Question

A 44-year-old woman presents with lethargy, weight gain, constipation and cold intolerance. TSH is elevated and free T4 is low, consistent with primary hypothyroidism. What is the most appropriate initial management?

Accepted Answer

Start Levothyroxine and arrange TSH check in 6–8 weeks

Answer

Start Liothyronine

Answer

Start Carbimazole

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Refer urgently for thyroidectomy

Practice question

A 44-year-old woman presents with lethargy, weight gain, constipation and cold intolerance. TSH is elevated and free T4 is low, consistent with primary hypothyroidism. What is the most appropriate initial management?