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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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 +16  upvote downvote
submitted by wasabilateral(47)
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I kithn ti hsa hmostnegi ot do htwi ynilceg de(u to its mlsal size it nca ift in nyma clseap eehwr toehr anomi cadsi can otn dan hceen ti edrpoisv acrlr“usttu posc”enstmac to the loeanlgc, e.i. tup a kkin in het lapah .iehl)x fI gelniyc si limpedasc by hsintomeg es,el I o’dnt khtni ooplarlngec- nca ofmr ist rcetocr scyerdaon uuectr.rst

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jotajota94  !eTur oas,l cegyiln si 3/1 of negalocl laaf nic,ash so ti amske eessn that uttiotusbisn tihw neainal wh(chi si umhc e)rgbig oudwl dael ot drupiisotn ni hte hlaap lhxie iafmoo.ntr +2
jotajota94  ue!Tr osla, yilcgen si 3/1 fo olnecgla afla anih,cs so ti sekma essen ahtt uistnisotbtu with aienanl ih(cwh si ucmh )egigbr lowud lade ot tdrioinsup in eth paalh xileh ra.iftonom +
thepacksurvives  Gyelcin si small nda ,bedyn hhciw swlaol it to rfom eht iilsrbf ofr the tiprle lxihe +
brasel  olsA in eenglra (AF 2801 pg )05 OI is fmro osbmplre rgmifon teh iteprl xehil hcihw si escdaorny euru.csttr ettFouyalrn, tyhe egva us thnmseoig to arsneo thiw ni eth unqoties -&(Glgal)Ay;t +3
amy  anC nseoeom ehpl me ndutnsaerd wyh A si ocrc?etrni 022A0F egpa :05 erlTip eihlx fo 3 coenagll a chanis si fmeord frmo elrnocploag iav nyedgorh nad ddfisuiel nbod. Is hsti very aiismrl ot wtha A is g.ined?c bAri eeaDsrdce rghodde-ynbon trofnomia eneetwb cagneoll lem.eucslo +
umpalumpa  The nilpaaoxtne igenv yb iwlaabraaelts dulco kwor fi het oitnsqeu wduol sya -Atlay&-gl;G nmtit.oua v,weoreH eht qoenusti tstsea htat reeth is na lGlytA;&g--a ua.mtnoti +


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submitted by cellgamesgojan(43)
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I reduig,f g--XYnicely si ihcntlaleyc scoeddrein a “iaypmrr mniao dcia uetrcurts of a tpo”iern nsiec the ieftinondi fo a rPiamry eurrctuts of a reoiptn si a“ earnli haicn fo mnoai i.sa”cd fI oyu smse htwi hte myaPrri tecus,trur sa in eth toquines tsme, you oatncn rmfo het dryconeSa scrureutt of eht iporen,t wchih si rdeeidtnme yb the -idbdogonhnngery which rsuocc neewetb the edtipep cnkbbeao, nndneepetid of hte R gpruos. I eoph tihs adme sne.se

mroF iaedwipik: enoSc“yadr strucreut si rmfllayo dnedfei yb hte pttrnae of hdognrey sbodn eenbtew het maoni ygndrheo and blracyxo onxgey aotms in the pdipeet cbbnaoek.” pesms(hia enmi)

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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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ok gsuy and i uotqe fmro e2r1/ttitgm.siwcmsisscdrsi0os:rleto//wecno4bee/apupoele.whattht/fpo-

9%"0 ehva an eiaitlnbifed eecting tanmutio LO C A11 adn CLO 2A1
asescu moraalbn nclolaeg r-gslcnsioikn avi a gniycel bintsutistuo in eth olgenalrpco uemclole "

whcih ansem that OI ash a cnlieyg tiibsuotnuts dan rehtoerf sit eblaun to fmor a anoredsyc rtustc.ureu

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu to s'yncgile lamsl ze,si it rcaeets skikn"" in the monia dcia qces.enue ehTse ksnik rae dednee ot trclcyreo ormf the noysacedr srtercuut.

erOht ws:sraen

  • dakeene"w ttiernnicao eteewnb encllgao nda ryot"gapeclno - aleglnoc + pceotlaongyr = eaalr.tgcli Teh inquseot tsem nneotsmi anym etfecds ni EbON pyet( I en)oaclgl ubt on itnnome fo ftdeesc in lOlrTaeWagc (peyt II lnecoa)lg
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 +1  upvote downvote
submitted by basic_pathology(25)
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Y--lGXy si bnboecak rfo ocgaelln alhpa hi.anc 3 lncegloa haalp chnsai sprlia to rmof tpeirl lh.exi ynecGil hsa no R gu,rop alowlgin rof lbltxyifeii nda fonmraoit of eltpir ile.hx oN cgynile nevtesrp tihs cnsoutouin isrgpl,ian ipnvengert hte antfrimoo fo lcgoealn nerscoady rtetrcu.us

eRlcla hatt hsp-acaleeihl nad staeehtbse- aer aeepsxml of sedcrnyoa usctsterr.u iThs can eb gotuhht fo a itasnmietafno of eth laaph l.iexh

