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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 nihkt ti sha mnhietogs ot od whti lginyec ude( ot tis mslla izse it anc fit ni mnya secalp eewrh reoth oanim sidac acn ont nda eechn ti drsoevip rtctrus“lau cptmosens”ac to het gelanlc,o .ie. tup a nkik ni eth lpaah ixh.)le fI ycnileg si ledpimsca yb isgohnemt ,seel I dnto’ itkhn ncllgo-paore can omfr tis octrrec cnoardeys rutt.usecr

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jotajota94  !ureT a,los lynecig is 13/ fo elclgano faal ns,ahci os it meask ensse ttah utstiisbtonu iwth laneian ihhw(c is ucmh b)gegir dolwu aeld to dtunirspoi in eth hlpaa hlxei riao.nomtf +2
jotajota94  r!Tue os,la glyicen si 3/1 fo gclloena lafa hasn,ic so it sakem eessn hatt tuuonsiitstb thwi iennaal h(whci is umhc ir)ggeb louwd eald to dinirutspo in eth alahp lexih taforionm. +
thepacksurvives  nylicGe is amsll nda ney,bd wchih allwso ti ot rofm teh iirfbsl fro hte eitprl eilhx +
brasel  losA ni alrgene A(F 1802 gp )05 IO si rmfo lpobsmre rngmifo eth ipetrl helxi hhciw si cadsonrye .ectutrsur trtoFleyau,n ythe avge su sgeithonm to roaens whti in het uitoseqn g-ly;(tlaA&G) +3
amy  Can nmeoeso hlep me rsdundenta yhw A is tor?ecicrn A2020F apge 05: lepTri xileh of 3 lolngcae a csaihn is demfor fomr logepnalroc via drnhegyo nda usleiddif n.bod sI hsit yerv iamisrl to waht A si bde ic.nAigr? seedaDrce ynhodongrbd-e ifatomrno nbetewe anlogcle ls.lmueeco +
umpalumpa  The extpnnoaail gniev by lraaeilsbtawa uolcd rkow fi eth qouensti owuld sya y;GalA-l-g&t mttoiua.n wroH,eev hte ueqisnot esstta ahtt there is an ylGa&l-gtA;- otiuamtn. +


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submitted by cellgamesgojan(43)
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I fugdier, cXl-Yegyn-i si lcintlaehyc dsedrcneoi a m“ripayr inoma iacd ucsturret of a retoinp” icnse het iotnedfnii fo a iarryPm uerttrucs of a tnopier si a“ iralen nciha fo mnaoi ”sacd.i If yuo ssem wiht eth yrmiaPr turtcsre,u as ni eth iouqenst ,mste uoy nacton ormf eht Scoyderan rustucrte of eht ,etrinpo hcwhi si rddniteeme yb the hnegonbidnoy-gdr iwhhc ursocc eenewtb het etpiped eaonbkcb, epedntnndie fo het R s.gopur I peoh thsi aemd sne.es

Form dikweipia: onSrcdeya“ rutuetrsc si moylrfla fdedine yb hte pterant of egnyohdr donsb weetben eth imnoa ydognreh nda lbxorcay ngxeoy omsat in teh edtppie knbeobac.” isapem(sh i)nme

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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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ok ygsu dna i queto rmfo oi:eienect/tmesport/shww/i0sr4e.r/adbcwaootogplessc2te.tfml-uspih/t1

09%" evha an eiltnidfaeib gcitene nautiomt OL C 1A1 and OLC A12
aseu cs naorlbma ngloelac nskl-ginircos avi a ciyegln tibusnoisutt ni eth ngloepraclo oelmeluc "

wcihh nseam that OI ahs a yincgle uosuitinttsb adn ehroetrf sti eunlab ot rofm a nyeascdor ustueru.ctr

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submitted by hungrybox(1277)
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ueD ot yilcseg'n slmal si,ze ti sctreae k"n"iks in eht miano cadi equsee.nc eThes kskni are eedden to ltoecrcyr ofrm eht ynsdceaor terucusrt.

rhetO ws:rneas

  • kwen"eeda oinracnitet ebwnete laecogln nad tngoaplroye"c - goleclna + yoorgetnpcla = aiatrlc.egl ehT nqotesui estm esnimont anmy ecetdfs in ENOb pty(e I lnec)aolg but no inmtone of stdefce ni lWlacgrTeaO p(tye II o)nlegalc
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 +1  upvote downvote
submitted by basic_pathology(25)
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l-yXYG- is oabcnebk rfo enloclga halpa .acnih 3 agncolle apalh isnhac ralpsi ot rfom pteirl e.hilx yeGincl has on R uo,prg ilnowagl ofr letiixyilfb dna amoiorntf of plitre hel.xi oN lingecy nrpteevs sthi ncountosui p,iinaglsr rnpivgtene hte otaiofnmr of ollaengc ocrdysaen urc.tuetrs

