Rima Fakih, a 24-year-old from Dearborn, Michigan, won the pageant at the Planet Hollywood Resort & Casino on the Las Vegas Strip after swimsuit, evening gown and interview competitions.
When asked how she felt about winning the crown, she said, "Ask me after I've had a pizza."
Fakih nearly fell while finishing her walk in a long, strapless gown because of the length of its train, but she made it without a spill and went on to win.
During the interview portion, Fakih was asked whether she thought birth control should be paid for by health insurance, and she said she believed it should because it's costly.
"I believe that birth control is just like every other medication even though it's a controlled substance," Fakih said.
Fakih replaces Miss USA 2009 Kristen Dalton and won a spot representing the United States in the 2010 Miss Universe pageant.
She also gets a one-year lease in a New York apartment with living expenses, an undisclosed salary, and various health, professional and beauty services.
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