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Summary of Results of Examination Held by the Board of Medical Examiners

of Maryland, December 14, 15, 16 and 17, 1904.

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Of the 43 applicants in the above list, there are 14 who participated in the examination for the first time, of whom 8 were successful. There were 29 applying for reexamination in branches in which they had previously failed, of whom 4 were successful in working off all branches. Primary examinations require a general average of 75. Those reexamined are required to make 75 in each brauch.

Primary examinations are marked *.

Reexaminations are marked †.

Report of Board of Medical Examiners of Maryland

QUESTIONS USED AT THE EXAMNATIONS OF THE MARYLAND STATE EXAMINING BOARD ON DECEMBER 14, 15, 16 AND 17, 1904

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appendicitis, what structures would be cut and how would you identify each?

2. What surgical landmarks of the elbow joint would aid you by their position in diagnosing between a fracture of the upper end of the radius and a posterior dislocation of the ulna?

3. Describe what is commonly called housemaid's knee and its treatment.

4. What is an embolus, and how does is differ from a thrombus? What relation does it bear to an infarct?

5. Describe one of the operations for the radical cure of inguinal hernia.

6. Describe an operation for the removal of the kidney.

CHEMISTRY.

[Applicant is required to answer but one of the two questions included under this number, and must not answer both.]

I. Define atom, molecular weight, nascent, quantivalence, and analysis.

Or,

Define molecule, atomic weight, alltropic, specific gravity, and synthesis.

[Applicant is required to answer but one of the two questions included under this number, and must not answer both.]

2. Describe in detail a chemico-microscopic method for the identification of blood stains on cotton, wool, or other fabrics.

Or,

Describe in detail Marsh's test for arsenic.

3. Describe the qualitative and quantitative determination of hydrochloric acid in a specimen of gastric contents.

4. About what percentage of fats, proteids and sugar should the following milk formula yield: Gravity cream, 5 ounces; skimmed milk, 5 ounces; sugar of milk, 1 ounce; water, a sufficient quantity to make 20 ounces?

5. Describe in detail two reliable methods of detecting the presence of albumen in urine, and one clinical method for its quantitative estimation.

6. Mention chemical antidotes for phosphor

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I. Give two of the causes of, and treatment for, hemorrhage from the non-pregnant uterus. 2. Describe the fertilization of the ovum. 3. Describe a normal labor, vertex presenting anteriorly and to the left.

4. Give method of management of shoulder presentation, head lying to the left, vertex anteriorly.

5. Describe the treatment of inflammation of the mammary gland during lactation.

6. What do you consider the best substitute for mothers' milk, and how should it be modified for and administered to the infant?

PRACTICE.

I. Define icterus, psoriasis, rickets, pyonephrosis, cholelithiasis.

2. Differential diagnosis between follicular

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I.

PHYSIOLOGY.

What are the two bile acids, and where are they formed?

2. State the average specific gravity of urine and its reaction. Give also the difference between urea and uric acid, and give about the daily excretion of each.

3. What is the difference between the first and second sound of the heart? Explain the rhythmic heart-beat.

4. Describe rigor mortis, and state whether confined to voluntary muscles.

5. What is glycogen? Give the formula, state where found, and how the quantity may be increased or lessened.

6. What is meant by tidal, complemental, reserve and residual air? What is meant by "the vital capacity?" Give the difference between inspired and expired air.

Medical Items.

THE State still remains free from smallpox, no case having occurred since July, 1904.

THROUGH the activity of the Reading (Pa.) Medical Society a new tuberculosis sanitarium is to be erected near Reading.

THE smallpox scare at Gettysburg College was put to rest by the discovery that the case which caused the alarm was one of chicken-pox. The fear invaded Maryland, for one or two students escaped and returned to their homes in Maryland.

THE Maryland Association for the Prevention and Relief of Tuberculosis has begun its campaign of education by means of lectures to

small audiences in various parts of the city. As rapidly as possible operations will be extended to other parts of Maryland.

THE Medical Library and Historical Journal is in the same predicament which confronted the MARYLAND MEDICAL JOURNAL a year ago. The current number is lost by fire, the printing establishment being totally destroyed.

THE Georgia Practician is a new arrival in the family of American medical journals. One is at once struck by its name, which will jar some of us as we need to be jarred. The significant M.D. does not appear after any man's name. Good again, though unusual. The editorials are first-rate. Here's success to the Practician.

THE Book and Journal Club of the Medical and Chirurgical Faculty held an interesting meeting on February 15. The guest of the evening was Dr. W. W. Keen of Philadelphia. Dr. Wm. H. Welch spoke on the medical literature of the Civil War. After the meeting a reception was given in the faculty rooms to Dr. Keen and Dr. Osler.

THE one hundred and seventh annual meeting of the Medical and Chirurgical Faculty of Maryland will be held in Baltimore on April 25, 26 and 27, 1905. All those members who desire to present papers should communicate with Dr. Jeffries Buck, chairman of the program committee, before March 15. The annual oration will be delivered by Dr. Wm. Osler.

PRELIMINARY examinations for appointment of assistant surgeons in the United States army will be held on May 1 and August 1, 1905, at points to be hereafter designated. Full information and permission to appear for examination may be obtained from the Surgeon-General, United States army, Washington, D. C. Applicants must be citizens of the United States and between 22 and 30 years of age, graduated from a medical school legally qualified to confer the degree of doctor of medicine, must give evidence of good character and habits, and must have had at least one year's hospital train

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ing or its equivalent in practice. In order to perfect necessary arrangements for the examinations on May 1, applications must be complete and in the possession of the Surgean-General by April 1, and for the examinations on August I by July 1. There are at present 20 vacancies in the medical corps of the army.

ON February 21 the new tuberculosis dispensary at Johns Hopkins Hospital was opened with appropriate exercises. Dr. Henry Barton Jacobs, president of the Laennec Society, made an address on the "Origin and Rise of Tuberculosis Dispensaries." Dr. Herman M. Riggs, medical director of the New York City Health Department, made an address on “The Advantages of a Tuberculosis Dispensary." Dr. Wm. Osler spoke on "Tuberculosis in the General Hospitals," offering the restriction which excludes consumptives from general hospitals. Dr. Wm. H. Welch also spoke. Mr. Henry Phipps of Pittsburg, through whose generosity the dispensary was built, was present and responded happily to the demand upon him for a speech. He deprecated the use of his name as a designation for the dispensary. After March the regular clinical work of the dispensary will begin, Dr. Louis V. Hamman being in charge.

DR. DARLINGTON, health commissioner of New York city, is reported to have asked for an appropriation for the purpose of taking a census of New York. He believes that the census of 1900 underestimated the population, particularly of the more crowded sections, and this enumeration used as a basis for present estimates gives too low populations, which, in their turn, give too high death-rates. New York ought to take a census in 1905 for the sake of knowing her population. Ten-year intervals are too long for census enumerations. But the reasons offered by Dr. Darlington afford no argument whatever for taking a census at this time. The death-rate of New York is not too high, though by increasing the population it could be made to appear much lower. The death-rate of New York for 1904 is quite consistent with the experience of past years, and is as nearly true in all probability as any deathrate ever published by that city.

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