11/23/04 20:06:24 [USMLE_Step_1] kmonica26: Hey hutals how r u doing?
11/23/04 20:06:45 [USMLE_Step_1] hutals: good, just got back a couple
of hours ago from the big exam
11/23/04 20:06:57 [USMLE_Step_1] kmonica26: U did!!how was it??
11/23/04 20:07:11 [USMLE_Step_1] hutals: as i was telling lor, it was
long, but doable
11/23/04 20:07:15 [USMLE_Step_1] lorena: congratulations hutals
11/23/04 20:07:18 [USMLE_Step_1] kmonica26: U must be feeling so
relaxed!!
11/23/04 20:07:26 [USMLE_Step_1] kmonica26: congrats f
11/23/04 20:07:36 [USMLE_Step_1] hutals: well, not yet, we need to wait
for results.
11/23/04 20:07:48 [USMLE_Step_1] kmonica26: U will do well
11/23/04 20:07:56 [USMLE_Step_1] lorena: there was a lot of biochem?
anatomy?
11/23/04 20:08:35 [USMLE_Step_1] kmonica26: CT/MRI?? Molecular
biology??
11/23/04 20:08:51 [USMLE_Step_1] hutals: biochem is my worst subject,
so it seemed like alot, but probably wasn't. they asked a few on
anatomy, but nothing like insertions of muscles or anything like that
11/23/04 20:08:55 [USMLE_Step_1] lorena: hope you dont mind we ask you
all the q's but i am very excited
11/23/04 20:09:09 [USMLE_Step_1] kmonica26: me too
11/23/04 20:09:20 [USMLE_Step_1] hutals: thats why i'm here....we are
all a team and its my turn to share and help if i can
11/23/04 20:09:25 [USMLE_Step_1] kmonica26:
11/23/04 20:09:30 [USMLE_Step_1] lorena: how is it compared to qbank?
much harder?
11/23/04 20:10:10 [USMLE_Step_1] lorena: thank you so much for stopping
by, very nice of you
11/23/04 20:10:16 [USMLE_Step_1] hutals: i found alot of the same types
of questions from qbank....almost word for word in some cases. but
overall i think it was a little harder than qbank
11/23/04 20:10:41 [USMLE_Step_1] kmonica26: How about as compared to
NBME?
11/23/04 20:11:55 [USMLE_Step_1] hutals: i didn't do the nbme, which i
regret. but i did the ones posted in the forum. from those, i think
it was pretty close to that level. maybe the nbme was a little harder
even. probably somewhere between qbank and nbme as far as difficulty
level
11/23/04 20:12:17 [USMLE_Step_1] lorena:
11/23/04 20:12:32 [USMLE_Step_1] lorena: lots of calculations? handy
weinberg?
11/23/04 20:12:34 [USMLE_Step_1] hutals: i'm looking at first aid and
there was lots of stuff from there too
11/23/04 20:12:57 [USMLE_Step_1] kmonica26: How about CT scan ANd MRI I
can never make sense out of those
11/23/04 20:13:26 [USMLE_Step_1] kmonica26: Good for U as you had been
reading from FA too
11/23/04 20:14:35 [USMLE_Step_1] hutals: they asked a hardy weinburg
question that had to do with what is the prevelence of having homozygote
if population was
11/23/04 20:15:08 [USMLE_Step_1] hutals: oops if pop had .1 chance, or
something like that
11/23/04 20:15:49 [USMLE_Step_1] lorena: i see
11/23/04 20:15:56 [USMLE_Step_1] hutals: they had probably about 20 to
30 pics of different things
11/23/04 20:16:20 [USMLE_Step_1] kmonica26: oh
11/23/04 20:16:34 [USMLE_Step_1] kmonica26:
11/23/04 20:16:52 [USMLE_Step_1] lorena: hard pics or you could figure
out by the clinical context ?
