Thyroid Disorders USMLE Step 1 Practice Question
A 34-year-old woman with untreated Graves disease is brought to the emergency department with fever, agitation, vomiting, and palpitations 1 day after emergency abdominal surgery. She is diaphoretic and confused, with heart rate 168 per minute and blood pressure 170/90 mm Hg. Which of the following is the best next step in management?
Answer choices
- ALow dose dexamethasone suppression test
- BPropranolol, propylthiouracil, glucocorticoids, and supportive careCorrect answer
- CPhenoxybenzamine only
- DDesmopressin and free water
- ELevothyroxine only
- FEmergent radioactive iodine ablation to destroy overactive thyroid tissue
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