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Retired NBME 21 Answers

nbme21/Block 3/Question#28 (reveal difficulty score)
A 1-year-old girl is admitted to the hospital ...
Disruption of the secondary structure of collagen molecules 🔍 / 📺 / 🌳 / 📖
tags: biochem

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submitted by wasabilateral(47)
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I nkthi it has eiosthgnm ot od iwht engcliy (ude ot sti lslma siez ti nca fit ni nmya lepsac erwhe thore iaomn cidas can tno nda enhce it dvopiser “rurtlstauc esmcs”ocapnt ot het ,ocagelnl .ie. tup a nkik in eth lpaah x.heli) If gnlyiec si delsapcmi by eointgsmh s,eel I ’dtno ktnih ec-laolnorpg can ormf tsi croctre doenrycas s.urttcuer

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jotajota94  !Teru al,os yenglic is /31 fo lclongae afla ics,nah os it mskae essen atth stuiusitnbot ihtw enaailn hciwh( is muhc gebi)rg owlud lead ot uodpntirsi ni hte hlaap liehx foiamr.tno +2
jotajota94  u!rTe a,slo enlciyg is 31/ fo lelangoc afal ahni,sc os it aesmk eenss htta iunotsbistut itwh analnei chhw(i is mhcu ibe)ggr udolw dael ot dutrpsnioi in het laaph exihl ftonor.ima +
thepacksurvives  liyecnG is lmlsa nda ,deybn cwhhi llwsao ti ot mfro eht rfsblii ofr het eptirl exlhi +
brasel  lsAo in aerlnge (AF 2801 pg 50) IO is mrof epbsmrol nogmfri teh erlpti hleix wchih si esordcyna src.euurtt etuFlrnay,ot hety gaev us enshgiotm ot ernaso wtih in hte tiqensuo t&AGl-a(gl);y +3
amy  anC neemoos elph em ndunaestdr why A si ei?contrcr 02A20F page :05 rieplT xlieh fo 3 ceoglnla a icsnha is rmedfo fmro goenolaprcl vai yegdhonr dna esiudildf ondb. Is hsit ryev ialirms ot ahwt A si .ge c?binAidr eeresDdac rehdnbyo-gond fnarmotio tnebeew lglaceno e.lmouslec +
umpalumpa  Teh epoaxainlnt ngevi by llbaiatrsawea ocldu rkow if het qnuoeits dowlu yas ytA-lg;-Gl&a notuit.ma e,eworvH het esoniuqt satste ttha teehr is an gltaylG-&;A- ai.otmntu +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I frgeui,d yclg-XYen-i si ihtyecllnac odcdienres a “ripmray amnoi caid tcrusuret of a pe”itorn cisen het iioetnifdn of a arryiPm tsucturre of a iontper si “a lieanr cnhia of aniom .”adcis If oyu essm iwth het irramPy t,suurrcet sa in teh sqiuotne ,etsm uyo acontn form hte dnreaoycS euctsurrt fo hte tpro,nei hihcw si dirtneedme yb eht reoynnoggbhd-nid wichh cuorsc webeten teh peipetd bckeonba, ddtneeennpi fo eth R pr.sogu I opeh ihst edma .esnes

rFmo wieipkaid: odSe“rycna cretuusrt is malyfrol dieedfn yb eth terpnta of rengdhyo osndb wtneeeb the nmioa yreonghd adn oybclxar onyxeg stamo in the pteeidp okenbacb”. ph(siesam mn)ie

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From Molecular Biology of the Cell:

Biologists distinguish four levels of organization in the structure of a protein. The amino acid sequence is known as the primary structure of the protein. Stretches of polypeptide chain that form α helices and β sheets constitute the protein’s secondary structure. The full three-dimensional organization of a polypeptide chain is sometimes referred to as the protein’s tertiary structure, and if a particular protein molecule is formed as a complex of more than one polypeptide chain, the complete structure is designated as the quaternary structure.

https://www.ncbi.nlm.nih.gov/books/NBK26830/#A406

+5/- drdoom(1206)

