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Contemporary Human Geography, 2e (Rubenstein)
Chapter 7 Ethnicity
1
Copyright © 2013 Pearson Education, Inc.
4) Which of the following is not an element of cultural diversity?
A) language
B) religion
C) ethnicity
D) race
E) art
Answer: D
Diff: 1
Section: 7.1
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.1.1: Distinguish between ethnicity and race
2
Copyright © 2013 Pearson Education, Inc.
7) Race is
A) characterized by Caucasian, African American, and Hispanic/Latino.
B) self-identification with a group sharing a biological ancestor.
C) determinable from physical characteristics.
D) evenly distributed around the world.
E) defined by statute in most states.
Answer: B
Diff: 2
Section: 7.1
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.1.1: Distinguish between ethnicity and race
8) Racism is belief in
A) the biological classification of people.
B) superiority of some groups because of racial identity.
C) inferiority of other groups because of racial identity.
D) all of the above
E) B and C
Answer: D
Diff: 2
Section: 7.1
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.1.3: Explain the basis of racism
9) Native Americans and Alaska Natives together make up what percentage of the total United
States population?
A) 1
B) 2
C) 3
D) 5
E) 8
Answer: A
Diff: 2
Section: 7.1
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
3
Copyright © 2013 Pearson Education, Inc.
10) Which of the following does the United States Census Bureau not consider a race?
A) Japanese
B) Black
C) Hispanic/Latino
D) White
E) Samoan
Answer: C
Diff: 1
Section: 7.1
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.1.2: Analyze how the US Bureau of the Census recognizes and classifies
races
11) African Americans are clustered in what area of the United States?
A) Southeast
B) Southwest
C) Plains states
D) Pacific Northwest
E) Northeast
Answer: A
Diff: 1
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
12) Asian Americans are clustered in what area of the United States?
A) Southwest
B) West
C) Plains states
D) Northeast
E) Southeast
Answer: B
Diff: 1
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
4
Copyright © 2013 Pearson Education, Inc.
13) Latinos and Hispanics are clustered in what areas of the United States?
A) Northeast, cities
B) West, Southwest
C) Southwest, Southeast
D) cities
E) Pacific Northwest, Plains states
Answer: B
Diff: 1
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
Figure 7.2.1
14) This map displays the distribution of what ethnicity in the United States?
A) Hispanic
B) African American
C) Asian American
D) American Indian
E) European
Answer: A
Diff: 1
Section: 7.2
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
5
Copyright © 2013 Pearson Education, Inc.
Figure 7.2.2
15) This map displays the distribution of what ethnicity in the United States?
A) Hispanic
B) African American
C) Asian American
D) American Indian
E) European
Answer: B
Diff: 1
Section: 7.2
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
6
Copyright © 2013 Pearson Education, Inc.
Figure 7.2.3
16) This map displays the distribution of what ethnicity in the United States?
A) Hispanic
B) African American
C) Asian American
D) American Indian
E) European
Answer: C
Diff: 1
Section: 7.2
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
7
Copyright © 2013 Pearson Education, Inc.
Figure 7.2.4
17) This map displays the distribution of what ethnicity in the United States?
A) Hispanic
B) African American
C) Asian American
D) American Indian
E) European
Answer: D
Diff: 1
Section: 7.2
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
8
Copyright © 2013 Pearson Education, Inc.
19) The largest proportion of Asian Americans are from
A) Vietnam.
B) Japan.
C) China.
D) the Philippines.
E) Korea.
Answer: C
Diff: 1
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.2.2: Describe the regional distributions of ethnicities in the United States
20) Ethnic identity for descendants of European immigrants is primarily preserved through
A) neighborhoods and locations.
B) schools and education.
C) language.
D) religion and food.
E) political affiliation.
Answer: D
Diff: 2
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
9
Copyright © 2013 Pearson Education, Inc.
22) African Americans migrated out of the American South as a consequence of
A) the removal of travel visa requirements for people of color.
B) increased farm mechanization leading to a decreased demand for farm labor.
C) the development of better highways, allowing for rapid and efficient travel.
D) increasing opportunities to work in northern coal mines and the California gold rush.
E) All of these were factors influencing the migration.
Answer: B
Diff: 2
Section: 7.3
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 9. The characteristics, distribution, and migration of human populations on
Earth's surface.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
10
Copyright © 2013 Pearson Education, Inc.
