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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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sign <strong>of</strong> invasion by tuberculosis must be tre<strong>at</strong>ed<br />

•with the utmost rigidity. Rectal temper<strong>at</strong>ures<br />

should be taken while the p<strong>at</strong>ient is in bed and so<br />

long as there is any fever, bed rest must be maintained.<br />

Such cases'should not be put out on verandas<br />

in long chairs. Absolute silence must be<br />

maintained when, during rest in bed, the temper<strong>at</strong>ure<br />

rises over 100.4 degrees <strong>at</strong> any time <strong>of</strong> the day.<br />

If this limit is not exceeded, the p<strong>at</strong>ient may visit<br />

the lav<strong>at</strong>ory and perform the usual duties <strong>of</strong> the<br />

toilet. The' morning temper<strong>at</strong>ure should be taken<br />

before breakfast, and it should fall <strong>at</strong> least as low<br />

as 97. H before the p<strong>at</strong>ient is allowed to get up.<br />

Cases commencing with an initial htemoptysis are,<br />

as a class, the cases which exhibit the least fever,<br />

and consequently require the least rest, but all require<br />

some rest in bed <strong>at</strong> the commencement <strong>of</strong> the<br />

bleeding. L<strong>at</strong>er such p<strong>at</strong>ients may be allowed to<br />

exercise cautiously Early resting prevents acute<br />

and incipient cases from becoming chronics. P<strong>at</strong>ients<br />

who manifest <strong>at</strong> the outset the most violent<br />

constitutional symptoms, if they eventually survive,<br />

ultim<strong>at</strong>ely make the most perfect recoveries.<br />

All these suggestions apply to laryngeal lesions<br />

with double force. The cough should be controlled<br />

with opium deriv<strong>at</strong>es, and absolute silence must be<br />

maintained for a period <strong>of</strong> even months. So soon<br />

as the temper<strong>at</strong>ure falls, laryngeal p<strong>at</strong>ients may be<br />

allowed to exercise.—E. E. Prest in The London<br />

Lancet.<br />

St<strong>at</strong>e Board Examin<strong>at</strong>ion Questions <strong>of</strong><br />

West Virginia, 190S.<br />

.\n-\to:mv and embryology.<br />

1. Give the character <strong>of</strong> a vertebra.<br />

2. Describe the skin and its appendages.<br />

3. Hip joint: Describe it, naming variety, giving<br />

bones and ligments.<br />

4. Name the regions <strong>of</strong> the abdomen and give<br />

contents <strong>of</strong> any two.<br />

5. Describe the brachial artery and name its<br />

branches.<br />

6. Describe the inguinal canal. Wherein does an<br />

artery differ from a vein?<br />

7. Give origin and insertion <strong>of</strong> triceps muscle.<br />

8. Describe the gall-bladder and bile-ducts.<br />

9. How many bones in the human skeleton?<br />

Classify them.<br />

10. Describe the blastoderm.<br />

PHY'SIOLOGY .\ND HI.STOLOGY.<br />

1. Describe the principal phenomenon th<strong>at</strong> occurs<br />

when a muscle is physiologically active.<br />

2. St<strong>at</strong>e with wh<strong>at</strong> principal functions pulmonary<br />

endothelium is fn. lowed, and describe the origin<br />

and character <strong>of</strong> the blood which an alveolus utilizes<br />

during the physiological action.<br />

3. Give the source and st<strong>at</strong>e the character <strong>of</strong> the<br />

blood supplying hep<strong>at</strong>ic parenchym<strong>at</strong>ous cells, and<br />

describe the two principal functions they possess,<br />

4. St<strong>at</strong>e the effects <strong>of</strong> b<strong>at</strong>tery currents on the normal<br />

human nerves.<br />

5. Give the process <strong>of</strong> regener<strong>at</strong>ion <strong>of</strong> uterine<br />

mucous membrane following pregnancy.<br />

6. Describe the physiological aspect <strong>of</strong> <strong>at</strong>avism.<br />

7. Account for the contraction and dil<strong>at</strong><strong>at</strong>ion <strong>of</strong><br />

the pupil.<br />

8. Name the circumstances influencing secretion.<br />

9. WTi<strong>at</strong> are structural elements? Wh<strong>at</strong> is a typical<br />

cell?<br />

to. Give the elements <strong>of</strong> the nervous system; the<br />

connective tissue.<br />

1. Give tests for urea and acid, give chemical<br />

differenti<strong>at</strong>ion.<br />

2. Test urine for albumin, sugar, indican, and<br />

phosph<strong>at</strong>es.<br />

"HE CHARLOTTE MEDICAL JOURNAL.<br />

3. Name antidote for phenol and tre<strong>at</strong> case <strong>of</strong><br />

poisoning,<br />

4. Make tests differenti<strong>at</strong>ing the alkaloids, morphine<br />

sulph<strong>at</strong>e and quinine sulph<strong>at</strong>e.<br />

5. Define medical jurisprudence.<br />

6. Give symptomb <strong>of</strong> lead poisoning and tre<strong>at</strong>ment.<br />

7. Wd<strong>at</strong> are ptomains, and in wh<strong>at</strong> found? Give<br />

symptoms and tre<strong>at</strong>ment <strong>of</strong> ptomain poisoning.<br />

y. Wh<strong>at</strong> is hard w<strong>at</strong>er? How does it become<br />

hard? Give two ways <strong>of</strong> s<strong>of</strong>tening it.<br />

Wh<strong>at</strong> are the antidotes <strong>of</strong> bichloride <strong>of</strong> mercury?<br />