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 +4  upvote downvote
submitted by usmle11a(102)
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ko sguy nda i tqueo from wc.o/e-ist/:lui./ac/ethochpmosoos2ftnterr1awleiwss/degt40pbseeiptmtr

"90% evah na ibneletiadfi gteenic itutmaon LOC 11A nda OCL 21A
ucs sea nbmarlao olcglena ksgncni-risol aiv a ygnlcei uiutsnibotst ni het nclerolapgo ueoclmle "

hwhci ensam atth IO hsa a gnyicle oiubnuitsstt adn etrhoefr tis unbela to form a doaesyrnc uuttrerc.su

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu ot isne'ylgc lasml ize,s ti esrteac kinsk"" in eht aionm icad qs.eneuec Teesh snikk ear dnedee ot creycrtol mrfo hte rodacnsey .ctsurreut

rehOt ass:nrwe

  • dnkeaewe" tniaiotrcne wteebne oagnllec adn ocgnt"eapoylr - longelac + pogolcetnayr = gllcaaitr.e ehT neutoiqs smet enoinsmt anym fteesdc in bONE tpy(e I nloaglc)e tub no oetnnmi of esefctd ni TOealrlgaWc y(etp II )nleaoglc
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 +1  upvote downvote
submitted by basic_pathology(25)
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lYXG-y- is bebancko for oecnlgla aahlp inch.a 3 cleagonl hapla inshac iapsrl to ormf lprite hl.xei yliGcen ash no R oup,gr lgnwoail ofr lxbiifleiyt nda amniofrot of pliter xlei.h No cengiyl eptrvnes itsh ounnusitoc nslg,priia gpnentiver hte otfrinaom of olgcnela ncesdoray stcterru.u

eallRc htat lhp-lshaceiae and a-stbetshee era emsaxelp of rsoyanced uurrts.ects Thsi cna eb hutothg fo a eiftmnoinsata of hte alahp xhl.ei

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 +0  upvote downvote
submitted by an_improved_me(91)
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oNehArt ayw ot egt ta it si avi imiaonine:tl

.A enyhdorg nidogbn wlnotud ylelar ncgeah escin ehnirte enanail ron nyiegcl rea .laB orp ylG t;g& lAa nohstu'dl encagh owh pnreoil is ieimdodf I( mena it ,OLCDU fi etehr was a critse eninhdacr ro geios,nhtm utb ton a taerg weDa)rsn. nnithog to dinaetci ttah leogalcn egdiatenrod si atelrde ni sesnopre to an AA itsoin.ututsb ls,oA in teh ncxoett fo OI hihwc( si the itpgernesn ,cia)tpmlno we aylarde kown ahtt eth pblrome d'entos ahve itnyangh to do wthi dangeo,rited meor with the aegnch in s/fuinrucot tenuE.rtc nstoeylH dnt'o wo.kn

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submitted by drdoom(1206)
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’srHee eon wya to tpciaifmssnre--eeool sed“rcdeae -enogrbhndydo tfan:”moroi Im’ not a bgi naf of hsti elni fo oerigs,nna tub lliencaycht anaenli sa a deis urgop sah orme yrodhg*sen fro ioplnatet odhrnyeg obnnidg tnah icyngel:

nnailea: 3HC—
yc:gelni —H

oS, ynt”“li,lacceh naniela oudlw tpirme reom nhdengo-rdboy f,iotramon wcihh hitmg owlal uoy ot intaelime tath ecoih.c

taTh sd,ai ti smese tomlsa sboispmile ot rleu uot uo(wtiht ervy enctilach elewkdgno ro seom vdoierdp aximreenlpte t)ada ttah eth lthgsliy lrgrea lainena sedo tno riampi geonyhrd inogbdn tnebeew elcaonlg luoemelcs avi etrcsi )ia(tpsla ce.ntrirfneee nI rmsilpe terms, iesnc eiaalnn is eralg,r yuo dwuol ihntk atth ti utsm emwsooh enftrerei iwth het -gryodnohingbedn that rocusc with eth itelwp-dy igyclne.

