Question

A 45-year-old woman complains of fatigue, weight gain and constipation. Thyroid function tests show TSH 18 mU/L (high) and free T4 7 pmol/L (low). What is the most appropriate management?

Accepted Answer

Start Levothyroxine and titrate to normalise TSH

Answer

Reassure and repeat thyroid function in 6 months

Answer

Start Carbimazole

Answer

Start Propranolol alone

Answer

Refer urgently for radioiodine therapy

Practice question

A 45-year-old woman complains of fatigue, weight gain and constipation. Thyroid function tests show TSH 18 mU/L (high) and free T4 7 pmol/L (low). What is the most appropriate management?