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Combined pill missed pills — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareCombined pill missed pillsGPhC CRA

A patient taking a combined oral contraceptive pill missed two pills in the first week of the packet and had unprotected sex yesterday. What would you advise the patient?

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

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Correct answer: B — Advise emergency contraception assessment and follow missed-pill guidance

Missing pills in the first week can compromise contraceptive protection, especially if unprotected sex occurred. The patient needs emergency contraception assessment and clear advice on continuing pills and additional precautions. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: FSRH guidance; BNF