THEORY AND PRACTICE OF MEDICINE. The Board of Examiners. 1. Give a critical account of the views held on the nature and mode of transmission of influenza, and state your opinion on the subject of its treatment. 2. Discuss the relation of interdependence of cardiac and renal disease in their various forms and stages. 3. Give your experience in the treatment of hæmoptysis. 4. Describe the nature, symptoms, and treatment of pernicious anæmia. MEDICINE. The Board of Examiners. CASES FOR COMMENTARY. 1. C. D., ætat 17, was admitted to hospital suffering from right hemiplegia, with some facial paralysis of same side. There was the history of a somewhat similar attack eighteen months previously, followed by recovery. She was aphasic, and was said to have suffered from headache. The deep reflexes were exaggerated, and there was marked ankle clonns on the right and slightly on the left; there was also considerable rigidity of the muscles of the right limbs. In two months she was discharged greatly improved, able to walk about, with little remains of muscular rigidity, and no ankle clonns; the sight was not affected. Six months after she was readmitted, with the hemiplegia about the same, a little rigidity of the arm easily overcome, no ankle clonns, but patellar reflex exaggerated, especially on the right. There was now divergent strabismus most distinct in the left eye; she passed all discharges in bed, but understood what was said to her; she slept well, and did not seem to be in pain; there was no vomiting; when the head was percussed anywhere she winked rather than winced, but did so also in anticipation of the stroke; light did not seem to affect her, but opthalmoscopic examination showed the retina congested, the discs a little blurred, but not "choked." Comment on this case, discussing specially pathology and localisation of lesion. 2. C. D., ætat 45, sailor, states that for about six months he has suffered from shortness of breath and giddiness. On examination the veins of the head, face, neck, upper extremities, and chest are seen to be dilated and distended; the skin over the same regions is of a dusky cyanotic hue; the veins of the trunk, below the margins of the ribs, and those of the lower extremities, are not affected, and the skin here presents no abnormal appearance. Whilst the patient is lying in bed he is quite comfortable, but on first assuming the erect position he staggers, looks dazed, and talks incoherently. This condition soon passes off, and he is able to move about quietly, without any further distress. If he stoops forward the venous engorgement becomes more apparent, and he feels dizzy; if he walks quickly he suffers from dyspnoea. Patient is well nourished, appetite and digestion good, no cough, percussion note and breath sound good, all over chest; apex beat of heart is removed outwards, and slightly downwards; impulse is strong; at the right margin of the sternum, at level of second rib and second interspace a pulsation is felt; and in the same locality a systolic bruit is heard, which is transmitted some distance along the aorta; the second aortic sound is clear, and the sounds heard in the pulmonary and mitral areas are normal; no difference in the radial pulses. Comment on the above case, giving diagnosis, prognosis, and treatment. PHYSIOLOGY OF THE BRAIN AND NERVOUS SYSTEM. Professor Halford. 1. Give the superficial and deep origins and the functions of the nerves met with in a dissection of the orbit. 2. "With regard to the supreme centres of our mental life, from the residua of past thoughts, feelings, and actions, which have been organized as mental faculties, there results a certain psychical tone in each individual. This is the basis of the individual's ego."-MAUDSLEY. What are the facts upon which the above statement has been made? OBSTETRICS AND DISEASES OF WOMEN The Board of Examiners. CASE FOR COMMENTARY. A lady, aged 37, had engaged an opinionated and inexperienced woman to attend her in her first confinement. The nurse calls on, and informs the doctor that the baby was born six hours ago, and that blood has been constantly oozing since, and asks him to go and just remove the afterbirth. The doctor finds the patient very weak from loss of blood and removes the placenta, after which there is some flooding. On the third day afterwards, the morning temperature is 100° and the pulse 120; there is slight tenderness and some distension of the abdomen; and not much discharge, but some milk. The temperatures continue to be high at times, but are normal occasionally for twelve or fifteen hours, then suddenly rising perhaps to 104°, and there are at times profuse perspirations and flying pains in the limbs. The friends consider it is the doctor's fault that the patient is not well, and ask why she is not up and about like other women. In the fourth week, the nurse has made the patient sit up, contrary to the doctor's directions, when she suddenly faints and is dead. Comment on this case in its various aspects, particularly discussing the diagnosis and pathology, prognosis and treatment in the different stages, and describing the normal modes of cessation of hæmorrhage in child-birth. MOLLISON SCHOLARSHIP EXAMINATION. W. T. MOLLISON SCHOLARSHIP. FRENCH. The Board of Examiners. 1. Ecrivez une lettre de condoléance à S. M. la reine Victoria, au sujet de la mort de son petit-fils. (Une demi-page environ). 2. Comparez entre eux les différents Etats Australiens, en indiquant ce qui constitue la richesse de chacun. 3. Traduisez, mais sans versifier : Fear no more the heat o' the sun, Fear no more the frown o' the great, To thee the reed is as the oak: |