Is a quantitative blood pregnancy test accurate at 5 and a half weeks after intercourse?

Yes, if it is less than 5 you are not pregnant.

Yes. Conception occurs within day or so of the sex. It takes about 3 weeks for the embryo to make enough HCG for a positive pregnancy test. Blood test may be done a day after a missed period. Home pregnancy tests should be done 4-5 days after the missed period. If the result is negative repeat the test in 4-5 days. Use first morning urine and follow instructions for the test carefully.