A 42-year-old woman is found to have a TSH of 18 mU/L (elevated) and a low free T4 on repeat testing. She complains of tiredness, weight gain and cons...

Question

A 42-year-old woman is found to have a TSH of 18 mU/L (elevated) and a low free T4 on repeat testing. She complains of tiredness, weight gain and constipation. There is no pregnancy. What is the most appropriate management?

Accepted Answer

Start lifelong Levothyroxine replacement and monitor TSH

Answer

Reassure that no treatment is required as this is subclinical hypothyroidism

Answer

Start Carbimazole

Answer

Start Propranolol alone

Answer

Refer urgently on a suspected cancer pathway

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

A 42-year-old woman is found to have a TSH of 18 mU/L (elevated) and a low free T4 on repeat testing. She complains of tiredness, weight gain and constipation. There is no pregnancy. What is the most appropriate management?