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1. Which of the following emergency contraception (EC) regimens affects sperm migration and viability to prevent fertilization?

A. Copper intrauterine device (IUD) B. Levonorgestrel-only tablet C. Ulipristal acetate tablet D. Combined hormonal contraceptive tablets (Yuzpe)

2. A 19-year-old healthy woman comes to your pharmacy in Colorado for EC. She had unprotected sex last night (10 hours ago) and is requesting an over-the-counter product. Which of the following regimens is most appropriate to recommend?

A. Levonorgestrel 0.75 mg orally as soon as possible and 0.75 mg orally 12 hours later B. Levonorgestrel 1.5 mg orally as soon as possible C. Ulipristal acetate 30 mg orally as soon as possible and 30 mg orally 12 hours later D. Ulipristal acetate 30 mg orally as soon as possible

3. Which of the following correctly lists the order of efficacy for various EC regimens from most highly effective to least effective?

A. Copper IUD > levonorgestrel only > ulipristal acetate > combined hormonal contraceptive B. Copper IUD > ulipristal acetate > levonorgestrel only > combined hormonal contraceptive C. Ulipristal acetate > levonorgestrel only > copper IUD > combined hormonal contraceptive D. Ulipristal acetate > levonorgestrel only > combined hormonal contraceptive > copper IUD

4. Which of the following is a contraindication for EC with the copper IUD?

A. Unexplained vaginal bleeding B. Uncontrolled blood pressure C. Migraine headache with aura D. History of pelvic inflammatory disease

5. A woman calls the pharmacy complaining of significant nausea after taking her EC approximately 30 minutes ago. She has not vomited. Which of the following EC regimens did she most likely use?

A. Levonorgestrel-only tablet B. Ulipristal acetate tablet C. Combined hormonal contraceptive tablets (Yuzpe) D. None of the above; nausea is a rare adverse effect with all EC regimens

6. A 38-year-old woman has a history of hypertension, type 2 diabetes, and migraine headaches. These conditions are currently controlled with the following medications: lisinopril, amlodipine, metformin, and topiramate. Which one of her medications may decrease the effectiveness of ulipristal acetate for EC?

A. Lisinopril B. Amlodipine C. Metformin D. Topiramate

7. Which of the following EC regimens requires a prescription for a 15-year-old woman living in Chicago, Illinois?

A. Levonorgestrel-only tablet B. Ulipristal acetate tablet C. All of the above D. None of the above

8. Which of the following scenarios is most appropriate to recommend EC?

A. Missing three consecutive combined hormonal contraceptives pills 2 weeks ago B. Insertion of copper IUD last week, but did not use barrier method for 7 days C. Broken condom during intercourse 2 nights ago D. All of the above

9. An 18-year-old overweight woman presents to the pharmacy for EC. She had unprotected intercourse yesterday. Her last menstrual cycle was last week. Which of the following would be the most appropriate counseling point when providing levonorgestrel EC?

A. She should take a pregnancy test in the morning before taking any EC B. Take levonorgestrel 1.5 mg immediately for maximal effectiveness C. Take an increased dose of levonorgestrel 2.25 mg immediately if her BMI is > 26 D. She will have her period within 2 days of taking the medication

10. Two weeks ago, a 26-year-old woman took levonorgestrel EC that she obtained at your pharmacy. She is calling because she is now having symptoms of irregular bleeding, severe abdominal pain, and dizziness. Since taking EC, she has not had intercourse or taken any other medications. Which of the following is the most appropriate action at this time?

A. Advise that she take acetaminophen or ibuprofen for her symptoms and call back tomorrow if not improved. B. Advise that she take an antacid and get more rest. She should call her primary care physician is not improved within 24 hours. C. Ensure her that these adverse effects of EC should dissipate within the next week. D. Recommend that she go to the emergency department for further evaluation.