Figure 7.3.5
23) Which of the below is the best explanation for the pattern of diffusion shown in the maps?
A) Early migrants were reluctant to move into the countryside since the city was all they knew.
B) African Americans first migrated to neighborhoods where other African Americans lived.
C) Baltimore passed a law in 1940 allowing African Americans to migrate.
D) Growth resulted from natural increase in the African American population.
E) Baltimore was the destination of large numbers of refugees.
Answer: B
Diff: 1
Section: 7.3
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
11
Copyright © 2013 Pearson Education, Inc.
24) Which is the most dramatic change in the geographic distribution of African Americans in
the United States?
A) rural to urban within the state
B) change to sharecropping
C) relocation to northern cities
D) movement out of inner-cities
E) relocation to coastal cities
Answer: C
Diff: 1
Section: 7.3
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 9. The characteristics, distribution, and migration of human populations on
Earth's surface.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
26) As part of the triangular slave trade system, ships bound for Europe carried
A) cloth and trinkets.
B) rum and molasses.
C) slaves.
D) gold and silver.
E) all of the above
Answer: B
Diff: 1
Section: 7.3
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 9. The characteristics, distribution, and migration of human populations on
Earth's surface.
Learning Outcome: 7.3.3: Hypothesize as to why the triangular slave trading pattern was
initiated
12
Copyright © 2013 Pearson Education, Inc.
27) Discrimination because of race in the United States
A) once allowed for the physical separation of races.
B) has occurred since the formation of the country.
C) prohibited black people from living in many neighborhoods.
D) continues today.
E) All of these answers are correct.
Answer: E
Diff: 2
Section: 7.4
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.4.1: Explain how races were legally segregated in the United States and
South Africa
13
Copyright © 2013 Pearson Education, Inc.
30) The Brown v. Board of Education court decision ruled
A) separate schools for blacks and whites were unconstitutional.
B) "white flight" was illegal but there was no way to prove a move was motivated by racism.
C) discriminatory lending practices and restrictive covenants were unconstitutional.
D) separate facilities for blacks and whites were acceptable so long as they were of the same
quality.
E) B and D.
Answer: A
Diff: 2
Section: 7.4
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.4.2: Illustrate how spatial interactions in the United States were affected
by the notion of "separate but equal"
32) People who were restricted by covenants in deeds included all but
A) Caucasians.
B) Jews.
C) blacks.
D) Roman Catholics.
E) All of these groups have been restricted by covenants.
Answer: A
Diff: 1
Section: 7.4
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.4.1: Explain how races were legally segregated in the United States and
South Africa
14
Copyright © 2013 Pearson Education, Inc.
33) Under apartheid, the South African government
A) allowed blacks to vote but not to own property.
B) allowed blacks and whites to attend school together but not to work together.
C) created "homelands" for blacks to legitimize discrimination.
D) continued the slave trade.
E) supported the goals of the African National Congress.
Answer: C
Diff: 2
Section: 7.4
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.4.3: Describe the history and geographic effect of apartheid laws in South
Africa
34) Nationalism
A) is loyalty and devotion to a nationality.
B) can have a negative impact.
C) is a centripetal force.
D) may be symbolized by flags and songs.
E) all of these choices are correct.
Answer: E
Diff: 2
Section: 7.5
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.5.1: Identify the concept of nationality and distinguish it from race and
ethnicity
35) Loyalty and devotion to a state that represents a particular group's culture is
A) nationalism.
B) nation-state.
C) nation.
D) state.
E) multiculturalism.
Answer: A
Diff: 1
Section: 7.5
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.5.1: Identify the concept of nationality and distinguish it from race and
ethnicity
15
Copyright © 2013 Pearson Education, Inc.
36) A nationality is
A) a group of people tied to a place through legal status and tradition.
B) a country.
C) ethnic identity.
D) any cohesive group of people.
E) a group with shared religion, language, and origin of birth.
Answer: A
Diff: 1
Section: 7.5
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.5.1: Identify the concept of nationality and distinguish it from race and
ethnicity
16
Copyright © 2013 Pearson Education, Inc.
39) Which of the following is not a strong centripetal force in the United States?
A) network television
B) the flag
C) the many ethnic groups living in the United States
D) "The Star Spangled Banner"
E) baseball
Answer: C
Diff: 1
Section: 7.5
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.5.3: Explain the concept of a centripetal force, and describe its
relationship to nationalism
41) Which of the following ethnic groups does not share the nationality of the others?
