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Oral contraceptive missed pill — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareOral contraceptive missed pillGPhC CRA

A patient taking a combined oral contraceptive missed two pills in the first week of the packet and had unprotected sex yesterday. She asks for advice. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Assess need for emergency contraception and advise additional precautions according to missed-pill guidance

Missed combined-pill advice depends on how many pills were missed and where in the packet this occurred. Missing pills in week one after unprotected sex can create a need for emergency contraception. Additional precautions and continuing the packet may be required according to guidance. A pregnancy test immediately after yesterday's intercourse would be too early to exclude pregnancy.

Reference: FSRH; BNF