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APPLICATION FOR EXAMINATION.

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SIR: I have the honor to make application for examination for appointment as assistant surgeon in the United States Marine-Hospital Service. I was born at ------- weer (county)

'n (State) *

(month) --** (day) *** *(year)

-----, and graduated at --.. the year ....... I am a legal resident of the State of .

(year) I inclose two testimonials as to my professional and moral character. Respectfully, yours,

(Christian name in full) (middle name in full) (surname) SUPERVISING SURGEON-GENERAL, M. H. S.,

Washington, D. C.

(State)

SPECIMEN LIST OF WRITTEN QUESTIONS USED IN AN EXAMINATION FOR ADMIS

SION TO THE GRADE OF ASSISTANT SURGEON, MARINE-HOSPITAL SERVICE.

Questions on preliminary education and collateral branches are included in the oral examination.

Hospital cases are given for examination and report.

ANATOMY. 1. What nerves are distributed to the eye and eyelid, and what is the distribution of each?

2. Name the branches of the internal iliac artery, and give the origin of the obturator artery and the relation it bears to the femoral ring.

3. Describe the middle ear and the Eustachian tube.

4. Describe Scarpa's triangle, and name the important structures contained therein.

5. Describe the temporo-maxillary articulation and its relations.

PHYSIOLOGY.

1. What is volition as applied to locomotion? Give the route it travels to develop motion.

2. Explain arterial blood tension and the method of measuring it. Mention the circumstances which cause it to rise or fall.

3. What constitutes vision, and what audition? 4. How is animal heat developed?

CHEMISTRY.

1. Define chemical affinity and state the various circumstances or influences that modify it.

2. Calculate the weight of each element in 98 milligrams of sulphate of lime. 3. Describe some method of determining the quantity of HNO3 in river water. 4. What group of metals is precipitated by HCI? 5. Describe the methods of determining the specific gravity of solid bodies.

MATERIA MEDICA AND THERAPEUTICS.

1. Describe the action of antipyretics, and name some of the principal substances used as such.

2. Describe the difference of action between digitalis, aconite, and veratrum viride.

3. Where is cinchona bark found and what are its principal alkaloids? 4. What is atropia, eserine? Give the action of each.

SURGERY.

1. Describe the operation of ligation of the lingual artery and name the parts incised.

2. Describe the operation of lumbar nephrectomy. For what diseases is this operation warranted?

3. What is the pathology of piles? Mention the various operations for relief or cure.

4. What are the indications for enterotomy and enterectomy? Describe the operations and give your method of making the toilet.

5. Give etiology, pathology, and treatment of the various kinds of aneurysm.

PRACTICE.

1. Define neuralgia and enumerate the etiological factors, and give symptoms and treatment.

2. What parasites, animal and vegetable, infest the skin, intestines, blood, and muscles? What diseases do they cause and what is the treatment?

3. Describe the exanthematous diseases. 4. Give the various reasons for believing that certain diseases are caused by certain microorganisms.

OBSTETRICS AND GYNÆCOLOGY. 1. Give the pathology, symptomatology, and treatment of vaginismus.

2. How would you manage a case of threatened abortion and one of inevitable abortion?

3. Describe the anterior and posterior lateral inclined planes and their relation to the mechanism of labor.

4. Give the various displacements of the uterus, their causes, symptoms, and treatment.

HYGIENE.

1. How would you detect sewer gas in a room?

2. In hospital practice what precautions would you take against the spread of typhoid fever from a patient in a ward?

3. Name the best disinfectants and deodorizers, and give the mode of action.

4. Describe the changes which take place in a human dead body for the first ten years after ordinary inhumation.

AID TO OTHER BRANCHES OF THE GOVERNMENT SERVICE.

AID TO THE UNITED STATES ARMY AND NAVY. The benefits of the United States Marine-Hospital Service were, after the commencement of hostilities with Spain, extended to the United States Army and the United States Navy, the Marine-Hospital Service to be reimbursed the actual cost of maintenance.

