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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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 +16  upvote downvote
submitted by wasabilateral(47)
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I knhti it sha iohtsgenm to do tiwh igycnle d(eu ot ist mlsla zsie ti nac fti in yman alspec erhew rehto ionma dcasi can nto nda nehce ti pderivos “salutrcutr mnocsates”cp to eht calneogl, .ie. upt a iknk in eth palha )ileh.x fI nlecgyi si csdalmepi by smotgehin ,eesl I tndo’ hinkt naogocl-rpel cna rmof tsi rcctoer nsaeydroc u.urtectrs

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jotajota94  rue!T ,aslo ingcely is /13 fo lengalco faal ,nhsaic os it kesam nsese ttha tttouisisnbu wtih aannlei h(icwh si hucm bgi)reg dlouw adle to pisnitruod in eht hpaal hixle ofnmratio. +2
jotajota94  Tue!r ,sola egclyin is /13 of olcaleng aalf hinas,c so it mskae nsees atth itosnsbutitu ihtw laiaenn wh(ich si hcmu i)bgger ulowd aled to rstidnpuoi in het alahp xiehl inrotfoam. +
thepacksurvives  leyGnci is sallm and benyd, hwhci allsow ti ot mrfo teh irbsfli rfo teh ptierl ilxeh +
brasel  sloA in egenalr (FA 8012 gp )05 OI si morf rompsbel fongrmi eht pritel hxile hcihw si oyenscard urres.tutc nyruFto,eatl thye vega us oigsehntm ot enarso htiw in the snutoiqe l)yga(G-;tAl& +3
amy  nCa onseome eplh em ddsnrentau hwy A si rctoni?cre F00A22 aepg 05: Trelpi elhxi of 3 locelnag a shncia is emfodr mrfo nlcloogpear iav rndogehy dan usiiflded bno.d sI hits reyv rsilmai to awth A is nigride? Ab.c seeDrcdae bgyheodnnor-d nioftmaor ebnetwe lnlaegco emc.seullo +
umpalumpa  heT eptlianxnoa vneig yb awillabaetsar lcdou owrk if hte ionseutq uoldw yas &t-lGy-lAag; nomit.uta wHrvee,o het qstueoin asestt thta ereht si an alA&tG-y;gl- tumnaoit. +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I ufdr,ieg gen--yiXlYc si ylhctnaceli sencoerddi a ra“yipmr iamno dica ucturetsr fo a optnr”ei ceins hte nienditfoi fo a ariPmry uetctusrr fo a teorpin si “a niaelr hnaic of miona cdias”. fI uyo ssem twhi eth rrPayim ru,rtsucet as in teh neqtusio s,met yuo anctno rmfo hte yreoadSnc utctreurs fo hte ,opirtne hcwih is mirneeeddt by eht inoydnggdnebr-oh hhciw orcucs eweentb eth editepp beocbank, teenpndiden fo teh R .orsupg I pheo siht eadm sns.ee

Frmo akweipdii: rcoSy“eadn rttcesruu is afmlrlyo ifedden by eth ptetran fo gehryodn nbosd netebew eht niaom hrygnode dan yrabxocl enyxgo taosm ni het dipeetp koebbcna”. (isheapms ie)mn

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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)


 +4  upvote downvote
submitted by usmle11a(102)
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ok ygsu nda i uqtoe mfor m0ra:p/adptrccb/.ssmrtiopsilletseefe/si/whw.oehuo2eew1ot4ts/igt-tocn

9"0% veha an fleinbiaited tieecgn unmittoa OLC 11A dan OLC 21A
eucass ronmlaab onaegllc sirnsi-cngkol via a ylcengi bnotistustiu in het nropgoacell euoecmll "

ihwhc esnma htat OI sha a eiylngc ssobiuttintu dna rrfheeot ist eubanl to fomr a orynsaedc tecus.turru

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu ot cel'nigys asmll eis,z it scaeter "iksnk" ni the inoam aicd eq.eunesc esheT skkni era edened ot lyocrtcer rmfo the recnyoasd ucrsetu.tr

treOh erans:ws

  • aeewne"dk inoniacettr wneteeb elcagnlo dna ya"tcoroepngl - nacolgel + norleocytpga = tlgliaer.ca ehT etsoinqu estm ntmsnieo namy fteedsc in NEbO typ(e I eacolgln) but no nitnoem of dtfcsee ni cWaOllragTe e(ypt II enal)lcgo
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 +1  upvote downvote
submitted by basic_pathology(25)
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X--lYyG is bkbcaneo ofr aeclolng lhaap ihacn. 3 alngecol hplaa sainhc plsari ot rfmo epirlt xhi.el ilencyG hsa on R ,ogrup nwoglail ofr exitliflbyi dan fotornaim of ietlpr .hliex No neigylc etpsrenv tish nooticnuus i,siplganr eivetpgrnn eht manitroof fo coalnlge narysdeco s.cuutertr

ecllRa atht lails-hhcaepe adn ebast-sheet ear paxemlse of redaosync s.crttueusr ihTs nac eb ohguhtt fo a niaeastntmoif fo eth laaph h.xeil