---
*ityrSltc igknp,sae is’t tno eth rneubm fo grynhdoes tbu slao hte herngstt fo het lepodi hatt aclaetsiift ehnyrdog odnnb:gi a egnohryd uodnb ot a tognlrys lceteaeivrgotne ulclmeoe eikl iurlfnoe lwil “p”arape reom oisitepv ,nda t,suh od-ndrnebohgy ermo ygosnlrt tihw a anebyr gxyone damoc(pre wthi a odyenhgr eenodcctn ot oabncr, for )ep.exlam

rFtrehu gdni:ear

  1. piu..:.demguhedwtohlctp//lcw.simh/w/tnebhlhuduqer/dsp
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hungrybox  Aprpatiece eth frtfeo tbu iths is raf oot nlgo ot eb feu.uls +30
drachenx  xyunbrhgo is a fenkirag herat +
drdoom  arechn@xd h,aah h,na imcgno bcak to tsih i zailere i aws aprlybob oi-rvgekeeng llo +1
blueberrymuffinbabey  i'snt the hengrdoy igbondn pnedtndee on eth xoyadldrhyte eolipnr nad ienlsy? so htat wo'ltudn layelr be eht esius eehr isenc estoh re'tna eht asa nbige drteale? +
drdoom  lebebuyr@r coigndcrA ot r’stAleb CMoB se(e tgnsTena ta ig)th,r hisxrnedyolyy dan dyolirxpryneoh tobruetcin hegryond nosdb atht rmfo wnebeet het sahcni ect“ian,r”ih(n as pesdpoo ot achniran;-ti hte anics,h of ,csreou rae rsatpeea pysd;eitlpepo htat i,s seapaert aclolgne op;sinter adn ttnieanocisr ebntewe esaeatrp inasch a[tepreas y]lptdoieespp is tahw we llac aurqtnea“yr u;”trtcurse ees Tagtenn evabo). Adn ni tihs ,ceas sa uyo tponi otu, hte semt seedcsibr a alA-g;lyGt& otttsibsuu.ni taTh seesm ot eanm two t:sginh )1( eth eerht eaetpars eocnlgla oelpipytpesd lwil tno ca“kp a[]s tyhgt”li ot orfm teh lpiret leixh rnu(=qaryeat )sretturuc we all kown and loev nad )2( enplori gnrsi illw lfai to rlyae teiqu sa n,ysgul nmooirimspgc hte lalechi romaiootfnnc htat denfesi na paalh iacnh o=ecsdnyar( stcr;erutu het shpeas ttah mrfo nhitiw a lgisne ptedpy.oel)ip +
tadki38097  lsoa oyu cant' H dbon twih ,anrboc it's tno arlop hognue +
amy  0A022F 05P tats:e roomftnai fo olcphnhilg(wocear is het elrtpi lihex t)tuuecrsr aiv ernhogyd adn .fddeiilsu oS A is eocnitcrr cb erthe rae on noegclal lseclmeou ety n2d( utrutrces hapnpes ta opragocllen lvel)e +
drdoom  @mya tpelri xehil si a yanqtrarue tstucerur ec(sin tpilre ilhex si a seahp hatt frmso EWEENTB raaesept or ad”utl“ -lnrloecoagllo/apgcen d.eie)ptsp mPiry,ra ayercsndo dan aeityrrt eursuttcsr aer inpostsdcire of a singel lotpiye.dppe nOce uoy vhea 2 ro emor sdiltpepyepo tencitgrnai itwh echa torhe ,e.g.( ieHbglnmoo e)melcuol uoy haev qtyureaanr certuu.tsr +

From Molecular Biology of the Cell:

Hydroxylysines and hydroxyprolines are infrequently found in other animal proteins, although hydroxyproline is abundant in some proteins in the plant cell wall. In collagen, the hydroxyl groups of these amino acids are thought to form interchain hydrogen bonds that help stabilize the triple-stranded helix. Conditions that prevent proline hydroxylation, such as a deficiency of ascorbic acid (vitamin C), have serious consequences. (Emphasis mine)

https://www.ncbi.nlm.nih.gov/books/NBK26810/#A3555

+1/- drdoom(1206)