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submitted by an_improved_me(91)
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eAorhtN ayw to teg ta ti is vai eiliaoi:nnmt

.A dgohrney ingobnd wlnuotd aleyrl enaghc cesin hnereit aennali rno igcleyn are B.poral Gly t;g& lAa dhulo'tsn cghean ohw plnoeri is mofidide (I mnae ti CDULO, fi hrete saw a tsriec cnnirdahe or gste,iohnm tub not a graet rs Dn)awe. onnihgt ot ticiaend hatt cgnoalel godianteerd si erealdt in neeropss ot an AA .tunutsiitsob o,lAs ni the extotnc of OI (hwchi si the rnensegtip cpimlnat),o we dalraey nowk hatt eth eorplbm otdns'e ahve tnyhniga ot od tiwh eretnad,ogdi omer whit hte agchne in nc tf.trtEurucionseu/ synltoeH otd'n ko.wn

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submitted by drdoom(1206)
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’Hseer neo yaw to -np-eeoscatfiseolmri scaree“edd bhoer-ynddnog ofo:”ainrmt mI’ ton a gbi anf of tish lnei of gaioersnn, tbu yhltnccieal ianaeln as a sedi uoprg hsa oerm gy*rdesohn ofr peoailntt hrygedon onnidgb ntha nicelgy:

lanane:i —3HC
yie:cgln H—

,So llenchi”t,cay“ inanela wldou piremt roem -nndeobrydogh mono,rfita cwhhi hitmg oallw you ot maitlneei ahtt heo.icc

tahT a,dsi it sesme asmtlo bmpssioile to ruel tou wthti(uo yvre laicctehn elngkedow or mseo ddoiperv mareeliptenx a)tad ttah eht hytligsl larerg nniaeal edos tno aiipmr ogydhenr dnobing eebewnt lolagcne oeuecsmll iva criets aplitsa() teirennercf.e nI lemirps e,smrt ncsei innlaae is g,alrre yuo luwdo ikthn htat ti smtu swoeomh eeniferrt hwti eth gnnge-biorhdonyd that sroucc htiw teh wleiydt-p ignecly.

---
Silrttcy* ,kpegsnia sit’ otn the ubrnme of rsgeynodh utb saol het tsrgtehn fo eth opdlie thta aeltfiacsit rnhdyoeg gdi:nonb a ndeygorh uodbn to a lotysngr taoretvlceeenig comlleeu elik lnuroefi lliw rpap“e”a orem toiiesvp ,dna uh,ts e-nynhbgdoord omre yrnlosgt htwi a bryane yngoxe rmcepdao( whti a gdnhryoe enccdteno ot croban, rfo xl)m.peae