A) English
B) Normans
C) Welsh
D) Scots
E) Northern Irish
Answer: B
Diff: 2
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.6.1: Explain how the United Kingdom is an example of a multiethnic state
and describe the four main groups
17
Copyright © 2013 Pearson Education, Inc.
42) The Kurds
A) are living in a new country created for them between Iraq, Iran, and Turkey.
B) are a group which long ago migrated from Anatolia to the Balkans.
C) have no wish to become a nationality, only to remain an ethnicity.
D) have a large population but are divided among enough countries that they are a minority in
every one.
Answer: D
Diff: 1
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.6.2: Identify the geographic distribution of the Kurds and hypothesize how
they came to be a stateless ethnicity
43) The Lebanese civil war resulted when the country broke down because of
A) ethnic groups.
B) religious groups.
C) changes in the majority between religious groups.
D) independent armies.
E) famine.
Answer: C
Diff: 1
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Learning Outcome: 7.6.3: Compare and contrast conflicts between ethnicities in Lebanon and
Sri Lanka
18
Copyright © 2013 Pearson Education, Inc.
45) Ethnic war in Sri Lanka ended
A) with the surrender of the Sinhalese.
B) in a cease-fire brokered by the UN.
C) with independence from colonial occupation.
D) with the defeat of the Tamils
E) It has not ended; the civil war continues today.
Answer: D
Diff: 1
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Learning Outcome: 7.6.3: Compare and contrast conflicts between ethnicities in Lebanon and
Sri Lanka
47) Afghanistan
A) has a long history of ethnic conflict.
B) is divided roughly in half between Shiite and Sunni Muslims.
C) was a peaceful country until the Taliban gained control of the government.
D) is composed mostly of the Afghan ethnicity.
E) includes Abkazians and Ossetians.
Answer: A
Diff: 1
Section: 7.7
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.7.1: Hypothesize the consequences of the lack of correspondence between
ethnic and national boundaries in Western Asia
19
Copyright © 2013 Pearson Education, Inc.
48) The process when a group forcibly removes another group is called
A) war.
B) migrational push factors.
C) racism.
D) ethnic cleansing.
E) white flight.
Answer: D
Diff: 1
Section: 7.8
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Learning Outcome: 7.8.1: Explain ethnic cleansing and its role in recent Balkan history
20
Copyright © 2013 Pearson Education, Inc.
Figure 7.8.3
21
Copyright © 2013 Pearson Education, Inc.
53) Sudan has seen ethnic conflict in all but which of the following regions?
A) Darfur
B) South Sudan
C) the eastern front. with Eritrea
D) Khartoum
Answer: D
Diff: 1
Section: 7.9
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Learning Outcome: 7.9.1: Describe the outcome of ethnic competition in Sudan
56) Ethnic groups in the United States no longer conflict with one another.
Answer: FALSE
Diff: 1
Section: 7.1
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.5.2: Describe how ethnicity and nationality are viewed in North America
22
Copyright © 2013 Pearson Education, Inc.
57) Chicago's neighborhoods exhibit a high degree of ethnic clustering.
Answer: TRUE
Diff: 1
Section: 7.2
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.2.3: Apply the concept of scale to the distribution of ethnicities within
urban areas
58) Clustering of ethnicities is most pronounced at the neighborhood level in the United States.
Answer: TRUE
Diff: 1
Section: 7.2
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.2.3: Apply the concept of scale to the distribution of ethnicities within
urban areas
59) Slavery has occurred around the world, though it is now abolished in the United States.
Answer: TRUE
Diff: 1
Section: 7.3
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.3.2: Explain how the history of slavery is a major factor in the distribution
of African Americans
60) African American northward migration followed the major U.S. highways.
Answer: TRUE
Diff: 2
Section: 7.3
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 9. The characteristics, distribution, and migration of human populations on
Earth's surface.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
61) The largest number of slaves shipped across the Atlantic went to North America.
Answer: FALSE
Diff: 1
Section: 7.3
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 4. The physical and human characteristics of places.
Glob Sci Outcome: 3. Read and interpret graphs and data.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
23
Copyright © 2013 Pearson Education, Inc.
62) The term ghettos identifies only the African American neighborhoods in the United States.
