8:02 PM [rsandhu] hi
8:02 PM [usmle_guy] i'll be back, i'm in the middle of something
8:02 PM [rsandhu] how are ya
8:02 PM [rsandhu] oh ok
8:03 PM [rsandhu] wht topic we gonna do today
8:03 PM [mmw] hi
8:04 PM [rsandhu] hello
8:04 PM [mmw] how r u today?rsandhu and usmle
8:04 PM [rsandhu] how are ya mmw
8:04 PM [rsandhu] i am good
8:04 PM [mmw] thanks
8:05 PM [mmw] did u studied today me i did not study well today
8:05 PM [rsandhu] so wht we doing today
8:05 PM [usmle_guy] i'm sorry, please start without me because i am in the middle of something. i'll leave this running so that we will have the transcript, but cannot participate right now
8:06 PM [rsandhu] oh k
8:06 PM [mmw] ok usmle but pls come back as soon as u finish
8:07 PM [mmw] no one is comming yet rsandhu
8:08 PM [kparikh82276] hello
8:08 PM [mmw] hi kparikh82276
8:08 PM [kparikh82276] let's begin our review
8:08 PM [rsandhu] well are we doing lower limb today
8:08 PM [kparikh82276] mmw hello
8:09 PM [rsandhu] kparikh82276 hi
8:09 PM [kparikh82276] i have in front of me the first aid, kaplan path.
8:09 PM [mmw] r we going to start or wait for rox ,zoya and clover
8:09 PM [kparikh82276] hello rsandhu
8:09 PM [rsandhu] we should start
8:10 PM [kparikh82276] mmw will they be long...
8:10 PM [kparikh82276] can we start some review while we wait for the rest to join....
8:10 PM [mmw] i don't know if u want we can start
8:10 PM [kparikh82276] great...
8:10 PM [mmw] ok
8:10 PM [mmw] let's review
8:11 PM [kparikh82276] what are the muscles of the ant. compartment of the thigh?
8:11 PM mmw has left the chat.
8:12 PM mmw has left the chat.
8:12 PM [kparikh82276] i guess it's just u and me rsandhu
8:12 PM [rsandhu] quadriceps femoris, sartorius,pectineus
8:12 PM [mmw] sorry i miss it
8:12 PM [mmw] it log offf itself i don't know why
8:12 PM [kparikh82276] what muscles make up the quadriceps?
8:12 PM [mmw] agree to rsandhu
8:13 PM [kparikh82276] mmw np
8:13 PM [rsandhu] which nerve innervate ant. compartment of thigh??
8:13 PM [mmw] femoral
8:13 PM [kparikh82276] femoral n.
8:13 PM [rsandhu] yup
8:13 PM [kparikh82276] agree w/ mmw
8:13 PM [rsandhu] right
8:13 PM [mmw] hi ttw
8:14 PM [kparikh82276] what root's of the lubosacral plexus make up femoral n.
8:14 PM [rsandhu] LumbosacrL2-4
8:14 PM [mmw] L24
8:14 PM [mmw] sorry
8:14 PM [rsandhu] post. division
8:14 PM [mmw] yes
8:14 PM [rsandhu] ant. makes obturator nerve
8:15 PM [kparikh82276] nice didn't know that... thanks rsandhu
8:15 PM [mmw] yes
8:15 PM [rsandhu] np
8:15 PM [rsandhu] tibial nerve-------ant division of L4---S3
8:16 PM [mmw] medial compartment of tigh is suply by which nerve?
8:16 PM [rsandhu] obturator
8:16 PM [kparikh82276] obturator n.
8:16 PM [clover] hi there. just observing tonight
8:16 PM [rsandhu] hi
8:16 PM [rsandhu] how are ya
8:16 PM [clover] sorry i'm late
8:16 PM [rsandhu] its all good
8:17 PM [mmw] femoral N --------P24 posterior division from L2-4
8:17 PM [kparikh82276] mmw clarify?
8:17 PM [mmw] obturator N--------A24 anterior division from L2-4
8:18 PM [mmw] oringin of those
8:18 PM [rsandhu] post. compartment is supplied by?
8:18 PM [mmw] tibial
8:18 PM [rsandhu] right
8:19 PM [rsandhu] tibial supply whole post. part of thight and leg
8:19 PM [rsandhu] thigh
8:19 PM [mmw] ok
8:19 PM [kparikh82276] what about the common peroneal?
