1. A 50-year-old wom an com plained to her physician of sleepiness, fatigue, cold intolerance, weigh

1. A
50-year-old wom an com plained to her physician of sleepiness, fatigue, cold
intolerance, weigh gain, and constipation. Medical history was signi cant for a
reentrant supraventricular tachycardia presently treated w ith am iodarone and
for t ype 2 diabetes presently treated w ith m etform in. Further exam s led to
the diagnosis of m ild hypothyroidism , and an adequate treatm ent was planned.
W hich of the follow ing would be the m ost appropriate initial therapeutic
step for this patient?

A. Start
oral levothyroxine.

1. A
50-year-old wom an com plained to her physician of sleepiness, fatigue, cold
intolerance, weigh gain, and constipation. Medical history was signi cant for a
reentrant supraventricular tachycardia presently treated w ith am iodarone and
for t ype 2 diabetes presently treated w ith m etform in. Further exam s led to
the diagnosis of m ild hypothyroidism , and an adequate treatm ent was planned.
W hich of the follow ing would be the m ost appropriate initial therapeutic
step for this patient?

A. Start
oral levothyroxine.

B. Start
oral potassium iodide.

C. Start
oral liothyronine.

D. Withdraw
m etform in.

E. Withdraw
am iodarone.

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