Question

A 24-year-old woman presents with weight loss, palpitations and heat intolerance. Examination reveals tremor, diffuse goitre and bilateral lid lag. TSH is suppressed and free T4 is elevated. What is the most appropriate first-line medical treatment?

Accepted Answer

Carbimazole.

Answer

Levothyroxine.

Answer

Radioiodine therapy as first-line in all patients.

Answer

Propranolol alone.

Answer

Total thyroidectomy immediately.

Practice question

A 24-year-old woman presents with weight loss, palpitations and heat intolerance. Examination reveals tremor, diffuse goitre and bilateral lid lag. TSH is suppressed and free T4 is elevated. What is the most appropriate first-line medical treatment?