8:19 PM [mmw] short head of bicep
8:19 PM [rsandhu] yup
8:19 PM [mmw] bicep femoris
8:20 PM [rsandhu] agree
8:20 PM [rsandhu] which nerve causes foot eversion?
8:20 PM [mmw] commone peroneal N divided into superficail and deep
8:21 PM [mmw] don't remember rsandhu
8:21 PM [rsandhu] superficial peroneal
8:21 PM [mmw] ok thanks
8:21 PM [rsandhu] Which nerve damage causes foot drop?
8:22 PM [kparikh82276] common peroneal
8:22 PM [rsandhu] nooooooooooo
8:22 PM [mmw] yes
8:22 PM [kparikh82276] deep peronal
8:22 PM [rsandhu] right.its deep
8:22 PM [mmw] deep
8:22 PM [kparikh82276] well actually both...
8:22 PM [kparikh82276] depending at what level...
8:22 PM [kparikh82276] but on the boards... it's usually common peronal...
8:23 PM [rsandhu] oh ok
8:23 PM [mmw] agree to kparikh82276
8:23 PM [mmw] pt difficult to climb stairs which Ndamage?
8:24 PM [kparikh82276] superior gluteal n.
8:24 PM [rsandhu] inf. gluteal?
8:25 PM [kparikh82276] what say u mmw....
8:25 PM [mmw] yes very good rsandhu inferior
8:25 PM [kparikh82276] ok...
8:25 PM [rsandhu] good
8:25 PM [mmw] inferior gluteal N is correct
8:25 PM [mmw] trendenlenburg gait?
8:26 PM [mmw] which N is injurerd?
8:26 PM [rsandhu] sup. gluteal
8:26 PM [kparikh82276] sup. gluteal n.
8:26 PM [mmw] yes rsandhu
8:26 PM sanz has left the chat.
8:26 PM [mmw] hi clover how r u today?
8:27 PM [clover] i'm very good. thanks. i'm just observing today because didnt get thru material
8:27 PM [clover] how are you
8:27 PM [mmw] thanku
8:27 PM [rsandhu] which nerve is commonly injured in football injury?
8:28 PM [kparikh82276] lat. impact,
8:28 PM [kparikh82276] ant. tibal...
8:28 PM [rsandhu] noo
8:28 PM [mmw] duuno
8:28 PM [rsandhu] common peroneal
8:29 PM [mmw] ok thank rsandhu
8:29 PM [rsandhu] u wellcome
8:30 PM [rsandhu] wht area of the foot supplied by Deep peroneal?
8:30 PM [mmw] triad of knee ijury which ligament injury and meniscus?
8:30 PM [mmw] ant comperment of leg
8:31 PM [rsandhu] medial meniscus, ACl and medial collateral lig.
8:31 PM [mmw] yes rsandhu
8:31 PM [rsandhu] Wht area of the foot..........
8:31 PM [kparikh82276] web space on greater toe n second toe
8:32 PM [rsandhu] good kparikh82276
8:32 PM [mmw] yes
8:32 PM ttw has left the chat.
8:33 PM [mmw] gluteus maximus is supplied by which N?
8:33 PM [rsandhu] if lesion above the ankle on tibial nerve, where u loose sensation on foot?
8:33 PM [kparikh82276] can someone run through the refelxes on the lower limb and the nerve root it's checking
8:33 PM [rsandhu] Inf. gluteal n
8:33 PM [mmw] yes
8:34 PM [kparikh82276] rsandhu post. compart. of thigh
8:34 PM [rsandhu] noooooooooooo on foot where, wht part
8:34 PM [kparikh82276] oh on foot.... u lose sensation plantar surface
8:35 PM [rsandhu] yeah sole of the foot , right kparikh82276
8:35 PM [rsandhu] WHT IS the action of ant. comp. of thight?
8:35 PM [mmw] i am very weak in those subject sorry
8:36 PM [kparikh82276] mmw that's ok... it's only review... make sure ur anatomy is well... if u don't know it. it's good review... get it wrong now so u won't get it wrong when it counts
8:36 PM [mmw] thanku kparikh82276
8:36 PM [kparikh82276] rsandhu flexion at hips
8:37 PM [rsandhu] nooooooooooooooooooo
8:37 PM [kparikh82276] dam it
8:37 PM [rsandhu] knee extension
8:37 PM [mmw] oh
8:38 PM [rsandhu] action of medial compartment of thigh?
8:38 PM [kparikh82276] rsandhu adduction of leg
8:38 PM [mmw] adduction?
