Elevated Free T4 in Medicine / Internal Medicine — 25yo Woman | Endocrinology | SMLE Q#1657
SMLE Question #1657
Medicine / Internal Medicine
Endocrinology
Last updated: February 2026
A 25-year-old woman, 10 weeks pregnant, reports 3 weeks of palpitations, sweating, heat intolerance, and unintentional weight loss. She has no eye symptoms and no prior thyroid disease. Examination shows a diffusely enlarged, non-tender thyroid gland and a fine hand tremor. Thyroid tests show a suppressed TSH with elevated free T4. What is the best initial treatment for her thyroid condition?
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