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 +0  upvote downvote
submitted by an_improved_me(91)
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NhtAero yaw ot teg at it is aiv lmn:iteaioin

A. gordyehn bdginno tnldouw lalrey ghecan ensci teinreh lainaen nro ygleicn era roa B.pl Gyl &t;g aAl sduth'nlo haengc how peirnlo si ieioddmf (I neam it ,LUCDO fi hreet was a erscit eindcnrha or o,snhmgiet btu nto a getra srawe )nD. iotgnnh to ticeidan ahtt gollance gtdneoderai is tredael ni seperosn to an AA i.tsubnistout o,lAs in teh ctotnex fo IO ihhw(c si teh eennrtsgip atm)icn,pol we yaaredl know ttha hte ombrpel stodne' vhea hnniatyg to od ihwt dane,dgotrie ermo tihw eth chagne ni fotrictnne/uEru tuc.s tysHnole o'ndt nok.w

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 +0  upvote downvote
submitted by drdoom(1206)
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H’sree one awy ot psore-aeni-eclostmfi ea“erecsdd bgd-yrndnooeh fi”rmot:ona m’I ton a ibg afn of this niel fo ingroesna, but anclethiylc ianneal as a ised gurpo ahs mreo rgdeyhons* for laptinote ogrdyhen oninbgd nath licengy:

nni:aale HC3—
eyg:ilcn H—

,So ”clite“hlyacn, lneaina dulow treipm oemr ogeryhdn-dnbo afritm,noo hhwci gtmih loalw uyo ot liianetme atht oc.cihe

htaT ia,sd ti mssee tsolam spiimosble ot lure uot ot(uwhti yver elcachnit lgekondwe ro mose evdropdi eampeientxlr )tdaa that teh llysthig errlag iealnna osed ton mpriai dnghroye onbidgn wetnbee onegclal uelsoceml iva teicrs lat(s)aip icenrf.nteere nI srimpel esmtr, csnie lanniae is a,ergrl ouy odwul tinkh ahtt it smut woemsoh reinferet whti teh gooinnhyrd-ngbde thta ccsuro hitw the wd-pltiye egiyncl.

---
ttScryi*l ,gapsekni ts’i otn eth eunbrm of yosehgrdn tub salo teh engtstrh fo eth eioldp ttha iitasecaftl hyeonrgd :ondgnib a gyrdeohn ubond ot a slyntogr nlgeiavereteoct umcollee ekil urnleiof wlil raeapp”“ erom iotispev and, uhs,t odnob-rnyghed more loyngtrs with a byenar enyoxg acpmoedr( hiwt a dnehyrog dencceton ot ban,cro orf lpxmaee).

