Question 31 (part 2) · LEK · Hypothyroidism

A TSH concentration of 16 mIU/l and a decreased FT4 concentration were observed in a 76-year-old male. As a result, treatment with levothyroxine was initiated. Which of the doses is the most appropriate on the commencement of treatment with levothyroxine?

  1. A. 25 µg per day.
  2. B. 75 µg per day.
  3. C. 100 µg per day.
  4. D. 150 µg per day.
  5. E. 200 µg per day.
Hint

Consider the risk of myocardial ischaemia and arrhythmia if thyroid hormone is restored too quickly in an elderly patient.

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