11/23/04 20:17:13 [USMLE_Step_1] hutals: asked about breeched delivery
baby and what part of brach plexus was damaged if the arm was
protonated
11/23/04 20:18:29 [USMLE_Step_1] hutals: some of the pics were
diagrams, like the arachodonic acid path or the nephron, and those were fine.
others were CT and MRI and those were not as easy to figure out
11/23/04 20:18:51 [USMLE_Step_1] lorena: *)
11/23/04 20:19:07 [USMLE_Step_1] hutals: they had alot of ethics type
questions
11/23/04 20:19:16 [USMLE_Step_1] kmonica26:
11/23/04 20:19:34 [USMLE_Step_1] lorena: i am getting an stomach ache
11/23/04 20:20:24 [USMLE_Step_1] lorena: i wish i was done with it too
11/23/04 20:20:31 [USMLE_Step_1] hutals: what is the best way to get
patient to comply with meds, asked a couple of times in different ways.
do you scare the hec outta him by telling him he will die without them,
do you go over the mechanism of how it will help their situation, etc??
11/23/04 20:20:57 [USMLE_Step_1] kmonica26: I know I wish too..
11/23/04 20:21:11 [USMLE_Step_1] kmonica26:
11/23/04 20:21:35 [USMLE_Step_1] kmonica26: How about Immunology and
Molecular stuff? was there a lot of it?
11/23/04 20:23:01 [USMLE_Step_1] hutals: others asked a couple of times
dealt with how to handle religous beliefs. one said pt comes for
abortion and it is against your religion, what to do. do you refer to a
place that can handle it, say i cant help you, refer to adoption agency,
ask to....
11/23/04 20:23:24 [USMLE_Step_1] hutals: mom (18 yrs old), ask if
father of baby agrees with this
11/23/04 20:24:56 [USMLE_Step_1] hutals: another mentioned that someone
comes for painful and excessive menses, so you want to start them on
birth control to regulate and they change their mind because it is bad
luck to have less menses. what to do? tell her that no scientific
eveidence to ....
11/23/04 20:25:23 [USMLE_Step_1] hutals: prove that, reassurance, ask
about her beliefs/concerns, etc
11/23/04 20:26:00 [USMLE_Step_1] lorena: i see
11/23/04 20:26:39 [USMLE_Step_1] hutals: these are all just coming to
me, but i dont want to take away from your physio chat, so i should
probably write these down and then post them
11/23/04 20:26:52 [USMLE_Step_1] kmonica26: well these questions are
always very tricky....
11/23/04 20:27:26 [USMLE_Step_1] lorena: yes
11/23/04 20:27:43 [USMLE_Step_1] lorena: how did you manage your time
hutals?
11/23/04 20:28:55 [USMLE_Step_1] hutals: i took a very short break each
hour (5-7 mins) and ate small snacks throughout the day with some
caffiene to keep me going. took one longer break of about 10 mins i think
11/23/04 20:29:52 [USMLE_Step_1] lorena: ok
11/23/04 20:30:05 [USMLE_Step_1] hutals: the other person next to me
took one long lunch break (left in car) and went straight through for the
rest of the blocks, so i guess its just preference
11/23/04 20:31:02 [USMLE_Step_1] lorena: yes
11/23/04 20:31:19 [USMLE_Step_1] kmonica26: did U have enough time to
complete the blockS?
11/23/04 20:31:22 medstudent Logs in
11/23/04 20:31:32 medstudent Joins Subroom USMLE_Step_1
11/23/04 20:31:36 [USMLE_Step_1] medstudent: hi
11/23/04 20:31:38 [USMLE_Step_1] hutals: i'll be right back
11/23/04 20:31:43 [USMLE_Step_1] lorena: hi medstudent
11/23/04 20:32:15 [USMLE_Step_1] kmonica26: hi medstudent
11/23/04 20:32:25 [USMLE_Step_1] medstudent: hi, physiology tonight?
11/23/04 20:32:34 [USMLE_Step_1] lorena: what do you want to discuss
first renal or resp?
