Rima Fakih of Dearborn, Mich., won the pageant at the Planet Hollywood Resort & Casino on the Las Vegas Strip after strutting confidently in an orange and gold bikini, wearing a strapless white gown that resembled a wedding dress and saying health insurance should cover birth control pills.

Rima Fakih, 24-year-old Arab American from Michigan beat out 50 other women to take the 2010 Miss USA title.

Fakih, a Lebanese immigrant, told pageant organizers her family celebrates both Muslim and Christian faiths. She moved to the United States as a baby and was raised in New York, where she attended a Catholic school. Her family moved to Michigan in 2003.

Pageant officials said historical pageant records were not detailed enough to show whether Fakih was the first Arab American, Muslim or immigrant to win the Miss USA title. The pageant started in 1952 as a local bathing suit competition in Long Beach, Calif.

Miss Virginia USA Samantha Evelyn Casey was the second runner-up, Miss Colorado USA Jessica Hartman was third runner-up, and Miss Maine USA Katherine Ashley Whittier was the fourth runner-up.

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