Which of the following is the most appropriate treatment? A. Propranolol B. Methimazole C. Propylthiouracil D. Radioactive iodine

Understand the Problem

The question is asking which treatment option is the most appropriate for a 29-year-old woman presenting with symptoms related to thyroid dysfunction, including severe neck pain, heat intolerance, palpitations, and insomnia, along with lab results indicating low radioactive iodine uptake.

More Information

In subacute thyroiditis, the thyroid releases stored hormones, leading to thyrotoxicosis. Propranolol is used to manage symptoms like tachycardia and tremors.

Tips

A common mistake is treating with antithyroid medications, which are ineffective in subacute thyroiditis since the problem is not hormone overproduction.

Sources

• Hyperthyroidism: Diagnosis and Treatment - AAFP - aafp.org
• Overactive thyroid (hyperthyroidism): Learn More – What are ... - NCBI - ncbi.nlm.nih.gov
• Graves' disease - Diagnosis and treatment - Mayo Clinic - mayoclinic.org