11/23/04 20:33:12 [USMLE_Step_1] kmonica26: anything is fine with me
11/23/04 20:33:21 [USMLE_Step_1] medstudent: me too
11/23/04 20:33:53 [USMLE_Step_1] lorena: ok, lets start in order
then...resp
11/23/04 20:34:34 [USMLE_Step_1] lorena: what is anatomic dead space?
11/23/04 20:35:14 [USMLE_Step_1] kmonica26: airway regoin where no gas
exchange takes place
11/23/04 20:35:33 [USMLE_Step_1] medstudent: residual volume
11/23/04 20:36:02 [USMLE_Step_1] lorena: yes , because inherent
structure like trachea, or upper resp. ...good
11/23/04 20:36:09 [USMLE_Step_1] kmonica26: it is approxiimately equal
to the weight of the person in lbs
11/23/04 20:36:46 [USMLE_Step_1] lorena: what is alveolar dead space?
11/23/04 20:37:16 [USMLE_Step_1] kmonica26: alveoli which contains air
no blood flow
11/23/04 20:37:27 [USMLE_Step_1] lorena: yep
11/23/04 20:37:59 [USMLE_Step_1] lorena: and physiologic dead space is
the sum of the 2, alveolar and anatomic dead space
11/23/04 20:38:08 [USMLE_Step_1] kmonica26: right
11/23/04 20:38:13 [USMLE_Step_1] hutals: that just reminded me of
another one. a pt presented with a seizure while sitting upright and
swallowed gold cap of tooth. which lobe was it located. right or left,
upper or lower, etc
11/23/04 20:38:42 [USMLE_Step_1] lorena: right
11/23/04 20:39:08 [USMLE_Step_1] kmonica26: But which lobe it would go
to hutals?
11/23/04 20:39:13 [USMLE_Step_1] lorena: if the patient was standing u
that would be lower lobe ...but if having a seizure then....i dont know
11/23/04 20:39:47 [USMLE_Step_1] lorena: i remember goljan explains
that very clear in one of his lectures but i dont remember
11/23/04 20:39:49 [USMLE_Step_1] hutals: i think the seizure was to
point out how it ended up in trachea instead of esophagus
11/23/04 20:40:49 [USMLE_Step_1] hutals: and another showed diagram of
lung volume of normal and then snother that was lower on the curve
(less lung volume) and asked what the person had. emphesema, fibrosis,
asthma, etc
11/23/04 20:41:13 [USMLE_Step_1] lorena: fibrosis?
11/23/04 20:41:22 [USMLE_Step_1] hutals: that was my guess
11/23/04 20:42:09 [USMLE_Step_1] lorena: i found it
11/23/04 20:42:18 [USMLE_Step_1] medstudent: If the patient has asthma,
usually the FEV1/FVC post bronchodilator would increase.
11/23/04 20:42:28 [USMLE_Step_1] lorena: lung locations with aspiration
11/23/04 20:42:43 [USMLE_Step_1] kmonica26: is it iN goljan lor?
11/23/04 20:42:49 [USMLE_Step_1] lorena: yes
11/23/04 20:42:51 [USMLE_Step_1] hutals: but this was the TLC that
decreased
11/23/04 20:43:08 [USMLE_Step_1] lorena: standing up posterolateral
segment of right lower lobe
11/23/04 20:43:38 [USMLE_Step_1] lorena: lying down on back superior
segment of right lower lobe ....so both in lower lobe
11/23/04 20:43:40 [USMLE_Step_1] hutals: i guess the right lower lobe

11/23/04 20:43:54 [USMLE_Step_1] lorena: you are right huts!
11/23/04 20:43:57 [USMLE_Step_1] lorena: :>
11/23/04 20:43:59 [USMLE_Step_1] lorena:
11/23/04 20:44:18 [USMLE_Step_1] hutals: sorry please continue...i'll
just pop in now and then when i remember something
11/23/04 20:44:23 [USMLE_Step_1] lorena: it is in goljan page 88 mon
11/23/04 20:45:29 [USMLE_Step_1] hutals: the nephron question asked
what section involved the Na, Cl, K transport pump
11/23/04 20:45:43 [USMLE_Step_1] lorena: what increases alveolar
ventilation more efficiently ...depth of breath or increase rate of
breathing?