Answer: FALSE
Diff: 1
Section: 7.3
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.2.3: Apply the concept of scale to the distribution of ethnicities within
urban areas
64) Brown v. Board of Education of Topeka ended racial discrimination in U.S. schools.
Answer: TRUE
Diff: 1
Section: 7.4
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.4.1: Explain how races were legally segregated in the United States and
South Africa
24
Copyright © 2013 Pearson Education, Inc.
67) A majority of people in Lebanon are Muslim.
Answer: TRUE
Diff: 1
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 4. The physical and human characteristics of places.
Learning Outcome: 7.6.3: Compare and contrast conflicts between ethnicities in Lebanon and
Sri Lanka
68) All Kurds are Iraqis, but not all Iraqis are Kurds.
Answer: FALSE
Diff: 1
Section: 7.6
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.5.1: Identify the concept of nationality and distinguish it from race and
ethnicity
69) Persians are the largest ethnic group that adheres to Shiite Islam.
Answer: TRUE
Diff: 1
Section: 7.7
Bloom's Taxonomy: 1-Knowledge
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.7.2: Identify the major ethnic groups of Western Asia and the nations in
which they are distributed
25
Copyright © 2013 Pearson Education, Inc.
72) What U.S. government agency does not consider Hispanic or Latino to be a race?
Answer: The U.S. Census Bureau.
Diff: 3
Section: 7.1
Bloom's Taxonomy: 3-Application
Geo Standard: 10. The characteristics, distribution, and complexity of Earth's cultural mosaics.
Learning Outcome: 7.1.2: Analyze how the US Bureau of the Census recognizes and classifies
races
76) How might the ethnic makeup of Iraq present challenges to political stability there?
Answer: Many nationalities and ethnicities are found within its borders.
Diff: 2
Section: 7.7
Bloom's Taxonomy: 2-Comprehension
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
79) Describe the migration patterns that have shaped the African-American ethnic identity.
Answer: Forced migration from Africa; migration to Northern (and Western) cities; migration
out of the ghettoes of northern cities.
Diff: 3
Section: 7.3
Bloom's Taxonomy: 4-Analysis
Geo Standard: 9. The characteristics, distribution, and migration of human populations on
Earth's surface.
Learning Outcome: 7.3.1: Differentiate between the three major migration flows that have
shaped the current distribution of African Americans within the United States
27
Copyright © 2013 Pearson Education, Inc.
82) Sri Lanka had a long-running conflict between its two main groups of people. Describe the
two groups and the major concern of the losing group now that the war has ended.
Answer: Tamil and Sinhalese; The Tamil fear that their military defeat jeopardizes their ethnic
identity.
Diff: 3
Section: 7.6
Bloom's Taxonomy: 6-Evaluation
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Glob Sci Outcome: 8. Communicate effectively in writing.
Learning Outcome: 7.6.3: Compare and contrast conflicts between ethnicities in Lebanon and
Sri Lanka
83) Describe the ethnic conflicts that happened after the breakup of Yugoslavia.
Answer: Varies
Diff: 3
Section: 7.8
Bloom's Taxonomy: 4-Analysis
Geo Standard: 13. How the forces of cooperation and conflict among people influence the
division and control of Earth's surface.
Glob Sci Outcome: 8. Communicate effectively in writing.
Learning Outcome: 7.8.2: Identify ethnicities of the former Yugoslavia
28
Copyright © 2013 Pearson Education, Inc.
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44. Nearly all the chloroform used in Great Britain and her colonies is made in
Edinburgh, where the spirit duty is lower than in England. The London druggists
have almost ceased to make it, as they find it cheaper to get it from the trade in
Edinburgh.
45. The Edinburgh druggists suffered a great loss in 1850 from purifying their
chloroform in this way on the recommendation of Dr. Gregory, who was not aware
of the consequences, although they had been stated by Dumas (Ann. de Chim. et de
Physique, t. lvi, p. 117).
46. I have seen some specimens of chloroform that left a white, limy-looking
stain on the hand, which I believe was a minute quantity of crystalline chloride of
carbon. These specimens were unobjectionable for all practical purposes, and had
the merit of keeping remarkably well.
47. See Med. Gaz., vol. xl, p. 1092.
48. Dr. Letheby in Med. Gaz., vol. xlvi, p. 1037.
49. Lancet, Feb. 12, 1848.
50. Since the above was written, I have met with an instance in which the
pulse was only 40 in the minute, as the effects of the chloroform were subsiding.
