Medical Society of the State of North Carolina. An.

Transactions of the Medical Society of the State of North Carolina [serial] (Volume 62 (1915)) online

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Commission, which succeeded the Rockefeller Commission, and which
has large funds at its disposal for the betterment of health conditions on
the habitable globe, so appreciated North Carolina's work and ]Srorth
Carolina's man that Dr. Ferrell was called from N^orth Carolina to the
city of New York, and his field of operations was enlarged from North
Carolina to that of the globe.

This work did a great deal of good in this State, and I submit for
your approval the following resolution of thanks, Avhich I trust you Avill
see fit to adopt :

THE OFFICIAL THANKS OF THE NORTH CAROLINA STATE
BOARD OF HEALTH FOR THE ASSISTANCE OF THE
ROCKEFELLER SANITARY COMMISSION.

Whereas the five-year period for which the Foundation for the eradica-
tion of hookworm disease was established has expired; and whereas the
Avork of the Rockefeller Sanitary Commission terminated in North Caro-
lina May 1, 1915; and whereas the Rockefeller Sanitary Commission has
expended the sum of $81,516.23 during the last five years in improving
sanitary conditions in North Carolina ; and whereas the work of the
commission has resulted directly in the examination of 267,999 citizens
of this State for hookworm infection, in furnishing treatment to 95,618
infected citizens, in improving 1,796 privies, and, indirectly, in an ex-
tensive development of an intelligent appreciation of public health work
along all lines of sanitation : Therefore, be it

Resolved, That the North Carolina State Board of Health do hereby
officially record their appreciation of the Avork in this State during the
last five years of the Rockefeller Sanitary Commission ; and be it further

Resolved, That a copy of these resolutions be sent to the successors of
the Rockefeller Sanitary Commission, toAvit, the International Health
Commission, and that these resolutions be giA^en public notice through
the Bulletin of the North Carolina State Board of Health.

Upon motion of Dr. Albert Anderson, duly seconded, this resolution
of thanks was unanimously adopted.

There being no further business, the Conjoint Session was then ad-
journed.



ELECTION OF MEMBERS OF BOARD OF
EXAMINERS FOR NURSES.



Dr. Thompson Frazer of Asheville was nominated by Dr. L. W. Elias.
Nomination seconded by Dr. W. R. Kirk.

Dr. E. Delia Dixon Carroll of Raleigh was nominated by Dr. J. M.
Parrott. I^omination seconded by Dr. Albert Anderson.

Dr. Frazer and Dr. Carroll were elected unanimously.



REPORT

OF THE

BOARD OF MEDICAL EXAMINERS

OF THE

STATE OF NORTH CAROLINA

ANNUAL SESSION, GREENSBORO, JUNE 8-11, 1915.



There were :

142 registrations for examinations.
30 failed to pass the examinations.
2 obtained limited licenses.
104 passed successful examinations.
33 obtained licenses by reciprocity.
6 two-year students passed on first two years work.

H. A. ROYSTER, M.D.,
Raleigh, N. C. Secretary.

REQUIREMENTS FOR ENTRANCE TO EXAMINATION FOR
MEDICAL LICENSE.

An applicant for license to practice medicine in North Carolina must api>ear
before the Board of Medical Examiners in regular session and present a certifi-
cate of good moral character, attested by two persons known to the board, a
diploma from a medical college in good standing, or a license from some other
State, and must deposit $1.5 with the secretary of the board. He will then be
examined upon the following bi*anches of medicine : Anatomy. Physiology.
Surgery. Pathology, Hygiene, Chemistry, Pharmacology, Gynecology, Materia
Medica, Therapeutics, Obstetrics, Diseases of Children, and the Practice of
Medicine. The examinations are written, oral, and practical combined.

He must make an average of 80 per cent upon all the branches, and he must
not fall below .35 per cent upon any one branch.

Api)licants who ax'e not hona fide citizens of North Carolina must satisfy the
I)oard that they liave an academic education equal to the entrance require-
ments of the University of North Carolina, and after 1917 this will be required
of all persons appearing before the board.

TEMPORARY LICENSE.

An ai)plicant for temporary license must appear before two members of the
Board of Medical Examiners and present a certificate of good moral character,
a diploma from a medical college in good standing, and must pay a fee of $5.
He must then stand a satisfactory examination.