11/23/04 20:45:44 [USMLE_Step_1] kmonica26: thanks lor
11/23/04 20:46:06 [USMLE_Step_1] lorena: ascending loop of henle
11/23/04 20:46:30 [USMLE_Step_1] hutals: ADH is secreted in the post
pit, but where is it synthesized?
11/23/04 20:46:58 [USMLE_Step_1] lorena: supraoptic hypothalamic
nucleus?
11/23/04 20:47:03 [USMLE_Step_1] hutals: post pit, hypothal, ant pit,
pineal gland, and a couple of others
11/23/04 20:47:58 [USMLE_Step_1] hutals: just found it in first aid,
made in hypoth and shipped to pit.....another lucky guess for me
11/23/04 20:48:22 [USMLE_Step_1] lorena:
11/23/04 20:50:03 [USMLE_Step_1] lorena: what increases alveolar
ventilation better then?
11/23/04 20:50:16 [USMLE_Step_1] hutals: which hormone is converted
peripherally to more active form? my guess was testosterone because it
goes to DHT
11/23/04 20:50:32 [USMLE_Step_1] lorena: what were the choices?
11/23/04 20:50:32 [USMLE_Step_1] medstudent: T4?
11/23/04 20:50:36 [USMLE_Step_1] kmonica26: rate of breathing
11/23/04 20:50:43 [USMLE_Step_1] medstudent: T4 to T3?
11/23/04 20:51:22 [USMLE_Step_1] hutals: cant remember other choices
but they were all hormones and none really stood out except for
testosterone
11/23/04 20:51:41 [USMLE_Step_1] medstudent: T4 is not really active
but T3 is
11/23/04 20:51:47 [USMLE_Step_1] lorena: thanks
11/23/04 20:52:06 [USMLE_Step_1] hutals: i agree, if that were a choice
it would be right medstudent
11/23/04 20:52:13 [USMLE_Step_1] lorena: agree with you medstudent...T3
is more active
11/23/04 20:52:51 [USMLE_Step_1] medstudent: How is Emphysema different
than COPD
11/23/04 20:53:29 [USMLE_Step_1] lorena: depth of breath increases
alveolar ventilation more efficiently than increasing rate of breathng
because in the latter you add anatomical dead space in each inspiration
11/23/04 20:54:00 [USMLE_Step_1] kmonica26: ok lore
11/23/04 20:56:02 [USMLE_Step_1] lorena: dont know medstudent
11/23/04 20:57:12 [USMLE_Step_1] lorena: please explain
11/23/04 20:57:33 [USMLE_Step_1] hutals: o2 dissosiation curve
questions (a couple) and one asked which caused shift to left i think. i
narrowed it down to CO because the other choices were decrease pH,
hypervent, incr 2,3 DPG, etc
11/23/04 20:57:44 [USMLE_Step_1] medstudent: COPD is a big term
including asthmatic bronchitis, chronic bronchitis (with normal airflow),
chronic obstructive bronchitis, bullous disease, and emphysema
11/23/04 20:58:03 [USMLE_Step_1] medstudent: so emphysema is a subset
of COPD
11/23/04 20:58:17 [USMLE_Step_1] lorena: ok
11/23/04 20:58:41 [USMLE_Step_1] lorena: what is reid index?
11/23/04 20:59:38 [USMLE_Step_1] kmonica26: cant remember Lor
11/23/04 21:00:09 [USMLE_Step_1] lorena: thats ok... it is ratio of
gland depth -thickness of bronchial wall
11/23/04 21:00:54 [USMLE_Step_1] lorena: what is FEV1?
