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Emergency contraception — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Emergency contraceptionUSMLE Step 3

A 22-year-old woman had unprotected intercourse 3 days ago and wants the most effective emergency contraception. Pregnancy test is negative. She has no pelvic infection symptoms. Which of the following is the most appropriate at this time?

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

Reveal the answer and explanation

Correct answer: D — Place a copper intrauterine device

Copper IUD placement within 5 days is the most effective emergency contraception and provides ongoing contraception.

Reference: ACOG Emergency Contraception Guidance; CDC Contraception Guidance