Question

A 28-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination shows a diffuse goitre and fine tremor. Her TSH is suppressed and free T4 is raised. She is not pregnant and has no major comorbidities. What is the most appropriate first-line medical treatment?

Accepted Answer

Carbimazole

Answer

Levothyroxine

Answer

Propranolol alone

Answer

Radioactive iodine as first-line therapy

Answer

Subtotal thyroidectomy as first-line therapy

Practice question

A 28-year-old woman presents with weight loss, heat intolerance, tremor and palpitations. Examination shows a diffuse goitre and fine tremor. Her TSH is suppressed and free T4 is raised. She is not pregnant and has no major comorbidities. What is the most appropriate first-line medical treatment?