Question

A 55-year-old woman presents with hot flushes, palpitations, heat intolerance and weight loss. TSH is suppressed and free T4 is elevated. Thyroid receptor antibodies are positive. According to standard practice for Graves' disease, what is the most appropriate initial medical treatment?

Accepted Answer

Methimazole (or carbimazole)

Answer

Levothyroxine

Answer

Radioiodine as first-line in all patients

Answer

Beta-blocker alone

Answer

Subtotal thyroidectomy in all cases

Practice question

A 55-year-old woman presents with hot flushes, palpitations, heat intolerance and weight loss. TSH is suppressed and free T4 is elevated. Thyroid receptor antibodies are positive. According to standard practice for Graves' disease, what is the most appropriate initial medical treatment?