Question

A 49-year-old woman presents with fatigue, weight gain and cold intolerance. Blood tests show TSH 14 mU/L (elevated) and free T4 7 pmol/L (low). She is not pregnant. What is the most appropriate initial management?

Accepted Answer

Start levothyroxine and titrate according to TSH

Answer

Start carbimazole

Answer

Observe and repeat thyroid function tests in 6 months

Answer

Refer urgently for endocrine surgery

Answer

Start beta-blocker monotherapy

Practice question

A 49-year-old woman presents with fatigue, weight gain and cold intolerance. Blood tests show TSH 14 mU/L (elevated) and free T4 7 pmol/L (low). She is not pregnant. What is the most appropriate initial management?