4th June 1867. 1. Fracture of the Humerus between the insertion of the Pectoralis Major and that of the Deltoid Muscle. State-(a) In what directions are the ends of the broken bone displaced? (6) The causes of such displacement. (c) The treatment to be adopted. 2. Irritable Ulcer. Describe (a) Its appearance and characters, as distinguished from inflamed ulcer. (b) In what class of patients do we most frequently meet with it, and where is it most generally situated? (c) Its treatment. Question 3. Describe the line of incision and subsequent steps of the operation for ligature of the external iliac artery, and state the principal anastomoses by which the circulation of the lower extremity will be carried on after ligature of the vessel. Question 4. State the most usual position of suicidal wounds of the throat, and the local and general treatment to be adopted in such cases, according to the lesions present in each. VII. CLINICAL MEDICINE AND CLINICAL SURGERY. Written Examination on Cases in the Wards of the Royal Infirmary. VIII. MATERIA MEDICA.-6th June 1867. 1. Assafetida (30). Among what substances is it classed (2)? Whence obtained (2)? From what species and natural family (3)? How known by sensible properties (3) Proximate chemical composition (4). In active part, and how separated (4). Actions on the body (4). Principal uses in diseases (5). How given by the mouth and anus (3). 2. Chalybeate Mineral Waters (40). The two forms of iron in them (3). Examples of each in Britain, or on the Continent (3). How to distinguish each kind (4). When not simple, what other active matters usually concur, constituting four varieties (8). Actions of a simple chalybeate spring (3). Diseases principally treated by them (6). Any precautions necessary (5). Influence of concurring active substances on the actions of iron (8). Define it (3). respectively (4). fied (2.) Uses in action as such (5.) 3. Charcoal (30). Two kinds used in medicine (2). Their composition 10th July 1867. 1. Cantharides (40). Ordinary actions internally in medicinal doses on the urine (2); on the mucous membrances (2.) In large doses on the alimentary canal (4) ; on the kidneys (4); on the genital organs (2). Usual form for internal use (2). Dose and frequency of this preparation (2). Action of cantharides externally (2); the several local changes caused according to the length of its application (5); in certain constitutional states, such as typhus (5); occasional inconveniences through absorption by the skin (5); treatment of these (5). 2. Nitrate of Silver (60). Composition (2). Characters-viz., form (1); weight (1); colour (1); fracture (1); taste (1); solubility (2); effect of exposure (2); test for it in solution (3). Action in large doses internally (4); any remote action then caused (2)? antidote (3). Action in medicinal doses (6). Special uses (6). Form and dose (3). Inconvenient effect sometimes arising (2); in what circumstances (2); precautions against it (4). Action externally when concentrated (2); applications in acute disease (3); in chronic disease (3). Action in diluted solution (2); examples of this (3). 8th April 1868. All the questions to be answered. 1. How may arsenious acid be known by heat simply?—6. 2. How may solution of chlorated lime be known by sulphuric acid?-8. 3. How may citrate of iron and alkali be known by ferrocyanide of potassium and hydrochloric acid?-10. 4. How may acetic acid of D. 1065 be most easily known to be a diluted acid?-10. 5. State how, by external characters, to distinguish, in fragments, Egyptian opium substituted for ordinary Smyrna opium.-8. 6. Why has bruised bitter almond no odour till it is moistened?—8. 7. How, by external characters, may the substitution of dulcamara leaves for belladonna leaves be discovered?-8. 8. If opium and morphia disagree, state three substitutes which may be used to obtain sleep, and their relative probability of action.-8. 9. Mention a remedy for destruction of vermin on the skin, and the form for use.-6. 10. The pill of lead and opium having been given for chronic dysentery, what symptoms shew that it has been continued too long?-8. II. State the several mechanical means for distinguishing the early stage of opium-poisoning from apoplexy.—10. 12. Scurvy having arisen under an amylaceous, leguminous, and saccharine dietary, with thin broth, what proximate principles should be supplied, and in what form ?-10. IX. PRACTICE OF PHYSIC.-5th June 1867. Any three of the following questions to be answered:1. Give the diagnosis and treatment of the delirium of fever. 2. What are the symptoms, and what the physical signs, of Mitral Constriction? Give the treatment of a case. 3. Where is stricture of the colon most likely to occur? What are the symptoms and course? How would you treat it? 4. Distinguish between erythema and erysipelas as to causes, symptoms, and course. X.-GENERAL PATHOLOGY.—5th June 1867. 1. What is the characteristic constitution of intestinal concretions in man, and in what part of the intestines do they chiefly lodge? 2. What is the reason of the long-continued fluidity of the blood included between ligatures in living arteries, and what reasons may be assigned for its ultimate coagulation? 3. What is meant by Hippocratic Succussion, and in what physical conditions is it available for diagnosis? 4. To what diseases are makers of lucifer matches, and workers in bichromate of potash and in copper, liable? 