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Contraceptive missed pill advice — GPhC CRA MCQ

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ModeratePatient CounsellingContraceptive missed pill adviceGPhC CRA

A woman taking a combined oral contraceptive missed two pills in the first week of the pack and had unprotected sex two days ago. She asks for advice in the pharmacy. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: E — Assess need for emergency contraception and advise additional precautions according to guidance

Missed combined-pill advice depends on number missed, week of pack and recent unprotected sex. Missing pills in week one may require emergency contraception assessment and additional precautions. Clear, guideline-based counselling is needed.

Reference: FSRH guidance; BNF