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THE M.B., B.CH., AND B.A.O. DEGREES

EXAMINATION.

MEDICINE AND PATHOLOGY.

SECTION A.

MEDICINE.

PROFESSOR LINDSAY; PROFESSOR LYNHAM; DR. O'CARROLL.

1. Give the clinical symptoms which would suggest the presence of a stone partially obstructing the common bile duct.

2. Describe the cardio-vascular changes liable to occur in chronic Bright's disease.

3. Enumerate the conditions in which loss of the kneejerk (patellar tendon reflex) may be present, and indicate in each case the probable mechanism of that loss.

4. Give an account of the symptoms of plague; and discuss the diagnosis of that disease.

SECTION B.

PATHOLOGY.

PROFESSOR E. J. McWEENEY; PROFESSOR LORRAIN SMITH. 1. In performing an autopsy on a case of tubercular meningitis, state what steps you would take to ascertain the primary focus, and what appearances would enable you to identify it when found.

2. What is Widal's Reaction? How would you carry out an observation regarding it?

PRACTICAL PATHOLOGY.

PROFESSOR E. J. McWEENEY; PROFESSOR LORRAIN SMITH. 1. Stain the paraffin section A for pyogenic cocci by Gram's method or any modification of that method you prefer.

2. Demonstrate tubercle bacilli in sputum B.

SURGERY AND OPHTHALMOLOGY.

SECTION A.

SURGERY.

PROFESSOR HAYES; SIR THORNLEY STOKER.

1. Name the forms of tetanus, and say how, in a severe case, the intra-cerebral injection of anti-toxin might be employed: the technique to be fully described.

2. Contrast the features present in a case of acute intestinal obstruction due to constriction by a band, with volvulus. The line of treatment to be adopted in each case must be stated.

3. What is meant by the term 'pharyngeal pouch'? What are the signs and symptoms of the condition? what its differential diagnosis? How is it treated?

4. Describe the evidences of rupture of a kidney, and discuss its treatment.

SECTION B.

OPHTHALMOLOGY.

PROFESSOR SANDFORD; PROFESSOR WERNER.

5. Give an account of the intra-ocular tumours found in children and adults respectively.

6. Enumerate briefly the conditions which give rise to optic nerve atrophy.

MEDICAL JURISPRUDENCE AND SANITARY
SCIENCE.

PROFESSOR PEARSON; PROFESSOR ROCHE.

1. Discuss the meaning of the term 'live birth'; and state to what extent it can be determined by post-mortem examination.

2. Give a classification of the recognised forms of insanity; and briefly indicate the leading features of each form.

3. Describe the symptoms of poisoning by aconitine ; and the mode of treatment you would adopt.

4. How may diphtheria spread, and what precautions would you advise to control an epidemic of it?

5. Discuss the various methods for the disposal of town refuse as distinct from sewage.

6. What are the chief obnoxious gases given off in industrial pursuits? Give the methods proposed to lessen

their ill effects.

THE M. D. DEGREE EXAMINATION.

SPRING, 1902.

MEDICINE AND PATHOLOGY.

FIRST PAPER.

SECTION A.

MEDICINE.

PROFESSOR LINDSAY; PROFESSOR LYNHAM; DR. O'CARROLL.

1. Give the symptoms of chronic tonsillitis, and point out how chronic enlargement of the tonsils may influence the development of children.

2. Write brief instructions regarding diet for a case of (a) pulmonary tuberculosis, (b) chronic dyspepsia.

3. Discuss the differential diagnosis of smallpox, as seen at each of its principal stages.

4. Discuss the following case :

A man, whilst intoxicated, fell over a balustrade and was picked up senseless. He came to himself, however, within six or seven hours, and he attempted to go about his business next day. But he noticed some weakness in the upper extremities, and within three days after the accident there was decided weakness in both upper and lower limbs. Within a few weeks the upper limbs showed increasing weakness, but no absolute paralysis; some loss of muscular bulk, and some tendency to clawing' of the hands. The lower limbs by this time had become somewhat spastic, with increased knee-jerks and ankle clonus.

The patient's mental condition was good.

This state of things seemed well established at the end of three months; but gradually improvement set in, and a year and a half later a cursory examination of the patient showed that hardly anything remained of the condition just described, except a slight clawing' of one hand.

SECTION B.

PATHOLOGY.

PROFESSOR E. J. McWEENEY; PROFESSOR LORRAIN SMITH.

5. Give a full account of the causation and varieties of cirrhosis of the liver.

6. Give some account of Hodgkin's disease, and of the allied conditions.

SECOND PAPER.

SECTION A.

MEDICINE.

PROFESSOR LINDSAY; PROFESSOR LYNHAM; DR. O'CARROLL.

1. Discuss the treatment of an inveterate case of chronic eczema affecting chiefly the face, arms, and legs.

2. Discuss the subject of empyema from the following points of view, viz. :-(a) causation, (b) bacteriology, (c) diagnosis, (d) treatment.

3. Mention some diseases in which there is a liability to suddenly-occurring fatal syncope.

4. Write a note on subnormal temperatures, their causes and significance.

SECTION B.

PATHOLOGY.

PROFESSOR E. J. MOWEENEY; PROFESSOR LORRAIN SMITH.

5. Describe the pathological changes in the cervical, dorsal, and lumbar regions of the spinal cord in a case of locomotor ataxia.

6. What forms of tubercular lesion occur in the kidney? Give details on which you would rely for a pathological diagnosis.

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