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With a view to such an arrangement I addressed the following letter to you on the subject: TREASURY DEPARTMENT, OFFICE OF THE SUPERVISING SURGEoN-GENERAL, M. H. S., Washington, D.C., April 26, 1898. SIR: I inclose herewith a letter from Surg. R. D. Murray, in command of the United States marine hospital at Mobile, Ala., and invite your attention to that portion of the same in which it is stated that offer has been made to the commanding surgeon at Mobile, Ala., to permit the reception into the United States marine hospitals of such patients of the Army as may be better treated in hospital than in tents. During the war of the rebellion most of the marine hospitals were used by the Army or the Navy or both, and it is more than probable that the facilities afforded by the marine hospitals and the United States quarantine stations will in emergency be availed of by the Army and the Navy. Under these circumstances it becomes necessary to arrive at some conclusion as to the method of admission of patients and as to the expense incurred for their maintenance. I inclose herewith a report of the Senate Committee on Public Health and Quarantine upon an amendment to the sundry civil bill relating to this matter. The amendment was rejected on a point of order, but the report contains a list of hospitals and quarantine stations, showing the accommodations available at each, and is transmitted herewith on this account. The matter is brought to your attention at the present time in anticipation of action that may be taken under emergency and to prepare for the same. It is respectfully suggested that a proper procedure would be to issue an order to be signed by the Secretary of the Treasury and the President authorizing the commanding officers of marine hospitals and quarantine stations to receive and treat in their hospitals the soldiers and sailors of the United States upon the request of an authorized commanding officer, the marine hospital fund to be reimbursed through a bill to be rendered, the charge being sufficient to cover the daily cost of maintenance in hospital. If this meets with your approval an order to this effect will be prepared in the Bureau for your signature and that of the President.

Respectfully, yours, -
WALTER WYMAN,

- Supervising Surgeon-General M. H. S.

The SECRETARY OF THE TREASURY.

Approved, April 26, 1898.
O. L. SPAULDING,

Acting Secretary.
[Inclosure.]

[Senate Document No. 232, Fifty-fifth Congress, second session.] There are in the United States 22 marine hospitals and 11 United States quarantine stations. The marine hospitals are located as follows:

| Capacity is Capacity Location. of | Location. of hospital. hospital. t Baltimore, Md. ------------------------ 100 || Mobile, Ala--------------------------- 40 Boston, Mass.-------------------------- 150 li New Orleans, La --------------------- 10) Cairo, Ill ------------------------------ 65 || New York, N. Y---------------------- 200 Chicago, Ill------- - 3. of....... --- 50 Cincinnati, Ohio. 75 || Port Townsend, Wash 60 Cleveland, Ohio -- 50 | San Francisco, Call. 140 Detroit, Michs--- 75 || St. Louis, Mo -------- 100 Evansville, Ind--- -- 50 | Vineyard Haven, Mass --- 40 Key West, Fla. ------------------------ 50 || Wilmington, N.C.------------------- 20 Louisville, Ky------------------------- 50 || Hospital and barracks at Cape Hospital and barracks at Delaware Charles Quarantine ---------------- 1,000 Breakwater ------------------------- 1,000 Memphis, Tenn.----------------------- 65 || Total.---------------------------- 3,680 | |

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The United States quarantine stations are located as follows:

Reedy Island Quarantine, via Port Penn, Del.
Delaware Breakwater Quarantine, Lewes, Del.
Cape Charles Quarantine, Fortress Monroe, Va.
Cape Fear Quarantine, Southport, N. C.
South Atlantic Quarantine, via Inverness, Ga.
Brunswick Quarantine, Brunswick, Ga.
Tortugas Quarantine, via Key West, Fla.
Gulf Quarantine, via Biloxi, Miss.
San Diego Quarantine, San Diego, Cal.
San Francisco Quarantine, Angel Island, Cal.

