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FIRST PASS EXAMINATION PAPERS

FIFTH YEAR.

FORENSIC MEDICINE AND PSYCHOLOGICAL MEDICINE.

1. What are the usual causes of apno3a, and what are the appearances indicative of death from this condition ?

2. Enumerate the several influences which retard or accelerate the putrefactive process.

3. From an inspection of the skeleton of an adult, what are the points to be looked to in determining the question of age ?

March, 1892.

4. In a case of alleged rape, what precautions are to be observed in the examination of the woman, so as to avoid arriving at an erroneous conclusion ?

5. Describe circumstantially all the appearances indicative of maturity in the dead body of a new-born child.

6. What is mania, and what is dementia, and what are the points of difference between the two conditions ?

7. Which of the irritants is most often employed in chronic poisoning, and with what diseases are the symptoms not unlikely to be confounded ?

SURGERY.

1. What are the pathological changes observed in rickets ? Detail some of the bone deformities met with in this affection. What treatment should be enjoined in a child aged, say, five months, showing symptoms of raehitis ? 2. What are the causes and symptoms of stricture of the rectum ?

3. If suddenly called to a case of retention of urine from organic stricture of urethra, what remedial measures would you adopt ?

4. Describe the pathological appearances of a joint in simple, chronic, and suppurative arthritis ?

5. Classify burns according to the system of Dupuytren. What are the causes of death in severe burns ?

6. Abscess. What is meant by metastasic, caseous, chronic, residual, cold, and tympanic abscesses ? Give briefly the causes, symptoms, and

nature of these pus collections.

THEORY AND PRACTICE OF MEDICINE.

1. Describe the causes, symptoms, and diagnosis of bronchiectasis.

2. What is the nature of the condition commonly known as alcoholic paralysis ? Describe its symptoms and treatment.

3. Give the main points in the differential diagnosis of bronchitis, pneumonia, and pleurisy.

4. Describe the diagnosis and treatment of whooping cough, including its complications.

5. Discuss the chief points in the causation, diagnosis, and treatment of abscess of the liver.

6. Give an account of the treatment, dietetic and medicinal, of a case of diabetes.

OBSTETRIC MEDICINE AND DISEASES OF WOMEN AND CHILDREN.

1. Give the divisions of the decidua, and describe their development.

2. Describe the different positions which the foetus may occupy in utero, and in each case mention where the foetal heart is most audible.

3. In pelvic presentations give the positions of the child, the prognosis, causes of foetal mortality, and treatment.

4. Briefly describe the conditions and treatment of defective development of the female generative organs.

5. In a case of retroflexion of the uterus, what complications might be present, and what treatment adopted.

6. When the suckled child vomits. or is purged, what treatment would you advise ?—(Australian Medical ,yournal).

REGIONAL AND APPLIED ANATOMY.

1. Describe the steps of a dissection of the orbit, naming in order the structures displayed, and stating their relations to one another, but not describing them in detail.

2. Describe, similarly, the steps of a dissection of the ischio-rectal fossa. Discuss the surgical anatomy of this region.

3. Discuss the surgical anatomy of fractures of the upper third of the femur.

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4. Describe the axes and diameters of the female pelvis.

5. Describe the relations of the lungs and of the pleura) to the chest wall.

6. Describe the synovial membrane of the knee joint.

7. Describe the motor tracts in the brain and spinal cord.

PATHOLOGY.

1. Describe the macroscopic and microscopic appearances in (a) Lardaceous sago spleen.

(b) Nutmeg liver.

(c) Disseminated miliary tuberculosis of the lung.

(d) Contracted granular kidney.

(e) Scirrhous carcinoma of the mammary gland.

(f) A wound healing by the first intention.

2. Describe the process of embolism in the spleen.

3. State what you know concerning the bacillus anthracis.

THERAPEUTICS, DIETETICS, AND HYGIENE.

PAPER I.

