Graves Disease Diagnosed 10 in Medicine / Internal Medicine — 32yo Woman | Endocrinology | SMLE Q#1272

SMLE Question #1272

Medicine / Internal Medicine Endocrinology
Last updated: February 2026
A 32-year-old woman with Graves disease diagnosed 10 months ago has been taking carbimazole with good adherence. She reports ongoing weight loss, heat intolerance, palpitations, anxiety, and fine tremor, with a diffuse non-nodular goitre. She is not pregnant and has no severe Graves ophthalmopathy. There are no contraindications to radioiodine or surgery. What is the most appropriate next step in management?

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