Question

A 49‑year‑old woman has TSH 7.0 mIU/L (reference 0.4-4.0) with normal free T4. She has no symptoms, is not pregnant and has negative thyroid antibodies. What is the most appropriate management?

Accepted Answer

Repeat thyroid function tests in 3-6 months without starting treatment

Answer

Commence levothyroxine immediately

Answer

Start carbimazole

Answer

Arrange urgent endocrine referral and thyroid ultrasound

Answer

Commence high‑dose iodine supplementation

Practice question

A 49‑year‑old woman has TSH 7.0 mIU/L (reference 0.4-4.0) with normal free T4. She has no symptoms, is not pregnant and has negative thyroid antibodies. What is the most appropriate management?