CLINICAL MEDICINE. The Board of Examiners. 1. V. H., ætat 20, was taken ill about 12th January with frontal headache and tired feeling. Soon after he complained of pains all over his body, and then of severe pain in the left eye. The headache increased in severity, and by the 17th the pain had extended to the occipital region and back of the neck. He slept badly, and was restless, with muttering when he dozed. On the 17th he had what his friends called a "fit," in which there was twitching of the right arm and leg. After this his speech was not so distinct. He had no vomiting, and his appetite was fair, but he was thirsty. He had a slight cough, without pain or expectoration, and no difficulty in micturition. There was no history of deafness, or of discharge from nose or ears, or of injury to the head. Six months previously he had been subjected to an operation for post-nasal growths. Four months previously a fragment of steel struck the left eye and caused conjunctivitis for about three weeks. The fragment was believed to have remained in the eye. No other illness for many years, and the week before this attack he was playing cricket. He came under observation on 19th January, with pulse 80, respirations 34, temperature 102° F. He had been sweating for the two previous nights. He lay on his back, in a half-dazed condition, answering questions slowly and with some thickness of articulation, but no real aphasia. There was paresis of lower right half of face, and the tongue was protruded to the right. Pupils of normal size, equal, and re-acting to light. Knee jerks normal, no ankle clonus; abdominal reflexes not obtainable. During the next two days he took liquid nourishment fairly well, slept at times, and could answer questions when roused. Temperature varied from 98.4° to 102.4°, but his pulse became weaker, and consciousness less clear. After noon on the 21st respirations suddenly ceased, and when seen a few minutes after he was cyanosed and sweating, pupils widely dilated. The pulse was 92, full, but soft, and it could be felt for about ten minutes after breathing stopped. Comment on this case, as regards especially the probable cause, the symptoms, and pathological condition. 2. Miss C. D., ætat 21, somewhat anæmic looking, does not appear emaciated, but she states that she has lost over a stone in weight during the last two months. Complains of pain in the pit of the stomach, burning in character, constantly present, but varying in degree, being aggravated by any exertion and after taking food. She has not been able to eat anything solid for more than a month on account of the pain. There is tenderness on pressure in the centre of the upper part of the epigastrium over a limited area. No tumour can be felt. Never any vomiting or hæmatemesis. The temperature is normal; pulse 90, of poor tension. Nothing abnormal to be found in the pulmonary, circulatory, or genitourinary systems. The bowels are costive; no hæmorrhoids. Three years ago patient had a similar illness, lasting several weeks. Comment on above case, with a view to diagnosis and treatment, and state the probable course of the disease. Write prescriptions in full. OBSTETRICS AND DISEASES OF WOMEN. The Board of Examiners. 1. Describe albuminuria in pregnancy in regard to(a) The causation. (b) The symptoms and course of the disease. And give a full account of the treatment. 2. Describe the clinical manifestations and management of placenta prævia. 3. Describe the causes, pathology, and sequelæ of chronic endometritis. FINAL HONOUR EXAMINATION IN ENGINEERING. CIVIL ENGINEERING. FIRST PAPER. The Board of Examiners. 1. Describe in detail and discuss the systems adopted for improving the mouths of non-tidal rivers. 2. Write a specification such as you would suggest for the supply of concrete blocks required in a breakwater. 3. Write a specification such as you would adopt for the construction of a road across the West Melbourne Swamp. Give a type cross-section of the proposed road. 4. Discuss the relative merits of electric and cable tramways for a city track, with grades of 1 in 10 CIVIL ENGINEERING. SECOND PAPER. The Board of Examiners. 1. Two alternative routes for a railway between points at equal altitudes, but separated by a range, are surveyed, the data relative to them being as follows:- Assuming a train load of 100 tons, exclusive of engine and tender, compute approximately the total amount of work done in hauling a train over each line, and discuss the relative advantages of the two routes. Resistance on curves 20 chs. 4.8 lbs. per ton, 10 chs. 9.6 lbs. per ton. D. K. Clark's formula 2. Give a brief description, accompanied by neat sketches, of any system of interlocking points and signals you are acquainted with, and show how such should be arranged at an ordinary double junction. MECHANICAL ENGINEERING. FIRST PAPER. The Board of Examiners. 1. What is meant by a pressure and an impulse turbine? Illustrate your answer by diagrams and full description of some good example of each class. 2. Thurston states that the process of improvement of the steam-engine has been one of differentiation, the number of parts being continually increased, while the work of each part has been simplified. Discuss this statement, and illustrate it by a brief historical sketch of the evolution of the steam-engine. |