Give tre<strong>at</strong>ment for poisoning therefrom.<br />

1... Wh<strong>at</strong> isHjO, H0O2, NaCl, H2SO4?<br />

M.VTERIA MEDICA AXD THERAPEUTICS.<br />

I<br />

I . '.ive origin and uses <strong>of</strong> carbolic acid.<br />

2 Cinchona: Where found, chief alkaloids, uses,<br />

ami iliise.<br />

;,. Apomorphine: How obtained, use, dose.<br />

4. .Abstracts, extracts, infusions, tinctures, mixtures:<br />

define each.<br />

5. Wh<strong>at</strong> are hypnotics? Name three most important<br />

ones, doses, and indic<strong>at</strong>ions.<br />

6. Wh<strong>at</strong> is the temper<strong>at</strong>ure <strong>of</strong> tepid b<strong>at</strong>h, warm f<br />

b<strong>at</strong>h, and hot b<strong>at</strong>h; indic<strong>at</strong>ions for each.<br />

'j<br />

7. E uTienagogues: When and how to be used ; ;<br />

name three, with doses.<br />

8. Name five mineral astringents; give dose <strong>of</strong> '<br />

each. !<br />

9. Sweet spirits <strong>of</strong> nitre, H<strong>of</strong>fmann's anodyne: |<br />

indic<strong>at</strong>ions and dose <strong>of</strong> each.<br />

10. Prepare and administer a purg<strong>at</strong>ive high rec- ;<br />

tal enema, \<br />

PRACTICE OF MEDICINE AND PEDIATRICS.<br />

1. Dysentery: Etiology, complic<strong>at</strong>ions and seque !<br />

Ise, and tre<strong>at</strong>ment. ;<br />

2. Rheum<strong>at</strong>ism: Give the different forms; tre<strong>at</strong> I<br />

each. j<br />

3. Tonsillitis: Differenti<strong>at</strong>e from diphtheria; ,<br />

symptoms and tre<strong>at</strong>ment.<br />

4. Give etiology and tre<strong>at</strong>ment <strong>of</strong> hemoptysis.<br />

5. Intussusception: De6ne, diagnose, and tre<strong>at</strong>, j<br />

6. Cirrhosis: Etiology, symptoms, and tre<strong>at</strong>- j<br />

ment. |<br />

7. Ascites: General causes, symptoms, and tre<strong>at</strong>- ,<br />

ment. !<br />

8. Intestinal c<strong>at</strong>arrh <strong>of</strong> children: Symptoms and |<br />

tre<strong>at</strong>ment,<br />

]<br />

9. Describe the lumbricoides and give origin, 1<br />

symptoms, and tre<strong>at</strong>ment.<br />

10. Wh<strong>at</strong> diseases does meningitis complic<strong>at</strong>e in 1<br />

children?<br />

OBSTETRICS AND GYNECOLOGY. ]<br />

T. Differenti<strong>at</strong>e pregnancy from three possible<br />

ailments th<strong>at</strong> simul<strong>at</strong>e it.<br />

j<br />

!<br />

2. Wh<strong>at</strong>occasions vomiting <strong>of</strong> pregnancy? When |<br />

is it pernicious, and wh<strong>at</strong> is remedy? i<br />

3. Wh<strong>at</strong> preliminary knowledge <strong>of</strong> the p<strong>at</strong>ient j<br />

should the accoucheur have? !<br />

4. Describe the possible hemorrhages <strong>of</strong> preg- j<br />

nancy and your method <strong>of</strong> checking them.<br />

5. How long would you work with the newborn 1<br />

to bring about respir<strong>at</strong>ion, and with wh<strong>at</strong> methods? '1<br />

6. Fully describe the third stage <strong>of</strong> labor, giving |<br />

1<br />

methods and danger <strong>of</strong> delay in delivery.<br />

7. Milk leg: \X^hy so called, cause, and tre<strong>at</strong>- (<br />

ment?<br />

8. When is curettage indic<strong>at</strong>ed? Give your way it<br />

<strong>of</strong> doing it.<br />

9. Give nosology, symptoms, and tre<strong>at</strong>ment <strong>of</strong> i,<br />

menorrhagia. 1<br />

10. Nosology, symptoms, and tre<strong>at</strong>ment <strong>of</strong> .-'<br />

vagiuismus.<br />

SURGERY.<br />

I . Wh<strong>at</strong> is suppur<strong>at</strong>ion? Give causes and symp- jl<br />

i

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