10th July 1867. Any three of the following questions to be answered: 1. What is the nature of the yellow and atheromatous spots on the interior of arteries, and what is their precise seat. 2. What is the composition of the air present in pneumothorax, and what are the sources of pneumothorax. 3. What is the constitution of the blood which is supposed to favour or produce hæmorrhages. 4. What is the anatomical constitution of warts, corns, and the molluscum contagiosum. 8th April 1868. 1. Under what circumstances does increase of pigment in the skin, either limited or pretty general, occur? what internal organs have been supposed to be diseased in special connexion with increase of pigment in certain cases? and what are the characters of the disease in them? 2. What is the ordinary amount of urea excreted daily by an adult? what kinds of food give rise to a decrease, and to an increase respectively, of the excretion? in what diseases is the amount increased, and what is the reason of the increase? 3. What are the signs of "collapse" in cholera? mention the state of the blood to which some ascribe it, and of the lungs, to which it is ascribed by others, with the reasons for each opinion. 4. What are the several physical conditions on which bronchophony and pectoriloquy respectively depend, and by what characters are the two signs distinguished? XI.-MIDWIFERY.-4th June 1867. Any three of the following questions to be answered : I. State the type of anatomical union between the pregnant uterus and the placenta and the probable sources of the bleeding in unavoidable and accidental hæmorrhages. 2. Describe the treatment of post-partum hæmorrhage. 3. Mention the indications for the induction of premature labour and the modes of inducing it. 4. Give the causes and treatment of inversion of the uterus in its acute and in its chronic forms. XII.-MEDICAL JURISPRUDENCE.-6th June 1867. Any three of the following questions to be answered : 1. Poisoning with Sulphuric Acid. (a) Symptoms; (b) post-mortem appearances; (c) treatment; (d) tests for it on clothes. 2. Rape. (a) What constitutes the crime when perpetrated on an adult? (b) What constitutes it when perpetrated on a child? (c) Lesions to be looked for on an adult; (d) Lesions to be looked for on a child; (e) Natural disease which may be mistaken for effects of rape; (f) points to be observed in order to form an opinion as to this. 3. Cadaveric Rigidity. Whether retarded or quickened by—(a) Exposure of the body to cold; (b) by enfeebling disease prior to death; (c) by robust frame at period of death. In what order are the muscles affected by it? in what order does it disappear? 4. Chronic Poisoning by Lead. Under what circumstances does it occur? State the symptoms. State prophylaxis and treatment. XIII. PRESCRIPTIONS.-4th June 1867. 1. Prescribe nux vomica and phosphate of zinc, in the form of pill, for an adult patient suffering from paraplegia. 2. Prescribe a carminative mixture for an infant of six months old. 3. Prescribe ergot of rye for a patient whose labour is retarded by feeble action of the uterus. N.B.-Each prescription must be accompanied with directions for its use; and the whole must be written in Latin without abbreviations. 9th July 1867. (The names, quantities, and directions to be written in Latin words without contractions.) 1. Prescribe a dose of jalap and calomel for an adult. Add the following direction literally translated into Latin:-"Let the dose be taken at eight o'clock in the afternoon." Pomeridianus, adjective, in the afternoon. 2. Prescribe a weak solution of Nitrate of Silver, to be used as a collyrium in a case of chronic ophthalmia. Add the following direction literally translated into Latin:-"Let the sick man use the collyrium in the usual manner, twice or thrice a day." Solitus, usual; mos, manner. 3. Prescribe tannic acid and opium, in the form of pills, for a case of diarrhoea. Add the following direction literally translated into Latin :-"Divide the mass into twelve pills, of which let one be given four times a day, or after every liquid motion." Dare, to give; singulus, every; dejectio, motion or stool. 4. Translate the following direction into Latin :— -"Let cupping-glasses be applied to the loins, and let eight ounces of blood be withdrawn." Cucurbitula cruenta, a cupping-glass; detrahere, to withdraw. IV. DEGREES IN LAW. DEGREE OF LL.B. (Questions proposed on Tuesday, Wednesday, and Friday, the I. CIVIL LAW. I. Mention what you know about the Twelve Tables. 2. Define approximately the periods of constitutional legislation, praetorian equity, scientific jurisprudence, and imperial enactment. 3. State what you know of Gaius. 4. Upon what general plan is the digest constructed? 5. What is the history of the glosses we find in the 15th, 16th, and 17th century editions of the Corpus Juris ? 6. What were the great divisions and sub-divisions of the conditions of persons as we find them in Gaius and Justinian? 7. State what were the duties of a tutor in regard to his ward's estate. 8. What do you understand by the in bonis habere of the anteJustinianian law? 9. Under what circumstances was fructuum perceptio constitutive of a right of property? 10. To whom, and against whom, was the Publician action granted? II. What was the nature of an emphyteutic right? 12. In what ways might a usufruct be constituted? 13. In the case of a usufruct by bequest, at what period did it vest (1) when granted unconditionally; (2) when granted ex die; (3) when granted sub conditione? 14. What was the import of the caution a usufructuary had to find (1) |