There was neither sickness nor loss of blood. The case was that of a gentleman in
good general health, who inhaled chloroform whilst Mr. Brodhurst endeavoured to
make forcible flexion of the femur on the pelvis. He woke without any unpleasant
symptoms, and the pulse resumed its natural frequency.
51. Gazette des Hôpitaux, 20 Mars, 1847.
52. Medical Gazette, vol. xli-ii.
53. According to Professor Miller, chloroform was given, at one time, in the
Royal Infirmary of Edinburgh, in a somewhat slovenly, and not very cleanly
manner; he describes the means of applying it as, “anything that will admit of
chloroform in vapour being brought fully in contact with the mouth and nostrils; a
handkerchief, a towel, a piece of lint, a worsted glove, a nightcap, a sponge.” He
says, “In the winter season, the glove of a clerk, dresser, or onlooker, has been not
unfrequently pressed into the service.... The object is to produce insensibility as
completely and as soon as we can; and there is no saying, à priori, whether this is
to be accomplished by fifty drops or five hundred. We begin with generally two or
three drachms spilt on the handkerchief or lint; and we refresh that, or not, from
time to time, as circumstances require.” Surgical Experience of Chloroform, Edin.,
1848, pp. 16 and 17. The italics are not in the original.
54. Curious arguments are sometimes used in support of the idea of
peculiarities and idiosyncrasies. A medical man informed me, one day, that he had
seen a patient inhale an ounce of chloroform without any effect. I expressed my
opinion that if she had taken the vapour of one drachm into her lungs within four
minutes, or the vapour of a little more than half a drachm within two minutes, she
would have been insensible; and that the chloroform had mostly evaporated into
the room, without entering the patient’s lungs. Then, he said, it would have made
all of us insensible. Now to charge the air of a moderate sized room of twenty feet
square and ten feet high, uniformly with only a grain and a half of chloroform to
each hundred cubic inches, so that, if all the crevices were closed, a person inside
might, in course of time, absorb about eighteen minims of the medicine, and be
rendered insensible, would require nearly fifteen pounds of chloroform.
55. The increase of effects of chloroform after the inhalation is discontinued,
was pointed out by Prof. Sédillot of Strasbourg and myself almost simultaneously. I
explained the circumstance in a paper read to the Westminster Medical Society, on
January 8th, 1848, and M. Sédillot announced it to the Academy of Sciences of
Paris, on January 10th. My remarks were published in the Medical Gazette of
January 14th, and those of M. Sédillot in the Gazette Médicale of January 15th.
56. I have reason to conclude that the increased secretion of saliva is caused,
not so much by the action of the chloroform on the mucous membrane of the
mouth, and the extremities of the gland ducts, as by its action on the capillary
circulation of the glands themselves; for on inhaling the vapour carefully by the
nostrils, so that none enters the mouth, I still find that there is an increased
secretion of saliva.
57. London Journal of Medicine, April 1852.
In one of the latest communications of Dr. Marshall Hall to the Lancet, he did
me the honour to quote the account of the three following experiments, together
with some accompanying remarks from the London Journal of Medicine, and to
make the following observation respecting the pages from which he quoted.
“I have no hesitation in affirming that the first three pages of this paper are
amongst the most able and valuable in physiology, and I beg to be allowed to
reproduce them in the pages of the Lancet.” (Lancet, April 18th, 1857, p. 397.)
58. Edin. Med. and Surg. Journal, vol. lviii.
59. Lond. Med. Gaz., vol. xlii, p. 414.
60. London Journal of Medicine, April, 1852.
61. London Medical Gazette, vol. xlii, 1848, p. 109.
62. On the Inhalation of the Vapour of Ether, p. 82.
63. Medical Gazette, vol. xlii, p. 415.
64. See l’Union Médicale, 1855, No. 13.
65. London Medical Gazette, vol. xli, p. 255.
66. Opus cit., p. 253.
67. Opus cit., p. 341.
68. London Medical Gazette, vol. xli, p. 75.
69. London Medical Gazette, vol. xlii, p. 80, from Western Lancet, and Phil.
Med. Exam. April 1848.
70. Vol. xliii, p. 682.
71. Gazette Médicale, 8 Juillet, 1848; and London Medical Gazette, vol. xlii, p.
211.
