Washington Multistate Pharmacy Jurisprudence MPJE Practice Exam

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What is the preferred emergency contraception when it’s beyond 72 hours?

Levonorgestrel
Ulipristal (Ella)
Mifepristone
Estrogen

The correct answer is: Ulipristal (Ella)

Emergency contraception is a method used to prevent unwanted pregnancy after unprotected sex or contraceptive failure. The preferred emergency contraception when it is beyond 72 hours is ulipristal (Ella). The other options listed such as levonorgestrel, mifepristone, and estrogen are not recommended for use beyond 72 hours for emergency contraception. Levonorgestrel can be effective up to 5 days after sex, but its effectiveness decreases as time goes on. Mifepristone is not typically used for emergency contraception, as it is primarily used for medical abortion. Estrogen is also not recommended for emergency contraception and can even decrease the effectiveness of other forms of emergency contraception. Therefore, ulipristal (Ella) is the preferred option for emergency contraception when it is beyond 72 hours.