From Molecular Biology of the Cell:

The primary feature of a typical collagen molecule is its long, stiff, triple-stranded helical structure, in which three collagen polypeptide chains, called α chains, are wound around one another in a ropelike superhelix (Figure 19-43). Collagens are extremely rich in proline and glycine, both of which are important in the formation of the triple-stranded helix. Proline, because of its ring structure, stabilizes the helical conformation in each α chain, while glycine is regularly spaced at every third residue throughout the central region of the α chain. Being the smallest amino acid (having only a hydrogen atom as a side chain), glycine allows the three helical α chains to pack tightly together to form the final collagen superhelix (see Figure 19-43).

https://www.ncbi.nlm.nih.gov/books/NBK26810/#_A3551_

+/- drdoom(1206)

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submitted by nmb29(0)
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I mtigh eb rgintheknoiv ti tb,u H odnb otfnrmaoi of a'sa kesam teh oadecynrs tteuurcsr of eth epirotn ec(allgon ni thsi ecs.)a Teh Gly ot Aal utustostinib deos sutrel ni slse H bdon rt,mioafon btu fo ivdliundia aas' ton nwetebe nloacegl uolecmsel thta( mghit eb more rof arrtyuaneq rt)utcures

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lpp06  I nihkt eht key is ni eht rasnwe hpi,gsarn eht nswrea omeninignt nsdbo-H syas pDiros"tinu fo obdH-sn beewtne aecllngo eelhuluoslthAg "cmo allncgoe deso rugoend in-goHbdn ot sutropp the pielrt xlhei, hsti is eond tiwhni teh maes ngllaoce kciL.ugoilneemnl fdierftne lgncaloe csollueme curosc iav hte sleiyn - ynlxysoerdiyh liksn oned ni eth MEC +1
kevin  ihts is eth eon tcmnmoe atht lnliyfa eehdpl me dunaesntrd hyw hatt wsa rtocinrc.e nhatk ouy +


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submitted by j123(16)
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rPymiar rtsucerut = omain cida uoq aceyseencrndSe utcsruert = turcretus oedrmf whit a seglni inoma idca qeucseen teb(a dltpeae ,ehtes lapha exi,lh Tytr)eicea rt tcuesrrut = umepltli anoesdycr ttcreurssu ingnitetrca rgtheoet (ltpimlue bate apteled sheset ksdtcea no tpo of ecah eh,rto raecur ret)aQnty ecsuttrur = niprote trrcusetu ferdmo omrf nfgildo fo all erityrat ustctrerus ot kaem ibingnd tie,ss t.ce

iecnS hte analien aws utp in laepc of het lyiceG,n the irmpyra suurtcetr asw anuble to ormf an plaha xeilh ecsni aalhp xelih sueurttsrc ende a racruailpt ceneeusq g(yl - x- y) in edrro to omrf hognrdey onsbd ot keep teh xileh t.aeslb

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 -1  upvote downvote
submitted by unknown001(9)
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tawh is llcaneog ? a aenycdros eiportn rttr.suuec

hewn ouy rmvoee n,lgeyic teh mots datnbanu imnoa idac , mofr hte ecpurrosr celoulem lwil yuo gte a opperr neodsyacr rutuetcsr ? NO

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unknown001  igeonr this +
drdoom  acn ouy te?arebola hwta's rnwgo ihtw oruy e?mmncot +


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 -4  upvote downvote
submitted by lilmonkey(63)
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Gly si ,lpoar alienAn is prnnloao adn oh.dihbocypr nssesieM ntnacseenrovoiv ta.miotnu Teseh AAs vaeh feftndier elmcahci poeersrpti hwich lead to diesrtupd perotni indolfg csdn(eroya r)tseuct.ur limaiSr ot Glu - aVl tibinutstsou ni liSeck llCe eei.assD

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