8:38 PM [rsandhu] yup and
8:39 PM [rsandhu] medially rotation
8:39 PM [kparikh82276] oh yeah
8:39 PM [mmw] ok
8:39 PM [kparikh82276] what comprises the femoral seath?
8:39 PM [rsandhu] wht muscles help knee flextion and thigh extention?
8:40 PM [mmw] qurdri femoris?
8:40 PM [rsandhu] noooooooooo
8:40 PM [rsandhu] all the post compartment of thigh muscles
8:40 PM [mmw] :/
8:40 PM [mmw] i see
8:41 PM [mmw] femoral A,V
8:42 PM [kparikh82276] yeap....
8:42 PM [mmw] femoral N is out of sheath i think
8:42 PM [kparikh82276] that's right...
8:42 PM [rsandhu] sural nerve supplies?
8:43 PM [mmw] lateral side of foot
8:43 PM [kparikh82276] sural n. supplies the medial aspect of the foot
8:43 PM [rsandhu] right mmw
8:43 PM [mmw] is that it?
8:43 PM [kparikh82276] dam...
8:43 PM [kparikh82276] got that wrong.
8:43 PM [rsandhu] medial aspect is supplied by saphenous n
8:43 PM [kparikh82276] ur right rsandhu
8:43 PM [mmw] ok
8:44 PM kparikh82276 has left the chat.
8:44 PM [mmw] oh kparikh82276 left u and me rsandhu
8:44 PM [kparikh82276] me back
8:44 PM [mmw] ok well come back
8:45 PM [rsandhu] fracture of femoral neck leads to--?
8:45 PM [kparikh82276] can't have u two have all the review fun...
8:45 PM [kparikh82276] oh i c
8:45 PM [rsandhu] thx kparikh82276
8:45 PM [mmw] yes thanks kparikh82276
8:46 PM [mmw] fracture of femoral neck result?
8:46 PM [kparikh82276] .... femoral neck,... avascular necrosis of head of femur
8:46 PM [rsandhu] right kparikh82276
8:46 PM [mmw] yes
8:46 PM [rsandhu] femoral triange is bounded by?
8:47 PM [mmw] ingunal ligament sartorious and adductor longus mus
8:47 PM [kparikh82276] med - abductor longus lat - satorious and ingunal lig.
8:48 PM [rsandhu] ing. ligament, sartorius and adductor longus muscle
8:48 PM [rsandhu] right kparikh82276 mmw
8:48 PM [mmw] yes it should be adductor right?
8:48 PM [kparikh82276] mmw ur right..
8:48 PM [rsandhu] yeah adductor
8:49 PM [kparikh82276] what structures pass through the poplitieal fossa
8:49 PM [mmw] tibial N popliteal vein and Pop Artery
8:50 PM [mmw] from posterior to anterior
8:50 PM [rsandhu] tibial nerve, popliteal vein and popliteal artery
8:50 PM [kparikh82276] correct.
8:50 PM [rsandhu] from post. to ant.
8:51 PM strug has left the chat.
8:51 PM [rsandhu] wht are the 3 anklebone joints?
8:52 PM [kparikh82276] got me rsandhu
8:52 PM [kparikh82276] i dont know
8:52 PM [rsandhu] talocrural, subtalar and transverse tarsal joint
8:52 PM [mmw] talo crural subtalar and transverse tasal joint
8:53 PM [rsandhu] talocrural is formed by distal end of tibia and fibula
8:53 PM [rsandhu] and talas
8:53 PM [mmw] if they give the CT of abdomen which levels can u expect to see kidney?
8:54 PM [kparikh82276] mmw u want to jump to abdomen?
8:54 PM [kparikh82276] ok
8:54 PM [mmw] sorry the Q just come to my mmind that's shy i asked
8:55 PM [rsandhu] we are done with lower limb anyways
8:55 PM [kparikh82276] kidneys seen R. Kidney T11-l1 and L. Kidney from T8-T12
8:55 PM [mmw] yeh what do u say kparikh82276
8:56 PM [rsandhu] is that right mmw
8:56 PM [mmw] can we seen as low as L3 level i think
8:56 PM [kparikh82276] which one?
8:56 PM [kparikh82276] R or L
8:56 PM [kparikh82276] well it has to R
8:56 PM [kparikh82276] sorry i asked...
8:57 PM [mmw] cause kidney Left is from T11and R is from T12 and lower i don;t know it says from T11-12 to L3
8:58 PM [kparikh82276] i c
8:58 PM crengy has left the chat.