Port Townsend Quarantine, Port Townsend, Wash. These Government hospitals are all in commission, having a full complement of officers and attendants and equipped with the best ward furniture, modern aseptic outfit for operating rooms, ambulance, etc. The nurses are trained, and the hospital discipline is similar to that in army and navy hospitals. The commissioned corps of medical officers comprises 16 surgeons, 32 passed assistant surgeons, and 22 assistant surgeons.

In case war was declared the restrictions which would be placed upon the merchant marine of the United States would greatly reduce the number of patients from merchant vessels eligible to relief in United States marine hospitals and permit of the reception of a large number of sick or wounded soldiers or sailors from the Army and Navy.

If necessary, temporary ward extensions could be made to many of the Southern hospitals with little expense, which would increase the hospital capacity. Temporary hospitals could also be erected upon some of the quarantine reservations, so isolated as to render them safe to troops who might be sent there. Patients suffering from protracted malarial diseases could be sent to the hospitals North, where the climate would benefit them, and those suffering from acute diseases or injuries requiring immediate attention could be provided for in the hospitals located upon the Gulf and South Atlantic coast. In case troops are landed in Cuba or sent South during the summer, there will be many who will become disabled from fevers incident to climate and exposure, who will require hospital treatment. * * *

EXTENSION OF RELIEF-ARMY AND NAVY.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., May 2, 1898. To Medical Officers of the Marine-Hospital Service:

The United States marine hospitals are hereby made available for the reception of the sick and wounded of either the United States Army or the United States Navy, and you are hereby directed, upon a written request of the proper military or naval authority, to receive and care for said patients, the Marine-Hospital Service to be reimbursed the actual cost of maintenance.

WALTER WYMAN,

Supervising Surgeon-General 1. H. S. Approved:

L. J. GAGE, Secretary. EXECUTIVE MANSION, May 2, 1898. Approved:

WILLIAM MCKINLEY.

RATE OF CHARGE FOR SOLDIERS AND SEAMEN ADMITTED TO MARINE HOSPITALS.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., July 1, 1898. To Medical Officers in Command of United States Marine Hospitals:

The rate of charge for soldiers and seamen admitted to United States marine hospitals under the provisions of Department Circular No. 73, dated May 2, 1898, is hereby fixed at a uniform rate of 30 cents per diem.

WALTER WYMAN,

Supervising Surgeon-General M. H. S. Approved: ·0. L. SPAULDING,

Acting Secretary.

RELIEF FOR OFFICERS AND MEN OF THE NAVY.

TREASURY DEPARTMENT,
OFFICE OF THE SUPERVISING SURGEON-GENERAL M. H. S.,

Washington, D. C., July 1, 1898.
To Commissioned Medical Officers and Acting Assistant Surgeons, United States

Marine-Hospital Service: Paragraph 470, Revised Regulations, United States Marine-Hospital Service, providing for the care and treatment of officers and seamen of the United States Navy and Coast Survey, is hereby construed to include all officers and enlisted men of the Navy (including the Coast Signal Service, U. S. N.), whether employed on vessels or ashore.

The rate of charge to be made for the care and treatment of said officers and men will be, at United States marine hospitals, 30 cents per diem, and at contract stations at the rate authorized by the annual circular entitled “Contracts for care of seamen."

The names of officers and men admitted to treatment in accordance with this circular, at contract stations, will be included in the regular monthly bill for care of seamen (Form 1923), and an additional bill will be rendered against the Navy Department on the same form, and transmitted to the Bureau at the close of each month.

WALTER WYMAN,

Supervising Surgeon-General, M. H. S. Approved: O. L. SPAULDING,

Acting Secretary.

SUMMARY OF RELIEF FURNISHED ARMY AND NAVY.

Since the inception of war with Spain to the date of this report the following number of cases of illness-medical and surgical—occurring among members of the United States Army and Navy, have been treated in marine hospitals.

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