A 49-year-old woman complains of tiredness, weight gain and cold intolerance. TSH is raised and free T4 is low. She is otherwise healthy. What is the ...

Question

A 49-year-old woman complains of tiredness, weight gain and cold intolerance. TSH is raised and free T4 is low. She is otherwise healthy. What is the most appropriate management?

Accepted Answer

Start Levothyroxine replacement

Answer

Reassure and repeat thyroid tests in a year

Answer

Start Carbimazole

Answer

Refer urgently for thyroid surgery

Answer

Start beta-blocker only

uk-plab-1 MCQ (SBA): Primary hypothyroidism

A 49-year-old woman complains of tiredness, weight gain and cold intolerance. TSH is raised and free T4 is low. She is otherwise healthy. What is the most appropriate management?