Step 2 - Obstetrics & Gynecology Questions

USMLE / COMLEX - Step 2 > Obstetrics & Gynecology > USMLE/COMLEX 2 - Prep Questions

Q. A 28-year-old woman comes to the physician’s office with a history of hypothyroidism for a follow-up visit. She has been taking levothyroxine (T4) supplementation for the past 9 years and is now planning to become pregnant. She asks about the management of her thyroid medication during pregnancy. Her recent thyroid levels which were checked a month ago are as follows. Which of the following statements is the most appropriate statement regarding thyroid medication in pregnancy?

Continue the current dosage with frequent monitoring of TSH levels throughout pregnancy
Discontinue levothyroxine supplementation during pregnancy to avoid potential harm to the fetus
Double the dose of levothyroxine throughout pregnancy as requirements are increased during this period
Switch to a combination of levothyroxine and liothyronine (T3)
The dose of levothyroxine needs to be decreased to half during pregnancy to minimize the risk of hyperthyroidism
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