Raclle tath -aliehaschlpe adn ttbesesahe- aer epelmasx fo yrnaesdoc .usurctsrte iTsh can be ugthhot of a stnniaemotfai fo teh hlapa lix.he

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 +0  upvote downvote
submitted by an_improved_me(91)
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rhoAtNe ywa ot egt at it is vai oatmnelniii:

A. rhgodyne dionbgn wuldton rylael cgneha icesn iteenhr nilaena orn cyinlge aer rlap. oB Gly t&g; Aal nohdstlu' eghcna owh penlior si iefdmodi I( mena ti D,OUCL if ereth saw a ctseri ceirnanhd or neshmoigt, tbu nto a taegr wa.) esnDr gnothin to iciedtna ttah llaoegcn eadnogetird is rdelate ni neoresps ot na AA tuuisbstnoit. ,lAso ni the tteocnx of OI iwhhc( si eth ptgnersnei clim,no)tap we reyadla oknw taht teh eblompr eno'dst eahv ghatyinn to od hwit aderdinetg,o oerm thwi eth canegh in rEunitcofr tustu/.ecn eloytsHn 'otdn .kwno

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submitted by drdoom(1206)
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Hsree’ oen yaw to ecatrflosspem-oeini- ersd“cdeae bndoo-ehndgyr :aimtfn”oor m’I nto a ibg naf fo siht nlei fo aieognrsn, utb yctnalhielc alneian as a esid pgoru ahs omer eynhs*gdor fro ntaltpoei nyrhgedo bnonidg htna lgenyci:

anlni:ea HC—3
c:neyilg H—

,oS yhl“iae”,ccltn lianane odulw irmept more egnhony-dobrd fiaortn,om wihch igmht ollwa you to ieeaitlmn that cie.hoc

That id,sa ti eemss lsmato siolbpmsei to urel out w(tthiuo reyv lcactnehi ekwodegnl or seom edivrpod artpmlexeein atda) hatt hte liylshgt algrre ennilaa sode ont irampi ndheogyr idbognn nwteeeb olelganc clmoueels iva etscir aa(ils)tp reeretf.necni In smplire ,remst ecnsi nnaaeil is ,rregal oyu wluod tknhi that it mstu omshwoe reenirfte hwti the dboyednrggnhino- ahtt succor whit teh yld-wipet elygicn.

---
lrytSti*c ,kgspaein s’it not teh eurbmn of snhogeyrd utb osla hte htnsgert of the pelodi atth ltaietsciaf grndhoey dgonn:bi a ohgrdeyn odbnu to a togsylnr gairceeevotntle ecmuello kile feonuril lwil paa”pe“r emro voiteisp dan, hs,tu nnoybgderh-od meor tyolngrs htwi a naryeb xnogey ocpeam(dr hwit a ehnygrod ncenoetdc ot rocnab, fro ealpxme.)

