Missed combined pill — DRCOG MCQ
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Correct answer: B — Take the missed pill now and continue the pack
Take the missed pill now and continue the pack is the best answer because the vignette is testing Missed combined pill and the recommended approach is consistent with FSRH Combined Hormonal Contraception. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Advise rest and hydration at home; Offer empirical antifungal treatment; Book a non-urgent community midwife appointment; Request outpatient ultrasound in three months would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: FSRH Combined Hormonal Contraception