72. Proceedings of Academy on Feb. 6th, 1849. See London Journal of Med.,
1849, p. 307.
73. London Journal of Medicine, 1849, p. 324.
74. Lond. Med. Gaz., vol. xliii, p. 694.
75. London Med. Gaz., vol. xlii, p. 84.
76. Bouisson, Traité de la Méthode Anesthésique, p. 398.
77. London Med. Gaz., vol. xliii, p. 41.
78. Ibid., p. 712.
79. Ibid., p. 747, from l’Union Médicale.
80. Lancet, 1849, vol. i, p. 205.
81. L’Union Médicale, Sept. 8th, 1849; and Med. Gaz., vol. xliv, p. 478.
82. Lond. Med. Gaz., vol. xliv, p. 757.
83. Journal of Prov. Med. and Surg. Assoc., 1849, p. 698.
84. Casper’s Wochenschrift, Jan. 12, 1850; and Lond. Med. Gaz., vol. xlv, p.
483.
85. Edin. Monthly Journal, April 1850, p. 377.
86. Hygiea, October 1850, p. 602.
87. Lond. Med. Gaz., vol. xlvi, p. 39.
88. Lancet, 1850, vol. ii, p. 21.
89. L’Union Médicale, January 29, 1852.
90. Medical Times, 1851, vol. ii, p. 98.
91. Medical Times, 1851, vol. ii, p. 620.
92. Medical Times and Gazette, vol. i, p. 293.
93. Medical Times and Gazette, p. 318.
94. See a clinical lecture by Mr. Stanley, Med. Times, Nov. 22, 1851.
95. Gaz. Médicale, 1852, p. 630, from Medicinisches Correspondenz Blatt.
96. Medical Times and Gazette, 1852, vol. ii, p. 531.
97. Monthly Journal of Med., vol. xv, 1852, p. 377.
98. Lancet, 1853, vol. i, p. 21.
99. Lancet, 1853, vol. i, p. 307.
100. Med. Times and Gaz., 1853, vol. ii, p. 47.
101. Monthly Journal, Nov. 1853, p. 427.
102. Since writing the above, I have noted by the watch the time which a
surgeon occupied in shaving the perinæum before the operation of lithotomy; it
was twelve seconds.
103. Medical Times and Gazette, 1853, vol. ii, p. 422.
104. Medical Times and Gaz., 1853, vol. ii, p. 449.
105. Ibid., p. 450.
106. Edin. Monthly Jour., vol. xix, 1854, p. 372.
107. Med. Times and Gaz., 1854, vol. i, p. 19, from Med. Zeitung von den
Vercine für Heilkunde in Preussen, No. 44, Berlin, Nov. 2, 1853.
108. Association Med. Jour., 1854, p. 109.
109. L’Union Médicale, 1854, p. 171.
110. Ibid., p. 187.
111. Association Medical Journal, 1854, p. 315.
112. Medical Times, 1854, vol. i, p. 572.
113. Medical Times and Gazette, 1854, vol. ii, p. 86.
114. Med. Times and Gaz., 1854, vol. ii, p. 390.
115. Ibid., p. 442.
116. Med. Times and Gaz., 1854, vol. ii, p. 501.
117. Medical Times and Gazette, 1855, vol. i, p. 363.
118. Edin. Med. Jour., 1855, p. 524.
119. 1855, vol. ii, p. 479.
120. Medical Times and Gazette, 1856, vol. ii, p. 442.
121. Association Med. Jour., 1856, p. 903.
122. Medical Times and Gaz., 1856, vol. i, p. 236.
123. Lancet, 1857, vol. i, p. 429.
124. Med. Times and Gaz., 1857, vol. ii, p. 171.
125. Med. Times and Gaz., 1852, vol. i, p. 627.
126. Gaz. Médicale, 1853, p. 304.
127. Lancet, 1848, vol. ii, p. 47.
128. Bouisson, Méthode Anesthésique, p. 398.
129. Casper’s Wochenschrift, September 6, 1850; and London Med. Gaz. vol.
xlvii, p. 261.
130. Medical Times and Gazette, 1854, vol. i, p. 516.
131. Ibid., p. 517.
132. Chloroform: How shall we ensure Safety in its Administration? Pamphlet.
London: 1855.