1. Describe the physiological actions of (a) Belladonna. (b) Santonin.

2. Give an account of the therapeutic applications of (a) Lead, (b) Strychnine.

3. What means have we of acting therapeutically upon the heart.

4. Enumerate the Salts of Sodium, and describe their therapeutic uses, giving illustrative prescriptions.

PAPER II.

1. Give the quantities and ingredients of the diet suited to an infant from the 12th to the 18th months of life.

2. Construct a dietary for hospital patients.

3. How would you peptonise milk ?

4. Describe in detail how you would disinfect a room in which a person had suffered from scarlet fever.

5. Contrast the characters of drinking water according as it is pure, usable, suspicious, or impure.

6. Discuss the principal sanitary defects found in ordinary house construction and arrangement.

SENIOR DESCRIPTIVE AND SURGICAL ANATOMY.

1. Describe the steps of a dissection of each of the following regions, naming in order the structures displayed, and stating their relations to one another, but not describing them in detail :-

(a) The pterygoid region, as far as the deep surface of the internal pterygoid.

(b) The sole of the foot.

2. Describe the third ventricle of the brain.

3. Describe the pericardium.

4. Describe the origin, course and relations of the third part of the subclavian artery.

5. Describe the origin, course, relations, branches and communications of the ulnar nerve.

6. Describe the iliac veins.

7. Describe the capsule of the hip joint and name in order the muscles in immediate relation with it.

PHYSIOLOGY.

1. What are the origins and uses of Fat in the human body ?

2. Give some examples of the different points of application of the muscles of the limbs, and of the uses of the pulleys connected with their tendons.

3. Describe the nervous supply to the Submaxillary Gland, and also Claude Bernard's experiments on the secretion of saliva.

March, 1892

4. What are the effects of the contraction of the left ventricle on the whole circulation, and how may these effects be modified by experiments on the lower animals ?

5. What is the probable origin of Urea ? How may the daily amounts of its excretion be lessened or increased ?

6. Describe what is known of the fertilization of the animal ovum ; and what is meant by the following statements :-

(a) " The Individual recapitulates the history of its kind."

(13)

" That the Past lives in the Present."

(y) "

That we individually retread paths made by our ancestors."

JUNIOR DESCRIPTIVE AND SURGICAL ANATOMY.

1. Describe the walls of the orbit.

2. Describe the ligaments of the elbow, including the orbicular.

3. Describe the movements of the hip joint and name the muscles which produce them.

4. Name, in order, the tendons around the ankle.

5. Describe the origins, insertions, relations, and functions of the following muscles :—Superior oblique of the eye ; omohyoid ; brachialis anticus;

adductor pollicis mantis ; obliquus internus abdominis ; psoas magnus ; tibialis posticus ; flexor accessorius pedis.

PHYSIOLOGICAL CHEMISTRY AND HISTOLOGY.

PART. I.

1. Give the tests for egg and serum albumin.

2. How would you demonstrate the presence of paraglobulim in serum ? 3. How would you separate the organic from the inorganic matter of bone, and

how would you simply analyse the latter ?

4. Describe the action of artificial gastric juice on proteids and on milk PART II.

1. Describe the minute structure of voluntary and involuntary muscular fibre.. 2. Describe the minute structure of the large and small intestines.

3. And of the cortical substance of the kidney.

4. And of the lung.

MATERIA MEDICA, MEDICAL BOTANY, AND ELEMENTARY THERAPEUTICS.

1. State shortly the chief uses and the doses of the following officinal articles- Butyl-chloral Hydras, Acidum Benzoicum, Tincture Cocci, Adeps, Chrysaro- binum, Hirudo, Pilula Saponis Composita, Moschus, Oleum Crotonis.

2. Iodoformum. Describe its mode of preparation, characters, officinal prepara- tions, dose, and modes of administration.

3. Give an account of the officinal preparations containing Arsenic, give their doses, and describe the symptoms of its physiological action.

4. How is Amyl Nitrite prepared, and what are its physiological actions, therapeutical uses, and dose ?

5. What is Aloes ? Give its officinal preparations, doses, and uses.

HONOUR PAPERS.