11/23/04 21:00:59 [USMLE_Step_1] hutals: hey guys, i'm sorry but i have
to go. i will try to write everything down and post it later for you
all. best wishes to all and have a great thanksgiving
11/23/04 21:01:00 [USMLE_Step_1] kmonica26: thanks
11/23/04 21:01:17 [USMLE_Step_1] kmonica26: thanks Hutals happy
thanksgiving to U too
11/23/04 21:01:23 [USMLE_Step_1] medstudent: thanks
11/23/04 21:01:33 [USMLE_Step_1] lorena: thank you hutals
11/23/04 21:01:43 [USMLE_Step_1] lorena: happy thanksgiving
11/23/04 21:01:52 [USMLE_Step_1] hutals: *choochoo*
11/23/04 21:01:54 [USMLE_Step_1] medstudent: true or false: air flow
is proportion to radius of the brochioles to the 4th power?
11/23/04 21:01:58 [USMLE_Step_1] hutals: bye
11/23/04 21:02:01 hutals Logs Out
11/23/04 21:02:24 [USMLE_Step_1] lorena: true
11/23/04 21:02:28 [USMLE_Step_1] kmonica26: during FVC air expelled in
the 1st second is FEV1
11/23/04 21:02:30 [USMLE_Step_1] medstudent: correct!
11/23/04 21:02:43 [USMLE_Step_1] lorena: yes good
11/23/04 21:03:35 [USMLE_Step_1] lorena: how would it be in a
restrictive pattern?
11/23/04 21:03:40 [USMLE_Step_1] lorena: the FEV1?
11/23/04 21:03:48 [USMLE_Step_1] kmonica26: ratio of FEV1/FVC normal or
inc
11/23/04 21:04:07 [USMLE_Step_1] kmonica26: as FEV1 is dec
11/23/04 21:04:17 [USMLE_Step_1] lorena: yes
11/23/04 21:04:25 [USMLE_Step_1] kmonica26: as is FVC
11/23/04 21:05:04 [USMLE_Step_1] lorena: very good
11/23/04 21:05:15 [USMLE_Step_1] medstudent: If you can't blow off CO2
then FEV1 will be reduced
11/23/04 21:05:19 [USMLE_Step_1] medstudent: true or false?
11/23/04 21:05:35 [USMLE_Step_1] lorena: true
11/23/04 21:05:41 [USMLE_Step_1] medstudent: correct!!!
11/23/04 21:05:58 [USMLE_Step_1] lorena: thats what happens in COPD
11/23/04 21:06:10 [USMLE_Step_1] medstudent: FEV1/FVC will decrease
11/23/04 21:06:58 [USMLE_Step_1] kmonica26: what is ficks law of
diffusion?
11/23/04 21:06:59 [USMLE_Step_1] medstudent: air trapping so FEV1 is
reduced so the ratio will decrease
11/23/04 21:08:09 [USMLE_Step_1] lorena: dont remember
11/23/04 21:10:02 kmonica26 Logs Out
11/23/04 21:10:14 [USMLE_Step_1] lorena: it is the factors that affect
diffusion, like thickness of the membrane or area of exchange ....
11/23/04 21:10:43 [USMLE_Step_1] lorena: i guess she got disconnected
11/23/04 21:11:18 [USMLE_Step_1] lorena: *beep*
11/23/04 21:11:50 [USMLE_Step_1] lorena: *bleep*
11/23/04 21:12:01 kmonica26 Logs in
11/23/04 21:12:20 kmonica26 Joins Subroom USMLE_Step_1
11/23/04 21:12:21 [USMLE_Step_1] medstudent: is that true?
11/23/04 21:12:31 [USMLE_Step_1] kmonica26: sorry got disconnected
11/23/04 21:12:32 [USMLE_Step_1] lorena: welcome back mon
11/23/04 21:12:47 [USMLE_Step_1] kmonica26:
11/23/04 21:13:13 [USMLE_Step_1] medstudent: TVC = VC + RV true or
false?
11/23/04 21:13:35 [USMLE_Step_1] kmonica26: area/thicknessXdiffusion
constant{pressure gradient across the mem}
11/23/04 21:13:57 [USMLE_Step_1] kmonica26: U mean TLV?
