A 70-year-old woman with mild subclinical hypothyroidism (TSH 6.0 mIU/L, normal free T4) is seen in primary care. She is asymptomatic and has no goitr...

Question

A 70-year-old woman with mild subclinical hypothyroidism (TSH 6.0 mIU/L, normal free T4) is seen in primary care. She is asymptomatic and has no goitre or pregnancy. What is the most appropriate management according to NICE guidance?

Accepted Answer

Monitor thyroid function periodically without treatment

Answer

Start Levothyroxine immediately in all patients

Answer

Start Carbimazole

Answer

Arrange urgent referral for thyroidectomy

Answer

Start high-dose Levothyroxine then taper

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

A 70-year-old woman with mild subclinical hypothyroidism (TSH 6.0 mIU/L, normal free T4) is seen in primary care. She is asymptomatic and has no goitre or pregnancy. What is the most appropriate management according to NICE guidance?