trFeurh riga:edn

  1. dh/beq:d/n/wddpw.iteppwmhi/lur.hhe.coesmt.huluglscu/t
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hungrybox  rptepAciae het toffre tbu stih si fra oto ongl ot be luufs.e +30
drachenx  rubxyhnog is a rfakenig reaht +
drdoom  @xarnhdec haah, han, oincmg abkc to hist i rzeliea i asw pblyrboa okvgeeegn-ri oll +1
blueberrymuffinbabey  ints' teh nyghoder oindngb edeetpdnn no eth aoxltydydreh npeiolr nad isnye?l os tath d'olntuw rallye be the isuse eher inecs toseh ntera' hte saa neibg dt?eerla +
drdoom  @blrureeby occrigndA ot b’Aelrts oMCB (ese Tganetns at hrt),ig sidehxyrnolyy nad lixoporryeyndh ionubetrct nhegdyro odbsn htat rmof etnwbee eht acisnh ,(nheirai”ntc“ sa ppeosod ot i;-hnartnaci hte i,sacnh fo reocus, aer ersptaae lso;edptpepyi thta i,s eptreasa aoglceln instr;peo nad ttiesnncrioa nwetbee epataers scaihn a[teapres opsiytppedel] is hawt we alcl nqayarter“u tuu”ertrsc; ese atgneTn vbaeo.) ndA ni thsi es,ca sa yuo tniop u,ot hte mtse dseiercsb a ;G&llAta-gy ot.isistntbuu thTa smese to nmea owt :ignhts 1)( het rheet speatrea econlgla ippdleeyopts iwll otn pac“k ]as[ glit”hyt to morf hte trpiel helxi eyuatr(=nraq )tcuerturs ew all okwn dna eolv adn )2( npieolr rngis lwil afli ot erlya tqeiu as nysl,gu oipngocsrmmi hte hleliac mtfcoonraoin htta efeisnd na alpah achni ny=rs(oecad eturc;utrs eth ahsspe ttha morf inihtw a geslin )letyi.dpopep +
tadki38097  sloa uoy c'nta H dnbo itwh ocbar,n tis' tno pralo uhnego +
amy  200F2A 05P :astet maofitron of lneihloporagcwhc( is hte etirpl exlhi tu)erscurt vai degyhonr adn elfdi.sidu So A is eroinctrc bc hteer aer on onegllca ceeuslmlo yte (2dn rtrtseucu asenphp ta cnlgopaloer ve)lle +
drdoom  yma@ trilpe hxiel is a traeqraynu rcrtuesut cn(eis etlirp xeihl si a aseph ttah rfmso TEWEBNE stearape or ”atld“u co/lelnlogcrlnae-agop sed.)teppi rrPma,iy cderonays dna ryitetra surrscettu rea dsiicpnrtose of a enslgi p.pyotiepedl Once uoy ehva 2 ro orme tipspodeelpy nriegttnica htiw chae hroet .e,.(g oolgHnemib e)colueml uyo aehv auqeynrrta t.sruteurc +

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)


 +0  upvote downvote
submitted by nmb29(0)
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I mtigh be invnrktoigeh ti b,ut H bdno fatrminoo fo aa's kames teh daecnrsoy urutrcset fo het toirnpe l(laconeg ni shit caes.) Teh ylG ot alA itsuisubnott sedo tluesr ni sels H donb itfmoonr,a tbu of ulididvain aas' not neewetb nallgeco ullcosmee t(tha imtgh be rmeo fro yararqunte urrc)eutts

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lpp06  I tihnk hte kye si ni het nwrsae ipagnrsh, teh awnres nongienimt b-noHds syas nD"sirtioup of sHbo-dn bneteew lnleoagc luel"homtuloe hcsAg clelaong dseo odreung dHboing-n to ptrspou het rtepli ix,hel htis is oedn niiwht eth mesa alneolcg ik ogLuencinlm.le ffeirendt egalnocl ulosmecel occrsu via the lniesy - sdierynlhyyox ilkns odne in het MEC +1
kevin  hist si teh neo tmoencm atth ynflila hplede me daterundns ywh ahtt saw eior.tnrcc tnkah uoy +



 +0  upvote downvote
submitted by j123(16)
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ayimrPr tsuetcurr = imnao dcai nre yduccSqeaeeons cttsuerru = ecsurturt drmeof tiwh a sgneil inamo acid unseqeec (aetb eptldae ,hseet aplha ih,xel )rTtyeetai rc rtceusrut = tmelliup rncaysdoe seuutrtsrc nntgitecira eorthgte iuelplm(t abte teldaep eshtse ecsdakt on tpo of ceah to,ehr ternutar eQ)cray trecrustu = prinote urtsucert moredf from nigldfo of lal eryatrit rettscrsuu to maek bgndnii stesi, .cte

eincS hte eaninal saw tup in leacp fo eht lnGeic,y het aiprrmy rstceruut was ubneal ot mrfo na alaph eihlx esnci lahpa ixleh susertutrc eden a ruclrtpaia sueceneq (lyg - -x y) in dorre ot mfor godhnyer obdsn to kpee the xhile e.lastb

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 -1  upvote downvote
submitted by unknown001(9)
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athw si oelngcla ? a caedosyrn niretop .rctrseutu

nweh uyo mveore cileyn,g eht omts atbdunan nimao daic , ofrm het erurcpors llcoeume illw you egt a eorprp yorcadens rrtuetcus ? NO

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unknown001  rngeoi htsi +
drdoom  nca ouy btroaaee?l 'astwh rowgn hiwt uory moenmt?c +



 -4  upvote downvote
submitted by lilmonkey(63)
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Gly is ,plroa nAinale si aorpnnlo and pdcyoihhrbo. isnseMes raeeoonntcsvniv naitmuto. ehseT AsA vahe eeifntrfd iechaclm proiertesp hwihc dael ot ddiseuptr epoinrt odlgfni crodeynsa( .ue)turrcst iSmiarl to Glu - lVa niituotssbut ni ickleS eCll eeDisa.s

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