Fhtuerr ra:gdine

  1. m/copuudbihh.u:l.thwewh.depcptd/l/uwd/i/.hslqgrneetms
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hungrybox  Ariepcpeta eth ofrtfe utb tshi is afr oot nlgo to be ulus.ef +30
drachenx  ubnrhogyx si a enkafrgi hrtea +
drdoom  chnae@drx ahha, ,hna ngimoc bkca to tish i zeeialr i was arlpbyob vieoegnrekg- lol +1
blueberrymuffinbabey  t'nis eht yednrogh nnbdigo ndetnedep on the ydhyltaroxed eipnlor dna nils?ye so ahtt o'tuwnld aylerl eb eht iseus heer eisnc hetos t'eanr the aas nbegi edar?elt +
drdoom  lbrbue@ery Aocgcndir ot ’rtblseA CoBM ees( naTtngse ta gt,)rih nyyhxesdryoli dan yphyxinrrolode birocetnut enyhdgro bnods ahtt morf weteben teh scniah “cr,i”i(taehnn sa dpsopeo ot ac-hiriatn;n hte acin,hs of s,ruoec are asepetra pptepos;ilyed htta s,i aseerpta longlaec ptsrien;o nda tseicnntaroi ewebnte srateepa ishacn etp[seaar popyeseildt]p is tawh we clal naquryeat“r trurcuets;” ees enTtgan bavoe.) dAn in isht ecsa, as uyo otinp o,tu the mtes recdessbi a Agy&tGal-;l bit.uosstutni aTht sesme ot mnae wot :stnhig 1() eth rhtee srpateae locngela letoisedpppy ilwl nto c“pak sa][ hlyigtt” ot from teh epirtl xleih a(q=yeanrrtu ecrru)ustt we all wokn adn elvo dna 2() pnrloei sgrin lliw ialf to ryael uetiq sa y,glusn poimsnigormc teh chailel otfoanrminco htta sednief an apahl ancih yern=cadso( curu;sertt teh pehssa atht rmof wtinhi a lgneis .oplditpey)pe +
tadki38097  aols yuo ct'an H bond tihw no,arcb t'si otn oalpr ugnohe +
amy  0F2A20 P05 :taset rnfomitao fo ahicoglen(whorlcp is eth plrtei iexhl crtsu)rute avi hnryedgo nda se.lidfiud So A si ceincortr bc ereht aer on lgloecna meslueocl yet (d2n rteustcru haeppsn at gepcnolarlo lev)el +
drdoom  aym@ pertli xheil si a qaetuanryr esrttuurc sneci( iprelt helxi si a aphse atth omsrf EEBWNET etsareap ro u“ad”lt elaolpcgolorgnac-len/ speetp)d.i rPayim,r coaenrdys adn ttiyrrea rutrsctesu rae pcinosdriest fo a sigenl pdpyolt.peie cenO oyu veah 2 or moer lideoeyspptp ctretiangni hitw aceh rhote (eg,.. mgiebnoHlo llu)cmeoe oyu ahve uarenqatry sru.ucettr +

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 mhgti be gnorvtikehni it btu, H dnbo oirtmnfao of 'aas askem the csanodyre uceusrrtt of het ertnpoi lo(ceangl ni thsi a)sec. Teh lyG ot Ala iittsnotuubs sode urelts in slse H donb omni,tfaro tub fo ddvalniiui aas' ont benewet cgnaello olsclueme a(tht ihgmt eb roem rof eyqrrtaanu tscretr)uu

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lpp06  I htink hte yek is ni hte wrasne sagi,rhnp eht aneswr mningnetoi nbodsH- asys ioiDnu"sprt fo osb-nHd between ncglaeol lhe"sume gctloohuAl eocllang dose oeunrdg igdnHbn-o to osuprtp hte lerpti ,hxeli ihts is dneo wnihti the esam geanlocl ego.neciulLmkiln fenfreitd oleaclgn mecolsule ucrosc iva eht nlyesi - yhrndelyisxoy sklin node in eth MEC +1
kevin  hsit si het neo oecmmnt htta liflayn eepdlh em ddeasnturn hwy atth swa co.rictern hkant uoy +


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submitted by j123(16)
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ymairrP ucrsrtuet = miaon acid ceerecaeSsudn nqyo rtursetuc = reuttuscr defomr wiht a sgeinl noami adci qeceuesn a(teb daeeptl the,se alhpa xiel,h tieTey)r acrt ruucerstt = meptulil sycadeorn uutsrrscet tntrnaicieg egotrhet eiptlulm( atbe tdeeapl hssete ckdeast on pot of heac eto,hr r aurQrc)tnyeeat uetrcstur = nptorei ututsrrec roemfd ofrm nolfdgi of lal ytariert retstcuurs ot ekam bgninid ss,iet cet.

eciSn teh neainla wsa put in claep of teh Gcn,leiy hte maipyrr trsructue wsa nbalue ot form na aplha lxihe cenis lhpaa lxhei srutcuesrt need a irtprclaau uneeesqc (ylg - -x y) ni derro to fmor ordgnyeh sdnbo to keep eht helix ebas.tl

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 -1  upvote downvote
submitted by unknown001(9)
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wath is cnaleogl ? a dscyraone iptreon etu.rucsrt

whne uyo movree ,nylcgei het mtso uanadtbn onmai cdai , rmfo eht osprrecur eeolclum lilw oyu teg a roprep andcrseoy tsreucrut ? NO

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unknown001  gonrei sith +
drdoom  nca oyu aebtl?reoa wahst' ognrw ithw rouy tmo?emcn +


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submitted by lilmonkey(63)
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Gly si ,parol iAlanen is oanpnrlo and iypcorbhdoh. seMsisen eivononaectvnsr tmaunio.t heesT AAs veah fneietdfr chalciem ritseorepp chwhi alde to iestdurpd ernpito gdilnof odesnayc(r erstruu)tc. iimrlSa to ulG - lVa nsiistutubot in Sklcie elCl asise.De

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