Hyperthyroidism in Medicine / Internal Medicine — 26yo Woman | Endocrinology | SMLE Q#7171
SMLE Question #7171
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 26-year-old woman, 9 weeks pregnant, has known Graves disease. She has taken methimazole 15 mg daily for 3 weeks but still has palpitations, heat intolerance, and tremor. She has no history of liver disease. Examination shows a fine tremor and mild diffuse thyroid enlargement without ophthalmopathy. Thyroid function tests remain consistent with hyperthyroidism. What is the most appropriate adjustment to her therapy at this time?
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