A 34-year-old woman presents with weight gain, fatigue, cold intolerance and constipation. Examination reveals dry skin and mild periorbital puffiness...

Question

A 34-year-old woman presents with weight gain, fatigue, cold intolerance and constipation. Examination reveals dry skin and mild periorbital puffiness. TSH is 12 mIU/L (normal 0.4-4.0) and free T4 is low. She is not pregnant. What is the most appropriate management?

Accepted Answer

Start levothyroxine and titrate to normalise TSH and free T4

Answer

Start carbimazole

Answer

Reassure; no thyroid treatment is indicated

Answer

Arrange thyroid radioiodine ablation

Answer

Recommend iodine supplementation only

au-amc MCQ (SBA): Primary hypothyroidism

A 34-year-old woman presents with weight gain, fatigue, cold intolerance and constipation. Examination reveals dry skin and mild periorbital puffiness. TSH is 12 mIU/L (normal 0.4-4.0) and free T4 is low. She is not pregnant. What is the most appropriate management?