23]InCommonwealth v. Landis, 8 Phila. 453,it was held that publications of a scientific or medical character containing illustrations exhibiting the human form, while decent and moral if used in a classroom, would be obscene if wantonly exposed in the open markets. InUnited States v. Smith, E.D.Wis., 45 F. 476,a medical treatise, treating in wholesome language of the sex organs, which was distributed promiscuously, was held to be obscene. InUnited States v. Chesman, E.D.Mo., 19 F. 497,an illustrated pamphlet, purporting to be on the subject of treatment of spermatorhoea and impotency and consisting partially of extracts from standard medical works, was held to be, when circulated generally, immoral and obscene. InBurton v. United States, 8 Cir., 142 F. 57,a scientific book was held to be obscene, notwithstanding the contention, assumed to be true, that its contents had been approved by physicians and consisted of accurate and scientific information on the topics discussed; that ignorance upon these topics was quite general and that this ignorance frequently resulted in disease, physical infirmity, unhappiness and misery, which the information given in the book was designed to prevent; that as a whole the book was calculated to be of value to the medical practitioner and to men and women in the marriage relation; and even that some portion of the text was from standard medical works. InUnited States v. Harmon, D. Kan., 45 F. 414,reversed on other grounds,50 F. 921,an article concerning the sexual relation was held obscene notwithstanding it was written solely for the purpose of improving sexual habits, and correcting sexual abuses. But seeHanson v. United States, 7 Cir., 157 F. 749;United States v. One Book Entitled "C

Question 1

Should mannitol be prescribed to patients with primary intracerebral

haemorrhage with signs of impending herniation and is it

contraindicated in patients with heart failure or liver cell failure?

Question2

What is the clinical significance of a positive Babinski sign with no knee

jerk?

Question 3

Is a high serum level of triglycerides 200-400 mg a risk factor for

ischaemic stroke?

Question 4

What is 'Melkersson's syndrome'? How can it be a source of recurrent

Bell's palsy as suggested in Neurology in Clinical Practice by Walter

Bradley?

Question 5

Are the pathological terms 'neurinoma' and 'schwannoma'

interchangeable? Do these differ from neurofibroma as some neurology

textbooks do not differentiate between these terms and seem to apply

the terms neurinoma and neurofibroma interchangeably to spinal nerve

tumours arising from neurilemmal sheaths?

Question 6

Should a patient presenting three times with recurrent facial nerve palsy,

generalized lymphadenopathy and skin nodules, suspected of having

sarcoidosis, be maintained on steroids or given steroid courses only

during attacks?

Question 7

a. What is the clinical significance of raised cerebrospinal fluid (CSF)

lactate dehydrogenase levels in focal brain lesions?

b. Does this imply a primary central nervous system (CNS) lymphoma or

lymphomatous deposits in the CNS?

Question 8

a. Is it safe to give antiplatelet medication as a secondary prophylaxis in

stroke patients with hepatic impairment?

b. Should aspirin be used in this instance?

Question 9

Should sciatic pain in the distribution of the sciatic nerve, with no back

pain, be considered non-compressive mononeuropathy? If so, does this

require the workup of mononeuropathy including searching for collagen

disorder?

Question 10

In what percentage of patients with viral meningitis and encephalitis

does the CSF have an elevated number of inflammatory cells?137