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(122) A 35-year-old African-American woman presents to your office with complaints of increasingly heavy and prolonged menstrual periods over the past year She also describes feeling a fullness in her pelvic area In addition, she reports having mild dyspareunia She is happily married to her husband and they have two children They are considering having another child in the future Presently, she uses oral contraceptive pills for birth control In addition to her chief complaint, she reports feeling more tired and having difficulty sleeping She has associated this with her job, as she is a vice-president for a consulting company and work has been more stressful recently Her past medical history is unremarkable and she takes no prescription medications What is the next most appropriate step in management (a) Reassurance that her symptoms will resolve when her job-related stress subsides (b) Obtain LH and FSH levels (c) Obtain an ultrasound (d) Obtain cultures for Chlamydia and gonorrhea (e) Perform an exploratory laparoscopy (123) For the above scenario, what is the most likely diagnosis (a) Endometriosis (b) Polycystic ovarian syndrome (c) Pelvic inflammatory disease (d) Uterine leiomyoma (e) Endometrial cancer Answer: d Answer: c

If you haven t formatted the CD-RW discs for disaster recovery, the program formats them at this time This can be a fairly tedious operation requiring up to 40 minutes to complete The disaster recovery program proceeds to format each disc, as required, and then copy all of the data from your hard disk volumes to CD in a sequential set The program prompts you to insert new blank media as it lls up each disc in the set An overall progress bar indicates the progression of the backup operation You can stop the process if necessary by clicking Cancel; otherwise, the program continues until it has stored each of the les on your system onto CD-RW discs

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10.1.2 Son of MFC If you have any experience with MFC, you ll undoubtedly notice that the WPF command model is heavily influenced by it. Given that this is a book on WPF, we won t go into a tremendous amount of detail on the MFC implementation. If you re familiar with MFC, consider this a refresher or, if not, an interesting bit of trivia. Command routing in MFC was based around the idea of the Message Map. At a low level, everything in Windows is driven by messages. If the user clicks the mouse, a WM_LBUTTONDOWN is sent to the application, followed by a WM_LBUTTONUP. (The L is for the left button). If part of the screen needs to be repainted, a WM_PAINT message is sent. And, if a command needs to be executed, such as something from a classic Windows menu, a WM_COMMAND message is sent. In MFC, the trick was to make sure that the appropriate code got called when one of these messages was sent. This was generally done by putting a Message Map in the file, with entries for each message and command to be handled.

(124) Considering that the patient in the above question is considering having another child in the future, which of the following statements is true for this patient (a) A myomectomy should be performed as soon as possible to allow as much time as possible for uterine healing prior to the stress of pregnancy (b) An open-surgery myomectomy is a common cause of infertility because of the formation of postoperative adhesions (c) Following a myomectomy, cesarean delivery is required to avoid uterine rupture (d) Myomectomy is expected to increase this patient s fertility rate by 50% in 1 2 years (e) Uterine artery embolization (UAE) has been shown to diminish bleeding symptoms and recovery time, but it is not recommended for women who desire children in the future (125) A 36-year-old woman has heavy, painless bleeding every 4 5 months She comes to your office asking for contraceptives An examination of her cervix is normal and her Pap smear is class I What is the most appropriate procedure (a) Oral estrogen only (b) Bilateral-salpingo-oophorectomy (c) Cyclic oral contraceptive agents (d) Fractional dilation and curettage (D & C) (e) Conization of the cervix

BEGIN_MESSAGE_MAP(CMyClass, CFrameWnd) ON_LBUTTONDOWN() ON_WMPAINT() ON_COMMAND(IDC_DoSomething, OnDoSomething) ON_COMMAND(IDC_DoSomethingElse, OnDoSomethingElse) END_MESSAGE_MAP()

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All the capitalized terms in a message map are C++ macros at compile time this block got turned into a hunk of code that generated a static array in the class that mapped messages to a bit of code that mapped to a pointer to each function. The IDC_DoSomething values were defined as particular numbers. If you wanted to add a command, you would create a new value defined in a constants file, and implement the appropriate method in your class. When the command was executed (for example,

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