Hodgkin Lymphoma 3 Years in Medicine / Internal Medicine — 60yo Man | Endocrinology | SMLE Q#11407

SMLE Question #11407

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 60-year-old man has 8 months of fatigue, constipation, cold intolerance, dry coarse skin, and mild periorbital edema. He received neck and mediastinal radiotherapy for Hodgkin lymphoma 3 years ago. Examination shows dry skin and mild periorbital edema; the thyroid is normal in size without nodules or tenderness. Which of the following is the most appropriate next test to establish the diagnosis of hypothyroidism?

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