11/23/04 21:14:07 [USMLE_Step_1] kmonica26: true
11/23/04 21:14:14 [USMLE_Step_1] medstudent: yes. TLC
11/23/04 21:14:20 [USMLE_Step_1] lorena: agree
11/23/04 21:14:45 [USMLE_Step_1] medstudent: Total lung capacity
11/23/04 21:14:49 [USMLE_Step_1] medstudent: correct!!!
11/23/04 21:15:04 [USMLE_Step_1] kmonica26: CO2 would shift the Hb
dissociation curve..where?
11/23/04 21:16:21 [USMLE_Step_1] medstudent: A man is breathing 20
breaths per minute and he has a tidal volume of 500 ml what is his minute
ventilation?
11/23/04 21:17:07 [USMLE_Step_1] lorena: to the right
11/23/04 21:17:12 [USMLE_Step_1] kmonica26: 500x20
11/23/04 21:17:27 [USMLE_Step_1] kmonica26: how about HbF
11/23/04 21:17:41 [USMLE_Step_1] medstudent: correct!!!
11/23/04 21:17:51 [USMLE_Step_1] lorena: to the left
11/23/04 21:17:57 [USMLE_Step_1] kmonica26: yep
11/23/04 21:18:21 [USMLE_Step_1] kmonica26: so temp, co2 2,3 DPG, H=
shifts to right
11/23/04 21:18:46 [USMLE_Step_1] medstudent: hypoxia will cause
pulmonary vessels to vasodilate. true or false
11/23/04 21:19:21 [USMLE_Step_1] medstudent: shift to the right means
unloading O2 easier true or false?
11/23/04 21:19:49 [USMLE_Step_1] lorena: true
11/23/04 21:20:00 [USMLE_Step_1] medstudent: true to which question?
11/23/04 21:20:07 [USMLE_Step_1] lorena: second one
11/23/04 21:20:13 [USMLE_Step_1] medstudent: correct!!!
11/23/04 21:20:18 [USMLE_Step_1] medstudent: How about the first one?
11/23/04 21:20:20 [USMLE_Step_1] lorena: to the frist one is
false....not sure
11/23/04 21:20:27 [USMLE_Step_1] medstudent: correct!!!
11/23/04 21:20:46 [USMLE_Step_1] medstudent: hypoxia causes blood flow
to shunt to a well ventilated areas.
11/23/04 21:20:56 [USMLE_Step_1] lorena: ok, thanks
11/23/04 21:21:39 [USMLE_Step_1] lorena: how about in cerebral vessels?
what would hypoxia would produce? vasodilation or vasoconstriction?
11/23/04 21:21:45 [USMLE_Step_1] medstudent: it makes no sense to bring
blood to area where there is no O2. Thus pulmonary vessels constrict
to create a shunt
11/23/04 21:22:00 [USMLE_Step_1] medstudent: vasodilate
11/23/04 21:22:08 [USMLE_Step_1] lorena: yes
11/23/04 21:22:39 [USMLE_Step_1] lorena: cerebral vessels respond
mostly to changes in pH , rather than low oxygen
11/23/04 21:22:59 [USMLE_Step_1] medstudent: brain is a vital organ.
It makes no sense for the smart brain to starve itself of
oxygen...unless the brain is made of rocks
11/23/04 21:23:08 [USMLE_Step_1] lorena: increase in CO2 , lows pH so
causes vasodilation
11/23/04 21:23:24 [USMLE_Step_1] lorena: lol
11/23/04 21:24:10 [USMLE_Step_1] medstudent: so it is very important
that the curve shift to the right in case of hypoxemia so it can unload
O2 to the brain. As hypoxia causes acidemia (increase in Hydrogen)
11/23/04 21:25:21 [USMLE_Step_1] lorena: ok
11/23/04 21:25:58 [USMLE_Step_1] medstudent: What is V/Q means
11/23/04 21:26:44 [USMLE_Step_1] lorena: ventilation and perfussion
11/23/04 21:27:17 [USMLE_Step_1] lorena: V/Q=1 means they are matched
11/23/04 21:27:30 [USMLE_Step_1] medstudent: correct!
