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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 khtni it ahs sthmoeign to do thiw clienyg u(ed to sti samll zeis ti can itf in yman sceapl rewhe eotrh omina isdca can tno dan cnhee ti evpsrido saruc“rultt ccspamt”soen ot the ,eanlogcl i..e upt a iknk ni eth apalh )x.elih fI gyelicn si paeismcld yb emgsihnot ,eles I ’tnod ntikh ooanclpr-elg anc fmro tis otrrecc oadnsrecy ttesur.urc

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jotajota94  er!Tu sl,oa iegynlc is /13 fo cangeoll afla shi,nac os ti aeskm eenss taht tuisinotubts whti niaeanl ic(whh si uhmc br)igeg dolwu alde ot tuiondrspi ni teh plhaa lehix foim.otanr +2
jotajota94  reTu! oasl, ycnleig si /13 fo loeaclng aafl iscan,h so ti ekmsa eness ttha stintsoutubi wiht naaeiln wh(ihc is hucm gbe)gri udwlo ldae ot dutnirpois ni hte lapah lixhe nroatmoi.f +
thepacksurvives  lncGyie is smlla nda ye,ndb wichh laowsl ti to mrof het iblsrif rof eht elptri eihxl +
brasel  soAl ni eralgen (AF 1082 gp 05) OI is romf osembrlp ofgrmni the pierlt xileh chwih si oysndaecr e.ctrsturu eaylon,rFttu yeht gvea su iesgotnmh to asreno hiwt in eth tuinosqe A&)lGtlay-;g( +3
amy  aCn neeosmo phel me nntrsuedda why A is ictnrrceo? 0A022F page 5:0 Trielp lxhei of 3 olancelg a schani si mfedor rmfo oglcraopenl iva erndgyho dna sudediifl .bdno Is hsti vrye smlaiir to hwat A si bce iri?ng.Ad Ddceeeras ghdey-ndrbnoo antomofir etnebew lenlagoc cleuosl.em +
umpalumpa  The patnxnloaie gvine by raaalastliebw codlu wkro if teh neusitqo uwldo sya -lt-ly;Gg&Aa .tomnauit ree,wHov eth sonqutei asestt taht tereh si na a;ltAgGly-&- i.tntuoma +


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submitted by cellgamesgojan(43)
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I d,ugerif gnXle-ic-yY si hlacelynitc senrdcdeoi a pam“irry moain dcia eutsucrrt of a tp”irone encsi teh ndeonitifi fo a irymPar tceuurstr fo a peoinrt is a“ lnaeir cinah fo amoin i.da”cs If oyu ssme tiwh het yiamrPr utctesru,r as ni teh eotnsiuq et,ms you acnnot mrof het enaScydro sturuerct of het pnreoi,t hhiwc si merdntdeie yb teh rndggyobnnh-iedo hhcwi rsoucc eeewnbt hte eppited eocbnkba, nineneedptd fo the R upgros. I hpeo isht deam snees.

Fmro pkwieiiad: oednary“Sc tertuscru is amrlolfy feednid by teh aperntt fo enorhydg sdnbo eeentwb eth onima ohnedgry nda oxbyracl xogeyn tamos ni eht edtiepp obckbena.” ampsi(hes min)e

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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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submitted by usmle11a(102)
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ko suyg dna i tquoe from irn4oge.lsw2afssi.sopoew/pt1/udlicthett/0/imehe/eba:reowtsom-psctrct

9"0% aevh na iftaebldieni cnigtee omiatntu OCL 1A1 nad LCO A12
uac ses amborlan conllega irk-gcilnonss iva a ignelyc ssniiouutbtt ni hte nlegpcoalor coeumlel "

wcihh sanme ttah OI sha a nlgicye utbuiisntsot and ertohfer ist ubanel to mrfo a ycsrdeoan s.trutucreu

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submitted by hungrybox(1277)
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ueD ot gle'icsyn mslla i,esz it saeertc nk""ski ni the animo idac ec.qsuene eThes niskk ear deende ot cctoyerlr rfom het yecroasdn rs.trectuu

trOeh enswr:sa

  • eda"eeknw rtntoiianec wnbteee lgecolna nda cpgoanerlo"ty - nlgecoal + lrogpoancyte = .lagleitacr ehT uioqnets estm sntmnieo myna eedcfst ni ENbO etpy( I e)lolncga but no onmiten fo esdcetf ni cllegTraaOW (ptey II o)eclglan
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 +1  upvote downvote
submitted by basic_pathology(25)
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GY--Xly si beakbocn ofr nleocgla alhpa .china 3 ocnllgea hlaap csihan sprail ot mrof tierpl .iexlh leyincG sah no R pru,go iwnloalg fro eillfbxytii dan ofnitmrao fo ipletr .lxeih oN elncigy tnrvpsee shti cnuuisntoo rnpsilagi, pvneeitrgn teh ntoaroifm fo olacgnle ydnosreac tuc.returs

lceaRl ttha sc-aeiahphlel adn s-hteetseab ear xaselepm fo raynsdeco strc.rtuues shiT cna be tgtouhh fo a aftinanometis of eth alaph ile.xh

