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

THE CHARLOTTE MEDICAL JOURNAL.
(/>) What is suppurative inflammation? 5. What are the contraindications respec-
5. Describe fatty degeneration as distin- lively to the use of the three principal anesguished
from fatty infiltration of tissue. thetics—nitrous oxide, ether, chloroform?
PRACTICE OF MEDICINE. What is dislocation? Fracture?
. , , ^. n c 1 Give differential diagnosis between
1. Acute articular rheumatism: Defini- f,,,uire and dislocation,
tiou, etiology, morbid anatomy, symptoms,
,^ De.=cribe CoUes' fracture!
complications, diagnosis treament
2. Cholera asiatica: Definition, etiology,
morbid anatomy, symptoms, complications
and sequels, diagnosis, prophylaxis, treat-
.
^ ^^^^^.^^^ treatment of same.
^^ ^^^^^ .^ hemorrhage?
^ ^ ^^^^ ^^^^^^^ ^.^^ ^^^^^^ epistaxis?
^^ Describe operation for ligation of
'^^^ ,^ „ r .,. ,. , ,. sublavian arterv in its third portion.
3 Dysentery: Definition, etiology, chn- ^3 ^^^^^ ^^^^^.^^ ^ .^^ ^^.
ical forms, anatomy of each form, d.agno-
^^^^,-^^^^ ^^ ^j^dle third of leg?
^'^'
^''ff^f^" V ,.
4, Hydrc phobia:
„ ^ .,.
,, ,
Definition, pathology, ,
14.
.
Describe complete ^ indirect inguinal "
symptoms, diagnosis prognosis, treatment.
^H'^q-^^ symptoms of strangulation,
5 Uncinariasis: Definition, etiology,pa-
^^thods of reduction, and operation if stranthology,
diagnosis, treatment.
^^^^^.^^ ^^.^^^
OBSTETRICS. ^(j Describe an approved operation for
1. What attention should be given to the the radical cure of oblique inguinal herni.
kidneys of pregnant women?
2. What are the symptoms of threatened SImptllied Technlc for Radical Cure of
eclampsia? Inguinal Hernia.—Murray (British Med.
3. What are the causes of antepartum Jour.) says that the chief cause of failure
hemorrhage? How should they be man- after operation for inguinal hernia is inaged?
complete removal of the sac. The writer
4. What is the usual procedure in the further says; "in examining patients in
delivery of the placenta? whom hernia has recurred I have been at"
5. How would you manage a breech pre- once impressed by the position of the scar,
sentation? The skin incision had been made far too
PEEIATRICS. low—in fact, it encroached upon the scro-
1. Give etiology, complications, and du- t"- and did not extend upwards further
ration of pertussis. than the external abdominal ring. Through
2. Give treatment of acute adenitis. such an incision it is impossible to excise
3. Define ophthalmia neonatorum and the sac completely. The lower end of the
give its treatment. skin incision should not extend more than
4. Give synonymand treatment of scabies, one-half inch below the external abdominal
5. Give diag-nosis and treatment of bron- ring. I always open up the inguinal canal
chopneumonia.
for about one and one-half inch, and, havrvvwrornr-v
i"? found and isolated the sac, make a
uvMicoLoc^
^.^^^
, ^ n
^^ pulling it vertically upwards, and
1, Define endometntis.and give Its causes,
^^ ^^^ g^^^^g ^-^^ brushing back with gauze
varieties, and treatment.
^^^ ^^1^^^ structures clinging to the neck of
2. Give a differential diagnosis between
^^^ ^^^ j continue to pull the sac upwards
ovaritis and ovaralg.a. ^
and push bank the surrounding structures
^ , ,
0. Give the pathology of (a) hydrosalumil
I bring into view a marked thickening
pinx, id) hematosalpinx; give the diagnosis
^f ^]^^ peritoneum. This thickening is to be
and treatment of each.
f„^„d on the pubic side. I always look
4. Is ventrofixation of the uterus justifif^^
^^ ^„j ^..^en it appears know I have
able? If so, state under what circumstanreached
the limit of the sac. Bv transfixing
ces and describe the operation
^^^ jy,,^^ ^^e peritoneum through this thick-
.5. What IS the menopause, and m what
ened portion the limits of the sac have been
manner would you explain the theory that ^^^^^ ^^^^ ^^.^eu it is cut away the ligait
IS a critical period in a woman's life?
^^^ed stump at once disappears from view
SURGERY. beneath the internal oblique. This thick-
1. Define abscess; aneurysm: With what
condition may aneurysm be confounded?
ening of the peritoneum is physiological,
It is present during infancy as well as dur-
2. Make briefly a diagnosis of coma from ing adult life, and when operating for iuinjury,
apoplexy, uremia, opium poisoning, guiual hernia should always be looked for,
and alcoholic intoxication. as it is the only true indication that the
3. Define peritonitis. limits of the sac have been reached. The
4. State two or more ways in which the sac being thus completely removed, I unite
peritoneum may be invaded by bacteria. the divided aponeurosis of the inguinal