A female in her child-bearing age complains of irregular vaginal bleeding, amenorrhea for 3 months and severe cramping pain on the last few hours. She is stable and her vital signs are within normal limits. What is your first step of action? A- Pelvic examination B- Pregnancy test C- Ultrasonography of abdomen D- CT scan of abdomen and pelvis E- Call the gynecologist http://medical-usmle.com/?p=1134