406 NORTH CAROLINA MEDICAL SOCIETY.

A temporary license continues in force only until the next regular meeting
of the board, and is granted but once to the same applicant.

Applicants for temporary license may call upon any two members of the
board at their homes at any time in the year, selecting the two most accessible.

REQUIREMENTS FOR RECIPROCITY.

1. Reciprocity is granted only to men of known reputation and ability.
Unless the applicant has had five years experience in successful practice in the
State in which he then resides, or two years of successful hospital experience,
or has filled positions of medical trust accounted by the board as the equal
of these, and unless he is a graduate of a high-class medical college and
possesses a good preliminary education, his application will not be considered.
The burden of proof is upon the applicant to show what his attainments are.

2. He must not have failed before the North Carolina Board.

3. He must present himself in person before the North Carolina Board at its
regular session. To this rule no exception is ever made. He must then pay
a fee of $50.

4. He must fill out a blank application in regard to his moral character,
educational attainments, identity, etc.. and file the same with the secretary of
the board at least thirty days before the meeting of the board. (Blank
applications may be obtained from the secretary upon request.)

5. Reciprocity will be granted to physicians who have been admitted by
examination to the United States Public Health Service, the United States
Nav.v or Army, and who have been continuously in service, or have received
honorable discharge, and have been in continuous successful practice to the
date of application.

In regard to the matter of reciprocity, the State of North Carolina regards
the qualifications of the applicant rather than the State from which he comes.
In every case it is necessary that the applicant appear in person before the
Board of Medical Examiners in regular session, and by this personal inter-
view convince the members of the board that he is a man of intelligence,
sobriety, and high personal character. For this reason it is impossible to make
a definite promise of reciprocity to any man until he has appeared before the
board.

The applicant must also produce papers showing that he has a good pre-
liminary education, is a graduate of a high-grade medical college, and that he
has been successful in his medical undertakings since graduation. In addition
to the application blank, the applicant must furnish abundant evidence that
every statement contained thereon is true. That is, when hospital experience
is claimed, it must be accompanied by letters from the proper authorities,
showing the time of such service, and certifying that this service was satis-
factory. The same requirements are made in regard to other positions of
medical trust.

Reciprocal relations have been established with Louisiana. Indiana, and
Minnesota on a basis of preliminary education and college rating.

With Maryland, Virginia, and Texas, on a basis of two years hospital work
or five years of successful practice.

The North Carolina Board reserves the privilege of rejecting any applicant
for reciprocity without question or comment on the part of the applicant.



KEPORT OF MEDICAL EXAMIXERS. 407

EXAMINATION PAPERS.

ANATOMY.
By Charles T. Harper^ M.D., Wilmington, N. C.

1. Describe the tibia.

2. Describe the nasal fossie.

3. Describe the hip joint.

4. Give origin, insertion, nerve supply and action of internal oblique muscle.

5. Describe the following nerves : (a) phrenic, (h) radial.

6. Describe the vertebral artery.

7. Bound the popliteal space and mention its contents.

8. Describe the small intestine, and give nerve supply.

9. Describe the ovaries and give blood supply.

10. Name the structures that would be severed in an amputation at the
middle of the humerus.

CHEMISTRY.

Br Di;. Is.vAC M. T.vylue, Morganton. X. C.

1. What is meant by specific gravity? How is the si>ecific gravity of liquids
most easily determined? What is a urinometer. its uses and the meaning of
the figures on its graduated stem?

2. What is meant in chemistry by an element? A compound? A mixture?
A salt? An alkaloid?

3. What is meant by inorganic chemistry? Organic chemistry?

4. Give chemical names and chemical symbols of sugar of lead ; Glauber
salts ; blue-stone : a salt of mercury : of iron : of magnesium, and of potassium
(all medicinal agents).

5. Name two alkaloids in common use in medicine.

6. What is the antidote for carbolic acid? For corrosive sublimate?

7. What is an enzyme? What are the enzymes of the gastric juice and their
principal action?

8. What is the difference between alcohol and ether?

9. What are the chlorine salts of mercury ; common name ; chemical name ;
chemical formula, and toxicity, each?

10. What is the normal chemical reaction of saliva : gastric juice ; pancreatic
juice : blood ; bile ; tears : urine ?

PEDIATRICS.

