West Virginia MPJE (Pharmacy Jurisprudence) Practice Exam

What are the two FDA-approved emergency contraception pills?

1. Levonorgestrel (Rx and OTC) and ulipristal (Rx only)

2. Levonorgestrel (Rx only) and ulipristal (Rx and OTC)

3. Ulipristal (Rx only) and magnesium citrate (Rx and OTC)

4. Magnesium citrate and aluminum hydroxide

The correct answer is: Levonorgestrel (Rx and OTC) and ulipristal (Rx only)

The two FDA-approved emergency contraception pills are indeed levonorgestrel and ulipristal. Levonorgestrel is available both by prescription and over the counter, making it accessible for individuals who may need emergency contraception quickly. Ulipristal, on the other hand, is available only by prescription, giving it a different access route compared to levonorgestrel. Both of these medications function to prevent pregnancy after unprotected intercourse or contraceptive failure, but they do so through different mechanisms and time frames. Levonorgestrel is most effective when taken within 72 hours after unprotected sex, while ulipristal can be effective for up to 120 hours after, offering a longer window for administration. The other options contain incorrect pairings or medications that are not used for emergency contraception. Magnesium citrate, for example, is a saline laxative and not indicated for emergency contraception, while the mention of only prescription availability for both medications in some options does not reflect current regulations regarding levonorgestrel’s over-the-counter status. Understanding the differences in availability and categorization helps clarify the distinction between these emergency contraceptive options.