11/23/04 21:27:54 [USMLE_Step_1] kmonica26: How about CO ..effect on
curve and carrying capacity of oxygen
11/23/04 21:28:30 [USMLE_Step_1] medstudent: It makes oxygen unloading
very difficult so shift to the left.
11/23/04 21:28:53 [USMLE_Step_1] lorena: CO shifts the curve to the
right
11/23/04 21:29:14 [USMLE_Step_1] lorena: oh , sorry got confused
11/23/04 21:29:31 [USMLE_Step_1] kmonica26: curve shifts to the left
and carying capacity is reduced
11/23/04 21:29:36 [USMLE_Step_1] lorena: agree with medstudent
11/23/04 21:30:03 [USMLE_Step_1] medstudent: I think that is how carbon
monoxide poisoning occurs
11/23/04 21:30:07 [USMLE_Step_1] lorena: p50 is decreased
11/23/04 21:31:05 [USMLE_Step_1] lorena: guys , sorry but i have to go
11/23/04 21:31:40 [USMLE_Step_1] medstudent: thanks.
11/23/04 21:31:54 [USMLE_Step_1] medstudent: happy Thanks Giving
11/23/04 21:32:01 [USMLE_Step_1] lorena: i cannot make it for tomorrow
so i wish you a very happy thanksgiving
11/23/04 21:32:14 [USMLE_Step_1] lorena: and will see you for
biostatistics
11/23/04 21:32:20 [USMLE_Step_1] medstudent: I think I will go to my
mom's house for Thanks Giving.
11/23/04 21:32:35 [USMLE_Step_1] lorena: how nice
11/23/04 21:32:46 [USMLE_Step_1] medstudent: and eat turkeys
11/23/04 21:32:52 [USMLE_Step_1] lorena: yumm
11/23/04 21:33:00 [USMLE_Step_1] lorena: what aa in turkey?
11/23/04 21:33:15 [USMLE_Step_1] medstudent: what do you mean?
11/23/04 21:33:38 [USMLE_Step_1] lorena: what aminoacid is abundant in
turkey and makes you sleepy?
11/23/04 21:34:11 [USMLE_Step_1] lorena: sorry, i am just very anxyous
sometimes ...lol
11/23/04 21:34:17 [USMLE_Step_1] kmonica26: I have to go
11/23/04 21:34:20 [USMLE_Step_1] medstudent: I don't know.
11/23/04 21:34:29 [USMLE_Step_1] kmonica26: Happy thanksgiving to U lor
11/23/04 21:34:29 [USMLE_Step_1] medstudent: take care kmonica
11/23/04 21:34:39 [USMLE_Step_1] kmonica26: and medstudent
11/23/04 21:34:40 [USMLE_Step_1] lorena: tryptophan , precursor of
serotonin
11/23/04 21:34:41 [USMLE_Step_1] medstudent: happy Thanksgiving
11/23/04 21:34:48 [USMLE_Step_1] lorena: bye! thank you
11/23/04 21:34:56 [USMLE_Step_1] medstudent: oh, I have to review my
biochemistry
11/23/04 21:34:56 [USMLE_Step_1] kmonica26: lor are U going to be here
next week/
11/23/04 21:35:06 [USMLE_Step_1] lorena: yes, for biostatistics
11/23/04 21:35:13 [USMLE_Step_1] medstudent: yes... brush up on my
biostatistics
11/23/04 21:35:15 [USMLE_Step_1] kmonica26: ok see U next week
11/23/04 21:35:22 [USMLE_Step_1] medstudent: ok... good night
11/23/04 21:35:24 [USMLE_Step_1] lorena: ok, great
11/23/04 21:35:26 [USMLE_Step_1] lorena: byeee
11/23/04 21:35:28 [USMLE_Step_1] kmonica26: bye
11/23/04 21:35:29 [USMLE_Step_1] medstudent: bye