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submitted by an_improved_me(91)
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ehAoNtr ywa ot get ta ti is vai ne:limtioain

.A yndroheg nobdign uwnltod llaeyr ancgeh sienc ieernth ninaela nro lcngeyi rea rBalpo. lGy ;gt& Aal dthnuso'l hcnaeg who nrpleoi si mdiefodi (I eamn ti ,OUDLC if eerth wsa a esitrc anenhrdic or ,emishngot ubt nto a etgra a)n.s wrDe gtoihnn ot aditicen hatt ecloangl egdradeoint si erldeat in sonerspe to an AA uiuosni.bttst l,Aso in eth etnxoct of IO c(iwhh si hte etisnpgern noi)apclm,t ew yrleada ownk ttah het orlembp tdo'esn vhae nhtygain to do with natedie,rodg orme thwi the nhegca ni tuiunEc r/.srunotfcte eHyonstl dtn'o k.onw

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submitted by drdoom(1206)
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s’eerH oen way to -pfootiselrnease-cmi as“ecreded dnnybogrode-h rmfoiao”nt: m’I otn a gib anf fo itsh nlie of ernngisao, btu ctanychllie lenaian sa a deis gorup hsa moer nygd*ehrso for olitptean gndeoryh bignond tnah lgeycin:

:ennaial 3CH—
cenilgy: —H

,oS hlccn,ayie”tl“ ninaela dowul piermt mroe ghndybrdno-oe o,oafmnirt ciwhh tmgih wlloa you to ianeimelt hatt c.cieho

htTa ad,is it msees tamlos imsispbloe to ulre tuo wt(ituoh rvey hcatlcine lkogdewne or mseo ddrieopv teielepxanmr aa)td ttah eth sllhityg rrlega alannie edos not iiarpm eygdhnro nnbgdoi netbewe econllag luecmlseo vai ecsirt iaaplt()s eir.nneeefrtc nI msrlpie rmet,s ceins naanlie si ,rlarge yuo udlwo knhit ahtt ti must woheoms nrtfeerei thiw eht dnebdo-oggnynrhi atth coursc twih the diely-twp iencylg.

---
*ryttiScl kipsnea,g t’is ton eht rnemub fo ehgnodysr utb aslo the nhtstger of teh lidepo ttah aiietcfltas oghdnrey n:ignbod a ordgynhe nduob ot a nlysrtgo etnlreavetgoeic cleleumo elik rnliefou lwli r”ppaae“ omer itesipov n,ad ut,sh hrneyondgd-ob oemr gtsyolnr ihtw a arbeny ognxey ardm(oecp wiht a ernyodgh nocntceed ot ncbo,ra ofr .expmae)l

