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(129) The release of clear or blood-tinged Answer: a vaginal discharge, whether spontaneously or pressure induced, followed by shrinkage of an adnexal mass and relief of cramping pain is pathognomonic for which neoplasm (a) Fallopian tube cancer (b) Ovarian cystadenocarcinoma (c) Epithelial ovarian cancer (d) Dermoid cyst (e) Krukenberg tumor (130) Herniation of the peritoneum between the uterosacral ligaments through the pouch of Douglas into the rectovaginal septum represents which of the following defects (a) Uterine prolapse (b) Rectocele (c) Enterocele (d) Urethrocele (e) Cystocele (f) Retrodisplacement of the uterus (131) A 65-year-old menopausal woman visits your office with complaints of urinary difficulty and discomfort in the vagina She complains that the feeling in her vagina is like she is sitting on an egg What is the appropriate therapy (a) Remove the foreign body (b) Perform a hysterectomy (c) Recommend a pessary (d) Reassurance Answer: b or c (Depending on patient s preference However, b is preferred if there is other uterine pathology, whereas c is preferred for those who want to avoid surgery) Answer: b

10.2.1 The Command pattern The WPF approach to commands is definitely related to the traditional Command pattern, but there are some issues with the classic pattern, and the WPF design takes this into account. In a nutshell, the idea behind the Command pattern is to encapsulate a method call and its parameters so that you can treat the method call itself as an object in the system. This leads to interesting possibilities such as easily implemented undo, script automation, and macro capabilities all for free (free as in after you ve spent the time implementing the pattern itself ). Things that cause commands to be executed menus, toolbars, and so on have a reference to a Command object. The Command object knows how to do whatever it s supposed to do via the Execute() method. If undo is supported, then it also keeps track of how to reverse what it does. The menus and toolbars only have to know to call the Execute() method. Anything else that needs to execute commands ribbons, macro-languages, and so on gets a reference to the appropriate Command and to call Execute(). There are some issues with this pattern. For one thing, it can be fiddly trying to create a distinct Command class for every different command. Also, strangely enough, it can cause encapsulation issues if you have a series of related commands that rely on

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Simple Trax can be con gured either through a wizard or by means of a control panel that lets you specify schedules and select les for automated copying to disc Since we ve already provided a couple of examples of wizards in action, let s look at the control panel features As shown in , the control panel includes tabs for Selection, Schedule, and Event Log

a particular infrastructure, you don t want to break up the execution code across a whole bunch of helper objects. The WPF infrastructure does allow for a classic implementation of the Command pattern, but that isn t the default way WPF implements command handling. Nonetheless, WPF does make use of certain facets of the pattern. It s important to keep in mind that the patterns are more guidelines than implementation advice, so the precise implementations will vary.

(132) A 26-year-old multiparous patient at 33 weeks estimated gestational age reports significant abdominal pain of 40-minutes duration The pain is improved when sitting up and was not associated with exertion The patient has a history of alcohol dependence and had just finished eating a spiced curry tomato dish On presentation, her vital signs and physical examination are within normal limits Which of the following lab values is abnormal (a) Amylase 300 U/dL (b) White blood cells 13,000 per mm3 (c) Fibrinogen 500 mg/dL (d) Alkaline phosphatase 17 U/L (133) An obese 22-year-old woman has a history of irregular periods She was placed on oral contraceptive pills and after two normal cycles she has begun to miss her period again Her BhCG is zero What is the next course of action (a) Begin metformin so as to better control the metabolic derangements associated with polycystic ovarian syndrome (b) Check FSH and LH levels for possible premature ovarian failure (c) Do a transvaginal ultrasound to look for ovarian cysts (d) Change the oral contraceptive to a monophasic instead of a triphasic

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