8:58 PM [mmw] and also in CT images i could not see the kidney at level if L4 but at L3 i could see both kidney
8:59 PM [kparikh82276] interesting
8:59 PM [rsandhu] u cant see below L3
8:59 PM [rsandhu] u r right
8:59 PM cyrus1345 has left the chat.
9:00 PM [rsandhu] ant abdominal wall . blood supply?
9:00 PM lanny has left the chat.
9:00 PM [mmw] ilium is part of which bone?
9:00 PM [kparikh82276] superior epigastirc rsandhu
9:01 PM [rsandhu] hipbone
9:01 PM [rsandhu] right kparikh82276 and.....
9:01 PM [mmw] yes rsandhu
9:01 PM [rsandhu] internal thoracic artery , inf. epigastric
9:01 PM [kparikh82276] mmw that was an easy question
9:01 PM megs has left the chat.
9:02 PM [mmw] ok
9:02 PM huli72 has left the chat.
9:03 PM [rsandhu] il;ioinguinal nerve...where it goes to .in male and in female?
9:04 PM rsandhu has left the chat.
9:04 PM shreya has left the chat.
9:04 PM [kparikh82276] rsandhu asked a question she didn't know the ans too..
9:04 PM [mmw] don't remember rsandhu
9:04 PM [rsandhu] i do i do
9:04 PM [rsandhu] i di
9:04 PM [rsandhu] do
9:04 PM [kparikh82276] oh really
9:04 PM [mmw]
9:04 PM [rsandhu] in males - scrotom
9:05 PM [rsandhu] in females--labia
9:06 PM [mmw] arterial suppy of kidney from medial to lateral?
9:06 PM [rsandhu] boundaries of inguinal canal?
9:07 PM [kparikh82276] mmw didn't understand...
9:07 PM [mmw] roof int obliq and transverse
9:07 PM [rsandhu] interlobular, arduate, interlobular, afferent arteriloles
9:08 PM [mmw] waht kparikh82276 ?
9:08 PM [kparikh82276] never mind...looking at rsandhu ans. i understand...
9:08 PM [kparikh82276] what u were asking
9:09 PM [rsandhu] is that right mmw ?
9:10 PM [mmw] i was asking the arterial supply to kidney in order
9:11 PM [kparikh82276] so is rsandhu right?
9:11 PM [rsandhu] hi
9:11 PM [mmw] Renal Artery,Interlobar A,arcuateA,interlobular A,afferent arteriole,glomerus and effenent arteriole.sorry my q was wrong the blood flow to the kidney in order?
9:12 PM [usmle_guy] hi rsandu
9:12 PM [rsandhu] r u joining the review today?
9:12 PM fouzia has left the chat.
9:12 PM [rsandhu] rt. renal vein enters..................?
9:12 PM [usmle_guy] i'm soooo sorry. i'm helping someone with a powerpoint presentation and its taking longer than i thought
9:13 PM sanz has left the chat.
9:13 PM dua_frank has left the chat.
9:13 PM [mmw] abdomianl aorta
9:13 PM [rsandhu] oh ok
9:13 PM [mmw] no
9:13 PM [mmw] sorry
9:13 PM [rsandhu] Inf. vena cava
9:13 PM [mmw] yes
9:13 PM [rsandhu] lt. renal vein.?
9:14 PM [usmle_guy] her presentation is tomorrow morning and she doesn't know how to use computers well . hopefully done soon
9:14 PM crengy has left the chat.
9:14 PM [rsandhu] guys .um sorry but have to go
9:15 PM [kparikh82276] what...
9:15 PM [kparikh82276] u can't go rsandhu
9:15 PM [mmw]
9:15 PM [rsandhu] yeah, gotta get up early tomorrow, at 3. 30 am
9:15 PM [kparikh82276] we were just getting down to the really improtant stuff..
9:15 PM [rsandhu] its 8.15pm
9:15 PM [kparikh82276] hey me too rsandhu
9:15 PM [mmw] hey rsandhu where r u going
9:16 PM [rsandhu] to the hospital
9:16 PM [usmle_guy] as i was telling rsandu, i'm helping a friend with a powerpoint presentation that she has to present for tomorrow and she doesnt know much about computers. i'm soooooo sorry that cant participate tonight
9:16 PM [rsandhu] bye guys seeeee ya
9:16 PM [usmle_guy] bye rsandhu
9:16 PM [mmw] oh bye
9:17 PM rsandhu has left the chat.