hFeutrr rdg:niea

  1. mu.wehhd/dhlose./binw/l.pt.cqpdmugehdeltprc//sht:uiuw
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hungrybox  eprceiAtap teh offret but hsti si far too logn to eb ulseu.f +30
drachenx  rxyognubh is a erfgknai rheat +
drdoom  caxre@nhd hh,aa ,nah onicgm kcba ot isth i ezrlaei i swa aybobrpl nre-ekegoigv lol +1
blueberrymuffinbabey  in'ts eht nhgroedy ngibdon nnpeteded no hte ddlyahorxyet enrlpoi adn slein?y so ahtt todnuwl' leaylr be the iseus hree cisen teosh e'tnra eht asa gnbie adrl?ete +
drdoom  @rbbryeuel gdcAocrin to et’sbrAl MBoC e(es tgsaTenn at grth,i) oyshedxliyrny dna xrydeonilyphor enbtitrcuo rhdngoye bndos ahtt from ewneteb the canhsi naci(e,nhr“it” sa pposoed ot atainrhi-;cn eth h,acnis of roseu,c era etarseap p;lypdpestieo ttha si, steeaarp olgealcn netorsi;p dna sitteaniocnr ebtnewe ereaatsp ascnih esertpaa[ eppe]lidtypso is athw we call ynrruaqate“ s”rtt;ucrue ese atgnTne oaveb.) dAn ni htis sea,c sa you pntoi uot, eth setm edsrcseib a GlgA-&aty;l boti.uusitnst thaT emses ot mean wto :ghtnis )1( eht hrete rspaeaet lcnoaleg pploeptysied iwll ton ka“cp sa][ yi”thtgl to rofm eth ltpeir xeilh yrnaaue(q=rt )rctrutsue ew lla know nad velo dna 2)( ilroepn ngrsi liwl flia ot yerla eqtui as u,glnsy migmncopoirs het clailhe ancotmforion htat dfenesi na lpaha nachi =edn(arsoyc utcsrure;t het psahes htta fmor inhwit a lnsegi .yoppdtpeli)e +
tadki38097  laos uyo cnt'a H ondb hwti rnb,cao its' ont laorp ohugne +
amy  F2002A 5P0 :eatts afnrioomt of eowchla(gihprcoln is eht rlptie hilex serurut)tc iva yroegndh nda ieid.slfud So A is ricorntec cb hreet rea no ceolanlg uloecseml ety (dn2 tetusrrcu nhpaesp at cnoeprlolga lvele) +
drdoom  y@am ilprte hiexl si a nqartyruae cettursru esin(c telrip xiehl is a saphe thta mfosr NEEWBTE easapter ro “u”tdla egllnl/oo-nlaocaerpcg ipe).septd ayPi,rrm neosdyarc and ytiarert rtsusuetrc rae detoicspsnir fo a lengsi otdpeplei.py cOne oyu hvae 2 ro ermo iedpylpetsop rtetiginanc twhi ceha orthe ,(g..e eomnHbogli ouece)mll oyu vahe areqtaurny .rsuuecrtt +

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 mihtg eb ognknhveriti ti utb, H odbn fmoraonti fo 'asa kaems teh nscydreoa tutsrceru of hte npeirot (lacgenol in tish c.e)sa Teh ylG ot alA niustitubsto osde tueslr in sles H donb taomoinfr, ubt of ddaiviiuln sa'a tno eetnewb elongalc mlluceeso taht( gihmt be ermo rfo nraryuqtae )currustet

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lpp06  I ntkih the yke is in teh awners agrsniph, het rwsnea gniienmtno bsdoHn- asys to"iDurnips of sdnob-H ewbeetn loecanlg uhtemoo luhcse"Algl laecgonl seod edgnuor -nbgdnoHi to rouptsp the iteplr ilhe,x thsi si oned htniwi eht seam lencloga megloneic.lLn iku eefinrdtf leancogl mesloluec usrcco via eht enysil - renilsyodyyxh nksil neod ni eht CEM +1
kevin  sith is eth oen nmetcmo htat anyflli ehepdl me tnnauresdd wyh hatt asw ctr.oericn athnk uyo +


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submitted by j123(16)
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rriyPam ruusetrtc = ionam aicd odaneq ruseceyenSc cretutsru = etsurcrut roemfd whti a gniesl imnoa daic usceqeen tb(ea etaepdl s,tehe aahpl h,ixel aecTtyeritr) erstrutuc = pimtleul oaecsdynr csuretustr nagectirtin teteohgr lti(melup ateb aledpte hstees detcsak no top fo ache hetor, er tcerayrtaun)Q crttrsueu = oieprnt ruteutscr demrof rmfo dlniogf of lla trieryat ustsutrrec ot kmae bigndin ist,es ce.t

Senic teh enlinaa saw tpu ni apcle fo hte Gc,ieyln hte rriamyp rcesuturt saw eabunl to rmof na aahlp elixh nceis aahpl hixel crrussutet dnee a riptarlcua eeqsenuc yl(g - -x )y ni rorde ot romf dyrehong dbnso ot ekep het ixelh stba.le

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 -1  upvote downvote
submitted by unknown001(9)
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ahwt is alclnego ? a yecrasnod enirotp rterut.suc

hnwe uyo vmroee glyie,nc hte most nbaautnd niaom caid , omfr teh srcrpuore olcuelme illw uoy etg a eorprp csanryode crsurtuet ? ON

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unknown001  orgnei hits +
drdoom  anc yuo ra?eetbloa thwas' rwgno itwh uyor n?eotcmm +


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submitted by lilmonkey(63)
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lyG si olpar, eAlanni si oraolpnn nda .odhpyohbrci ssMesein vreneconvstnoia tin.uaomt hTese sAA veah dfenrfeit lchiceam sperriopte hciwh aedl ot urdpitdse orpinte lignofd dseon(rcya )rsuecrtt.u rmliaSi ot uGl - Vla ttibuosisntu ni Selkci Cell .esDaies

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