11. Give differential diagnosis between measles and scarlet fever.

12. What are the causes of convulsions in infancy and childhood?

13. What are the early symptoms of scorbutus and rachitis, and iu what
classes of children should we be on the watch for their development?

14. Causes and treatment of ileo colitis?

PHYSIOLOGY, PATHOLOGY, AND HYGIENE.

By Du. M. L. Stevens, Asbeville, X. C.

1. (a) What is the purpose of digestion? (h) Name the digestive fluids,
the digestive ferments contained in each, and indicate the action of each of
these ferments.



408 NORTH CAROLINA MEDICAL SOCIETY.

2. (a) What factors are coucerned in producing normal blood pressure?
(ft) What is the normal blood pressure as indicated in millimeters of mercury?

(c) Name two pathological conditions in which the blood pressure is marlvedly
increased.

3. (a) Define reflex action, (b) Give an illustration of it as applied to a
voluntary muscle, (c) To an involuntary muscle, {d) To a gland.

4. (fl) What is the most important end product of the destruction or
physiologic oxidation of proteid food in the body? (!>) In what organ is it
produced? (c) Where ordinarily found? (d) What amount is usually elimi-
nated from the body per day? (c) AVhat is the significance of the amount
daily excreted?

5. (a) Give the origin, number, and function of the leucocytes, (h) Name
three conditions, physiological or pathological, in which yon would find their
number increased.

6. (0) Define immunity, (h) Natural immunity, (o Aciiuired immunity.

(d) Mention ways in which immunity may be acquired.

7. Give the pathology of arteriosclerosis.

8. (a) Enumerate all the various ways in whicli typhoid is ordinarily
spread. (h) Indicate the measures you would institute for safeguarding
others when treating a case of it in your practice.

PRACTICE OF MEDICINE.

By Dr. J. G. Blount, Washiugton, N. 0.

1. Describe in detail the symptomatology of typhoid fever. ((/ ) When is
perforation most apt to occur? (b) Upon the presence of what four symptoms
would you rely in advising operation?

2. Name the two varieties of dysentery. (<t ) How would you differentiate?
(&) In which form is abscess of liver most apt to occur as a complication?
(c) Give treatment of the two forms.

3. Differentiate between liyper-acidity. gallstones, appendicitis, and renal
calculus.

4. Differentiate aortic and mitral valvular disease, (a) Where is the aortic
regurgitant murmur most distinctly heard? (b) Where is the mitral re-
gurgitant murmur most distinctly heard?

5. (fl) When is the patellor reflex increased? (b) When diminished?

6. («) Describe the Argyll Robertson pupil. {b\ Describe Romberg's Sign.

(c) Name other s.vmptoms of the disease tlnit these symptoms accompany.

(d) Give etiology, treatment.

7. What are the early manifestations of hereditary syphilis?

8. What is intestinal stasis? How would you divide its causes? Give
examples of each.

9. What is Tinea versicolor? Differentiate between vitelligo. chloasma, and
macular sypholodern. How would you treat the disease?

10. Define toxic insanity. What two groups of poisons are responsible for it?



REPORT OF MEDICAL EXAMINERS. 409

GYNECOLOGY AND OBSTETRICS.

B.v Dr. J. F. HiuHSMiTH. Fayetteville, X. C.

1. Describe the fetal heart sounds, .uive their rate, and state when and where
they are best heard.

2. What are the danger signals of impending eclampsia V ((/) What is the
prognosis? (&) Describe an eclamptic attack and give the treatment.

3. Into what stages is labor divided? Define the same, and give a brief
description of the management of each stage.

4. Differentiate the male from the female pelvis. What is the importance
of these differences in labor?

5. What are the general precautions to be employed in using the forceps?
(live the technique of the high forceps operation.

(j. What is post-partum hemorrhage? State the causes and symptoms, and
give the treatment, including its prophylaxis.

7. Give the symptoms and treatment of mammary abscess.

8. Give the signs of fetal death in utero and the proper treatment of the
mother when this condition occurs.

9. What are the causes of hemorrhage from the nonpregnant uterus? Give
the treatment for the most usual forms.

10. What are the symptomatic indications for curettage? Give the steps of
the operation.

SURGERY.
By Di!. II. A. RuYSTKR. Raleigh, X. C.

1. id) What is the surgical significance of leucocytosis? (h) Describe the
repair of wounds.