REGIONAL AND APPLIED ANATOMY.

1. Describe the relations of the structures in the wall of the cavernous sinus,.

and of those in the sphenoidal fissure.

2. Describe the pelvic fascia, and discuss its surgical anatomy.

3. Describe the mastoid cells, and discuss their surgical anatomy.

it

THE SPECULUM. March, ISM.

4. Describe fully a dissection of the index finger.

5. Describe the left pneumogastric nerve in the chest, and the branches which it gives off in this region.

6. Describe the course of the lymphatics of the male generative organs.

7. Describe the steps of the dissection necessary to expose the posterior tibial artery in the middle third of the leg. Do not describe any structures in detail.

PATHOLOGY.

1. Describe the repair of arteries ligatured in continuity.

2. Discuss phagocytism.

3. Discuss the ha3matogenous theory of jaundice.

4. Describe in detail one method d staining and mounting a preparation of tubercular sputum.

6. Describe the macroscopic and microscopic appearances in (a) Syphilitic gumma.

(b) Tubular adenoma of the rectum.

(c) Acute bronchopneumonia.

THERAPEUTICS, DIETETICS, AND HYGIENE.

PAPER I.

1. Distinguish between the actions of Nitrous oxide, Ether, and Chloroform, when used as anaesthetics in reference to

(a) The quantity required to produce anaesthesia.

(b) The time within which anaesthesia is generally produced.

(c) The duration of the anaesthesia.

(d) The dangers attending their use.

(e) The causes of these dangers.

2. Give, with illustrative prescriptions, a full account of the uses of opium.

3. Enumerate the main caustics, and illustrate their different actions and uses.

4. Describe the physiological action of (a) Mag. Sulph., (b) Cantharidin.

PAPER II.

1. Contrast mother's milk, condensed milk, and cow's milk in the feeding of infants How can you anticipate the risk of firm clotting in the case of cow's milk ?

2. What is the comparative strength of the different spirits, wines, and beers, and what is Anstie's safe limit in each instance ?

3. Construct a dietary for hospital patients.

4. Discuss the principal sanitary defects to be found in ordinary wooden and brick houses.

5. State the means to be adopted in order to prevent sewer gas from coming into a house, (a) as regards main sewers, (b) as regards house drains.

4. Discuss the question of the filtration of drinking water.

SENIOR DESCRIPTIVE AND SURGICAL ANATOMY.

1. Describe the crura cerebri.

2. Describe the origin, course, relations, branches, and communications of the auriculotemporal nerve.

3. Describe the origin, course, relations, branches, and anastomoses of the superior intercostal artery.

4. Describe the deep palmar arch, with its relations, branches and communi- cations.

5. Describe the membranous part of the male urethra, and its relations.

6. Describe the origin, course, and relations of the popliteal vein, and name the branches which it receives.

7. Describe the origin, course, relations, branches, and communications of the obturator nerve.

8. Describe the functions of the muscles of the larynx in a healthy person.

2. Describe the ossification of the temporal bone.

PHYSIOLOGY.

1. Explain the difference of function of medullated and non-medullated nerve fibres. What is their central origin, so far as motor power is concerned ? Give particular instances.

2. Explain the behaviour of a frog from which the cerebral hemispheres have alone been removed.

3. Describe accurately the central and peripheral connexions of the auditory nerve.

4. How can that fundamental error, viz., that when the heart contracts its apex is drawn up, be disproved both by theoretical reasoning and by experi- ments, or observations of all animals, including mammals, birds, reptiles, amphibia, and fish ?

JUNIOR DESCRIPTIVE AND SURGICAL ANATOMY.

1. Describe the bony walls of the nasal fossze.

2. Describe the flexor tendons of the fingers and thumb (excluding the short flexors) from the wrist to their insertions, with their fibrous and synovial sheaths.

