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Emergency contraception — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareEmergency contraceptionUSMLE Step 3

A 24-year-old woman requests contraception 3 days after unprotected intercourse. Her last menstrual period was 2 weeks ago. She takes no medications and has no history of thromboembolism. Urine pregnancy test is negative. She wants the most effective emergency contraception and also desires ongoing contraception. Which of the following is the most appropriate at this time?

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Reveal the answer and explanation

Correct answer: D — Offer copper intrauterine device placement

A copper IUD placed within 5 days of unprotected intercourse is the most effective emergency contraception and provides ongoing contraception.

Reference: ACOG emergency contraception guidance