Question

A 37-year-old woman presents with tiredness, weight gain and cold intolerance. Examination reveals dry skin and bradycardia. Thyroid function tests show TSH 18 mU/L (0.4–4.0) and free T4 7 pmol/L (10–24). What is the single most appropriate management?

Accepted Answer

Start Levothyroxine replacement therapy

Answer

Repeat thyroid function tests in 12 months without treatment

Answer

Start Carbimazole

Answer

Arrange urgent radioactive iodine therapy

Answer

Start high-dose steroids only

Practice question

A 37-year-old woman presents with tiredness, weight gain and cold intolerance. Examination reveals dry skin and bradycardia. Thyroid function tests show TSH 18 mU/L (0.4–4.0) and free T4 7 pmol/L (10–24). What is the single most appropriate management?