Miss Michigan Rima Fakih, left, reacts as she is crowned Miss USA 2010 by Kristen Dalton, Miss USA 2009, Sunday, May 16, 2010 in Las Vegas. (Isaac Brekken/Associated Press)Lebanese immigrant Rima Fakih, from Dearborn, Mich., says it was a certain look from Donald Trump that tipped her off that she had won the 2010 Miss USA title.

The 24-year-old Miss Michigan USA beat out 50 other women to take the title Sunday night, despite nearly stumbling in her evening gown.

She told reporters later that she believed she had won after glancing at pageant owner Trump as she awaited the results with the first runner-up, Miss Oklahoma USA Morgan Elizabeth Woolard.

"That's the same look that he gives them when he says, 'You're hired,"' on Trump's reality show "The Apprentice," she said.

"She's a great girl," said Trump, who owns the pageant with NBC in a joint venture.

Advocates health coverage for birth control pills

Fakih took top honors at 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.

Fakih 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.

Miss Michigan Rima Fakih competes in bathing suit portion of the Miss USA 2010 pageant. Fakih and her family moved to Michigan in 2003. (Isaac Brekken/Associated Press)Fakih told pageant organizers her family celebrates both Muslim and Christian faiths.

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.

Fakih told reporters she sold her car after graduating college in Michigan to help pay for her run in the Miss Michigan USA pageant.

In a moment that was replayed during the broadcast, Fakih nearly fell while finishing her walk in her gown because of the length of its train. But she made it without a spill and went on to win.

"I did it here, I better not do it at Miss Universe," she said. "Modeling does help, after all."

Fakih replaces Miss USA 2009 Kristen Dalton and won a spot representing the United States this summer 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.

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.