133. See some interesting papers on the value of recumbent position in
syncope, by Dr. Richardson, in the Association Medical Journal for 1854. I entirely
agree with Dr. Richardson that no kind of syncope commences at the brain, and
that, during recovery, the heart always resumes its functions before consciousness
is restored. The restoration of the heart’s action in ordinary syncope by the re-
supply of blood to its cavities, without any alteration in the condition of the brain,
was well proved by Dr. Richardson by means of some interesting experiments on
animals which I had the opportunity of witnessing.
134. Oration before the Hunterian Society. Pamphlet, 1855.
135. Hydrochloric acid gas and ammonia are no exceptions to this rule, for
they cease to exist as gases so soon as they come in contact with the moist lining
membrane of the air-passages. Carbonic acid gas will be treated of in another part
of this work.
136. See Med. Times and Gaz., 1853, vol. ii, p. 562.
137. See above, p. 75.
138. Edin. Monthly Jour., 1853, vol. xvii, p. 220.
139. Med. Times and Gaz., 1852, vol. i, p. 627.
140. L’Union Médicale, 1850, p. 411.
141. Lond. Med. Gaz., vol. xliii, p. 230.
142. Medical Times and Gaz., 1856, vol. ii, p. 413.
143. Med. Times and Gaz., 1856, vol. ii, p. 478.
144. Ib., 1857, vol. i, p. 559.
145. Page 648.
146. Practical Surgery, 3rd ed., p. 682.
147. I never allow of a cork or any such substance being put into a patient’s
mouth when insensible unless it is well tied to a string, lest it should be swallowed.
148. Fourth edit., vol. ii, p. 467.
149. It was made by Mr. Matthews, Portugal Street. It was not contrived by
me.
150. London Journal of Medicine, vol. i, pp. 54, 976.
151. See Medical Times and Gaz., 1855, vol. i, p. 361.
152. Dr. Watson defends the original name of this complaint, delirium
tremens. He says:—“But they who object to delirium tremens appear to see no
harm in delirium ferox: whereas it is just as incorrect to say delirium is fierce, as to
say that it trembles: it is the patient who is furious, even as it is the patient who
trembles.” Now, in speaking of a patient, we may speak either of his mind or his
body: we may say that a person is learned, or that he is fat. A patient may be fierce
on account of the kind of delirium with which his mind is affected, and the term
ferox applies both to him and the complaint; but the act of trembling affects only
his body.
153. Med. Gaz., vol. xli, 1848, p. 102.
154. Association Med. Jour., 1853, p. 706.
155. See Med. Times and Gaz., 1853, vol. ii, p. 412.
156. Med. Times and Gaz., 1857, vol. ii, p. 553, and 600.
157. Med. Times and Gaz., 1856, vol. ii, p. 528.
158. Brande’s Chemistry, 5th ed., p. 1274.
159. Lond. Med. Gaz., Feb. 1842.
160. On the Inhalation of the Vapour of Ether in Surgical Operations. London,
1847.
161. Papers on Narcotism by Inhalation. Lond. Med. Gaz., vol. xli-ii.
162. Lancet, Jan. 1, 1848.
163. Vol. xxxix, p. 271.
164. Medical Gazette, vol. xxxix, p. 358.
165. Gaz. Médicale, Mars 4, 1848, p. 170.
166. Gaz. des Hôpitaux, Juin 18, 1853.
167. Medical Gazette, vol. xxxix, p. 414.
168. Ibid., vol. xxxix, p. 585.
169. Medical Gazette, vol. xxxix, p. 631.
170. Méthode Anesthésique, p. 394.
171. American Journal of Med. Science, July 1857, p. 284.
172. Annales de Chimie et de Physique, 3ème série, tom. xii, p. 320.
173. 15, Hanover Street, Hanover Square.
174. Bulletin Général de Thérapeutique, t. lii, p. 312.
175. L’Union Médicale, p. 175.
176. Less than an ounce of amylene was poured out, and it was not all used.
177. Medical Times and Gazette, 1857, vol. i, p. 84.
178. British Medical Journal, March 28th, 1857.
179. Bulletin Général de Thérapeutique, t. lii, p. 223.
180. Gazette Hebdomadaire, 1857, p. 164.
181. In the act of writing this last sentence, Dr. Snow was seized with his fatal
illness. The sentence required, however, but the addition of a word or two, to
render it complete.—[Editor.]
London, New Burlington Street,
September, 1858.
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