A 52-year-old female patient presents to her primary care physician for routine evaluation. She has a history of dyslipidemia, with consistently high cholesterol and triglyceride (TG) levels despite lifestyle modifications. Recent lab results show elevated thyroid-stimulating hormone (TSH) and low thyroxine (T4) levels. What is the most appropriate management for her condition?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Start levothyroxine therapy and recheck TSH and lipid profile in six weeks.
High TSH with low T4 is overt primary hypothyroidism. Hypothyroidism is a secondary cause of dyslipidaemia and must be excluded and treated first. Levothyroxine is the treatment of choice, followed by checking TSH and lipids again. Treating the lipids alone, with fibre or a statin, misses the underlying cause. Uncomplicated primary hypothyroidism does not need an endocrinology referral.
ليش كل خيار صح أو غلط
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A
ليش غلط
Before treating dyslipidemia, secondary causes such as hypothyroidism must be excluded; her high TSH and low T4 show it, so diet alone is not the answer.
✓ CV Risk factor 4th year 2023 copy.pdf · p. 17 -
B
ليش صح
Hypothyroidism raises LDL and lowers HDL, and levothyroxine is the treatment of choice, so treating the thyroid comes first with TSH and lipids rechecked.
✓ Step Up To Medicine 6th Edition 2024 (Thyroid).pdf · p. 9 -
C
ليش غلط
A statin alone ignores the cause: secondary causes of dyslipidemia such as hypothyroidism must be excluded and treated first.
✓ CV Risk factor 4th year 2023 copy.pdf · p. 17
- المصدر
- CV Risk factor 4th year 2023 copy.pdf · p. 17
Step Up To Medicine 6th Edition 2024 (Thyroid).pdf · p. 9 - المحاضرة
- Thyroid Disorders · Endocrinology · Module B
- ظهر في
- MED43 ♀ Compre