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Pregnancy test timing after EC — DFSRH MCQ

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HardEmergency contraceptionPregnancy test timing after ECDFSRH

A patient used ulipristal acetate after UPSI 24 days ago. Her expected period is now seven days late. What is the most appropriate immediate investigation?

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

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Correct answer: D — Perform a pregnancy test today

A pregnancy test is indicated when menstruation is delayed after EC or pregnancy symptoms occur. Further assessment depends on the result and symptoms, including urgent assessment for pain or bleeding.

Reference: FSRH, Emergency Contraception (amended July 2023): https://www.fsrh.org/Common/Uploaded%20files/documents/fsrh-guideline-emergency-contraception03dec2020-amendedjuly2023-11jul.pdf