skip to main content

Missed CHC pills week 1 — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCombined hormonal contraceptionMissed CHC pills week 1DFSRH

A 30-year-old woman on a combined pill missed the first three pills after the hormone-free interval and had unprotected sex two days ago. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: BOffer emergency contraception and use condoms for 7 days

Missing two or more pills at the start of a pack after a hormone-free interval risks ovulation; EC and 7 days of condoms are indicated. A pregnancy test today cannot exclude pregnancy from sex two days ago. Week 1 missed pills are high yield in DFSRH-style questions.

Reference: FSRH Combined Hormonal Contraception Guideline; UKMEC 2025; BNF