9:17 PM [mmw] r u guys r in the same place now?
9:17 PM [clover] hi betty
9:17 PM kparikh82276 has left the chat.
9:17 PM [betty31] hi
9:17 PM [mmw] hi betty
9:18 PM [betty31] what are you doing now?
9:18 PM [mmw] hey usmle r u going to come tomorrow?
9:18 PM [mmw] rox is also not comming today
9:18 PM [betty31] I saw the transcripts for behavioral science, they are good
9:18 PM [usmle_guy] yes, i'll be here tomorrow, i just got tied up tonight. i'm here, but helping a friend at the same time
9:18 PM [mmw]
9:19 PM [usmle_guy] welcome betty, good to have you here
9:19 PM [betty31] thanks
9:19 PM [betty31] I come sometimes to the chat
9:19 PM [betty31] what is for today?
9:20 PM [usmle_guy] i have some time now, but might need to help her again every once in a while if ok with others
9:20 PM [mmw] so what will we do now continue or stop the chat for today i am the only one now i think
9:20 PM [betty31] hey I am here
9:21 PM [usmle_guy] did you finish the material mmw?
9:21 PM [mmw] what do u say betty31 and clover
9:21 PM [betty31] continue
9:21 PM [clover] i didnt go over this material, so just observing tonight
9:22 PM [mmw] i did not prepared well so i am stuck now
9:22 PM [usmle_guy] i dont know what you all went over so far or what is left
9:22 PM [betty31] sometimes it happens
9:23 PM [mmw] we have covered the lower limb and we r continuing the abdomen,pelvis and perineum
9:23 PM [betty31] I used to be roxanita's friend, was she coming lately?
9:23 PM [mmw] she was here yesterday
9:24 PM [usmle_guy] yes, she has been coming. she didnt show up tonight, but she always lets us know beforehand. i haven't checked my messages yet, but i'm sure she left something about it
9:24 PM [mmw] thanks for ur message usmle thanku so much
9:25 PM [clover] i guess we can regroup tomorrow since most left already unless anyone wants to discuss anything in particular, but i dont have questions prepared
9:25 PM [betty31] Acting bilaterally, the external oblique muscles produce which movement of the vertebral column? A) Extension B) Flexion C) Lateral flexion D) Rotation
9:25 PM [betty31] can anybody solve this question please?
9:26 PM [betty31] I think is rotation
9:27 PM [betty31] well I think everybody is leaving
9:27 PM [mmw] may be
9:27 PM [mmw] i dunno betty
9:28 PM [betty31] what is the theme for tomorrow?
9:28 PM betty31 has left the chat.
9:29 PM [betty31] I will come tomorrow then
9:29 PM betty31 has joined subroom: USMLE_Step_2
9:30 PM [betty31] usmle_guy?
9:30 PM [usmle_guy] sorry, i had to help again. i'm back
9:30 PM [mmw] head and neck for tomorrow
9:30 PM [betty31] ok, thanks, that's tough :/
9:31 PM iamzuhair has left the chat.
9:31 PM [clover] schedule is here
9:31 PM [clover] http://usmle.valuemd.com/ftopic56.html
9:31 PM [betty31] have a good studying time everybody
9:31 PM [mmw] that's enough i think but we did not discuss about the upper limb it's also imp
9:32 PM [betty31] maybe tomorrow we can do it also?
9:32 PM [mmw] we can review tomorrow before we start the head and neck what do u say betty31 and clover and usmle?
9:32 PM [usmle_guy] if we have time. if not we can try to fit it into another chat. but we will cover it
9:32 PM [betty31] I think it would be good
9:32 PM [clover] sounds good to me
9:33 PM [usmle_guy] ok, goodnight all. sorry i couldnt participate tonight. will be more active tomorrow
9:33 PM [betty31] then see you tomorrow, I am going to listen web prep now for head and neck
9:33 PM [mmw] ok guys see u all tomorrow
9:34 PM [clover] thats ok usmle, you are usually very active. i'm going to listen to webprep too. bye
9:34 PM [betty31] I checked the listand they have head and neck
9:34 PM [usmle_guy] bye
9:34 PM [betty31] bye
9:34 PM clover has left the chat.
9:34 PM [mmw] bye i am also going to listen web prep
9:34 PM betty31 has left the chat.
9:34 PM [mmw] r u going to post today usmle?
9:35 PM [usmle_guy] yes, i have the whole chat transcript