Question

A 48-year-old woman presents with fatigue, weight gain, constipation and feeling cold. Blood tests show TSH 18 mU/L (raised) and free T4 7 pmol/L (low). She has positive thyroid peroxidase antibodies. What is the most appropriate treatment?

Accepted Answer

Start Levothyroxine and titrate according to TSH

Answer

Start Carbimazole

Answer

Start Propranolol only

Answer

No treatment is needed; repeat thyroid function in 1 year

Answer

Partial thyroidectomy

Practice question

A 48-year-old woman presents with fatigue, weight gain, constipation and feeling cold. Blood tests show TSH 18 mU/L (raised) and free T4 7 pmol/L (low). She has positive thyroid peroxidase antibodies. What is the most appropriate treatment?