MCC VaultPractice questions › Medicine › Thyroid disease
Thyroid disease
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 62-year-old man has a TSH of 6.4 mU/L and a normal free T4 on two occasions. He has no symptoms and anti-TPO antibodies are negative. What is the most appropriate management?
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The answer is C: Monitor TSH without treatment.
Mild subclinical hypothyroidism (TSH below 10) in an asymptomatic person is usually monitored rather than treated, because trials show little benefit. Treatment is considered with TSH above 10, symptoms, positive antibodies or pregnancy.
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