3. Describe the external (or extrinsic) ligaments of the knee.

4. Describe the structures entering into the sacro-iliac articulation.

5. Describe the origins, insertions, relations, and functions of the following muscles :—Complexus, teres major, quadratus lumbortun, obturator externus, tensor palati, extensor brevis digitorum.

PHYSIOLOGICAL CHEMISTRY AND HISTOLOGY.

PART I.

1. How would you demonstrate the chemical composition of milk P

2. Where is glucose found ? What are the most convenient tests for its detection, and for its quantitive estimation ? How does it differ from cane sugar ?

3. Detail the experiments you made to demonstrate the composition of oils and fats.

PART II.

1. Detail the microscopic examination of blood, and the effects of the reagents used for the demonstration of the corpuscles and of the crystals.

2. Describe the structure and connections of the ciliary muscle.

3. Make a drawing of a vertical section of the retina of a mammal.

MATERIA MEDICA, MEDICAL BOTANY, AND ELEMENTARY THERAPEUTICS.

1. Cinchona Rubrce Cortex : State—

(1) Its officinal preparations, with their doses ; (2) Its chemical composition ;

(3) The officinal salts of the alkaloids contained in it, with their preparations and doses ;

(4) Its chief actions and uses.

2. Give the chief botanical characters of Atrppa Belladonna, and describe fully its preparations, doses, physiological actions, and uses.

3. State what you know with regard to the action of drugs on the heart and arteries, and illustrate by examples.

4. Describe fully the officinal forms of Antimony, with preparations and doses.

5. Describe colour reactions yielded by physostigmine, strychnine, quinine, digitaline, creosote, oleum morrhuce, carbolic acid, morphine, salicylic acid, pilocarpine.

Spicula.

Prof. Married.

J. K. gone—for Dublin diploma.

Argyle in London, going for M.R.C.S., passed his first professional.

Soilleux there too—pretty well recovered now, after his two months in Colombo Hospital.

Billy Woods back, also Charley Seal.

Bracewell in London and influenza.

Prof. Jenks on the warpath.

Billy Boyes, Gregerson and Mathews, M.R.C.S.

Girl residents ? Perhaps !

Torn Cherry, demonstrator of pathology.

C. H. Mollison, registrar of pathology at M.H.

Hoppy at the Stawell Hospital.

Langlands, F.R.C.S., coming back again.

Horne, Ted Champion, Rockett, Sprod and Buntine have all been doing locum at the M.H. at Xmas time.

Mat. Lang married.

Jones and Joyce left Adelaide Hospital.

Jones off home in the Woolloomooloo, also Woolrabe.

Brookes insurancing.

Jack McKay means England.

Kent at Brisbane Hospital.

Vickery at the Eye and Ear.

Bert Ham off to the Old Country.

H. R. Horne married.

Geo. Halford demonstrator of Physiology vice Barrett. on leave.

Paul Farmer's lamp in Sydney Road.

Mr. Girdlestone back again. Welcome !

" Smoking Prohibited " in the Students' Room at the M.H. Why is this thusness

Why should not the cards giving notice of operations be posted up on Wednesday instead of late on Thursday morning as they frequently are at present ? One could make one-self familiar with the details of the operations if some notice.were given.

Why is there no new time-table of lectures published at the 'varsity for us ? Arts, science, law, &c., have fresh ones, while the only one publicly displayed in the medical school is one for 1890, with pencil corrections on it, and still incorrect.

Editorial Notices.

The next number is due in May.

Publications received :—Australasian yournal of Pharmacy, Australasian Medical Gazette, Australian Medical journal.

On behalf of the Medical Students' Society we have the pleasure of acknowledging the receipt from Dublin of a copy of the Introductory Address delivered by Mr. R. F. Tobin, F.R.C.S.I., to the students of St. Vincent's hospital, on the commencement of their session. It is entitled : " How can a knowledge of Medicine best be obtained."

FORD & SON, PRINTERS, 372 & 374 DRUMMOND STREET, CARLTON.

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