levothyroxine

Answer

Propranolol alone

Answer

Radioiodine ablation immediately

Answer

Total thyroidectomy immediately

Practice question

A 32-year-old woman presents with palpitations, weight loss and heat intolerance. She has diffuse thyroid enlargement and eye discomfort. TSH is undetectable and free T4 is elevated. Which initial treatment is most appropriate in a non-pregnant woman with Graves disease?