2. Give the symptoms, pathology, diagnosis, and treatment of acute osteo-
myelitis.

3. How would you recognize a fracture of the neck of the femur? How
would you manage such a case?

4. What are the common tumors of bone? Give their etiology, pathology,
and differential diagnosis.

5. Describe the kinds of goiter and give the indications for surgical inter-
ference.

0. Discuss the differential diagnosis l)etween chronic appendicitis, gall-
bladder disease, and gastric ulcer.

7. Define empyema, scoliosis, lipoma, anuria, pyemia. cht)lesysteuterostomy,
exostosis, gastrectomy, thoracotomy, ranula.

8. How would you arrive at a diagnosis of tuberculosis of the kidney?
What is the prognosis and treatment?

9. Give the signs of dislocation: (a) of the shoulder: (h) of the elbow;
and methods of reduction in each.

10. («) How would you distinguish between iritis and glaucoma? (b)
What are the evidences of adenoids, and the treatment?



410 NORTH CAROLINA MEDICAL SOCIETY.

PHARMACOLOGY, MATERIA MEDICA, AND THERAPEUTICS.

By Dn. John Q. Myers, Charlotte, N. C.

1. Define: (a) Pharmacopoeia; (b) Posology ; (c) Clyster; (d) Cataplasm;
(c) Empirical Therapeutics.

2. Give the chemical name of (o) White Precipitate; (h) Basham's Mix-
ture; (e) Salol ; (d) Fowler's Solution; (e) Plaster of Paris ; (/) Alum; (g)
Sugar of Lead; (h) Soap; (i) Synthetical Oil of Wintergreen ; (j) Blue
Ointment.

3. Name the important constituents of the following: (a) Gray Powder;
(&) Dover's Powder ; (c) Paregoric; (d) Carron Oil ; (e) Blaud's Pills.

4. What drugs would you prescribe in hemorrhage of the lungs, due to
mitral stenosis, and why?

5. Give physiological and chemical antidotes for {a) Morphine; (b) Car-
bolic Acid ; (c) Arsenic; (d) Strychnine; (el Bichloride of Mercury.

6. Write a prescription for acute iritis. Explain its action in preventing the
usual complications.

7. Write prescription for (a) Suppository for hemorrhoids; {h) An oint-
ment for scabies; (c) A lotion for pruritus; (d) A liniment for myalgia;
(c) A paste for acute eczema.

S. Compare the action of strychnine and chloral hydrate on the spinal cord.

9. Name the class of cathartics to which eacli of the following belongs, and
give dose and distinctive action: (a) Podophylliu ; (h) Aloin ; (c) Oleum
tiglii; (d) Mild chloride of mercui'y ; (e) Magnesium sulphate.

10. Name the important (a) Vaccines; (1)) Antitoxins; (e) Serums, now
used in preventive medicine.



REPORT OF MEDICAL EXAMINERS.



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ALPHABETICAL LIST OF MEMBERS OF
MEDICAL SOCIETY, WITH POST-
OFFICE ADDRESS.



Name. Address.
Abernethy, C. O Ralei^'h

Abernetliy, E. A Chaiiel Hill

Abernethy, H. X Denver

Abernethy, J. S Charlotte, R. F. D. 6

Abernethy, M. B Reidsvllle

Absher, D. C Henderson

Achorn, J. W Pine Bluff

Adams. C. A Durham

Adams, C, E (iastonia

Adams, J. L Asheville

Adams, M. R iStatesville

Adams, N. B Murphy

Adldns, E. H Rosemary

Alexander, A. li Charlotte

Alexander, J. R Charlotte

Alford, A. E. B (Ireensboro

Allan, William Charlotte

Allen. B. G Henderson

Allen, J. A New London

Allen. R. L Waynesville

Allhand, J. M Cliff side

Ambler, C. P Asheville

Anders, M. G Gastonia

Anderson, Albert Raleigh

Anderson, C. A. liurlington

Anderson, J. A McAdenville

Anderson, J. G Asheville

Anderson, J. N Albemarle

Anderson. J. R. Morsjranton

Anderson, P. V Richmond, Va.

Anderson, T. E. (Hon.) Statesville

Anderson, W. H Wilson

Anderson, W. S. Wilson



Online LibraryMedical Society of the State of North Carolina. AnTransactions of the Medical Society of the State of North Carolina [serial] (Volume 62 (1915)) → online text (page 45 of 58)