rtFrueh e:anigrd

  1. dgdhl..upnh.euwwblhdedqlcw/ph.mhe/sttucosemt:i///iurp
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hungrybox  treicpepaA teh ofterf ubt itsh si far oto ngol ot eb fuus.le +30
drachenx  ohunbgryx si a egfrnaki atrhe +
drdoom  h@redanxc ahah, ,hna igomcn abck ot this i eilarze i was ryboabpl ngeoverkieg- llo +1
blueberrymuffinbabey  sit'n the oygrhdne ginbndo pdnnetdee on eht yaleddxroyht ilneorp dna slyen?i os htat wdn'ltou lylaer eb teh sesui ehre cesni htseo rten'a het asa bngie el?drate +
drdoom  @yerebblur Arncdgioc ot ble’stAr MoBC see( aTtsnnge ta g,)thir eydnxiysylrho adn xoplrdyenyrhio ecorbttinu ydheogrn nsobd that ofrm bteneew teh aishcn c”n,(nrt“ihaie as sdooepp to -athraniicn; teh niasc,h fo srcu,eo rae rapastee dlpsepyeit;op thta si, taepresa nagceoll tnopiesr; dna aretoniticsn eeebtnw saetreap hsnaic ps[eaaert poetpye]idlsp is wath ew lcal ruryateanq“ crtu;etrus” see tnaTeng voeba). And in stih asc,e as ouy tinpo ,uto het mest eerdcbssi a &aGl-;ylAtg siutobt.tsniu Ttha emsse to neam otw nsg:tih ()1 eth tehre eetpasar ngloelca loeipyptpdes wlil ont “pack a][s httil”yg ot fmor the eirtpl ihxel q(rytaeun=ra )tercsutur we lla knwo nda oelv adn (2) lorepni insgr lwil ifla ot eylar teuiq as ,gnyslu isnrmopigcmo eht ihlcale mnoraoifntco atht deefisn an hapla aihcn yar(=esdnoc ceurttsr;u hte sahsep ahtt omfr hiwtni a snelig .doppeie)pytl +
tadki38097  olas uoy c'tan H odbn with ,anrocb is't ont ralpo ghneuo +
amy  202F0A 05P a:ttes tnaoirofm fo hrlhgniapc(wcoeol si hte tirelp heixl rercts)tuu iva grhndoey nda isd.dfileu oS A si otrienccr cb teehr rae no ocgalnle ulceslemo yte d2(n ecttusrru npehpsa ta lcaognpoerl )llvee +
drdoom  y@ma iterpl exilh si a nryartqaeu etrustcru es(icn rpitel hexil si a shaep thta rfosm NEBTEWE aeteaspr ro d”lu“at cecne-nagroo/ogplllal etsippe.)d miyrr,aP reonaydcs dna tearyirt tcresutrsu rea itcosenrisdp of a selign pdepteo.ylip ncOe oyu aveh 2 ro remo yeiptdoselpp ingiettnarc htwi ecah eohrt e(.,.g bmHogoenil ullc)emeo you ahev ueaayrrtqn ctru.uetrs +

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 gtmih be hkgrinvneoti ti ,tbu H ndob ntmofaoir fo as'a easkm eht enyadosrc ceturtsru fo hte orntpie aeoc(gnll in thsi c)se.a ehT lGy ot Ala uinstutbsoti dseo lurtes ni lsse H bndo toma,nfori utb of dluinaiivd s'aa ont eebwetn caegllno elmsolcue a(tht higtm be orme orf rnuteayaqr uer)ursttc

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lpp06  I hktin eht key si ni eth sraewn inhsp,agr the warnse oimnietgnn Hdon-bs sasy ts"iuDnirpo of bndosH- ewenbte aoelglnc oehtucselmo Aluhg"l allcenog odse uengdor gHnbnd-oi ot uopptrs het erilpt ,elihx stih si edon thwnii hte asem gaelnloc gune ocinll.ekimL fditrefen claoelng celsmouel rouccs vai the yenlis - ohdyylisxryen lsink dnoe in het EMC +1
kevin  sith is hte neo tmnemoc ttah ianflyl eeldhp me edsntnudra ywh hatt asw orctenr.ci ktnah uoy +


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submitted by j123(16)
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rirPamy ucuttsrer = nomia icad eeay Sceuoqnerdncs ucrurttse = cerurtust drfmeo tihw a lgisne maoin cadi uqesceen aebt( ldaeetp hest,e phlaa l,exhi e)ret iTrytca uuctrtrse = mepilutl aycsdoenr urcutrtess aintcgertin oettregh (elluiptm etab laeetpd esseht kedcast on pto of heca oe,rth rrcraetnu Qeyt)a rsrutectu = rtpione rrecuttsu rfmeod morf fdniogl of lal riraeytt ruseuscttr to akem ibgndni ies,st .cet

icSne het aennila asw put in epacl of the cln,yiGe teh rryaipm tscutrure swa nueabl ot mofr an hpaal xeihl niecs pahal hexil rrttsseuuc deen a tirlaacrpu ucseeqne gyl( - -x )y in rrdeo ot fmor yhgoerdn nosdb to epek eht elhxi ebl.sat

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 -1  upvote downvote
submitted by unknown001(9)
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tawh si lacgnloe ? a eadocsnry nrptoei urst.ucter

nehw yuo overme ,lnecgiy eth sotm dntbaanu inamo iadc , rmfo het eporrscru eemoulcl llwi ouy teg a prpeor oeadrsnyc ucrtrseut ? NO

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unknown001  eionrg tihs +
drdoom  nca oyu eboa?aetlr wha'ts nwogr twhi yruo nmm?ceot +


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submitted by lilmonkey(63)
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lGy si orlpa, aenilAn si rplonnao nad rhpc.byiohdo nisseesM voncvnsetrnioae otamtn.iu eehTs sAA ehva tnfiedrfe clmiehca stpreiproe hichw edal to dtusieprd rpeiton oldnfgi y(econsadr uec)turt.sr iSalimr ot lGu - laV otsibtiuusnt in eiSkcl lelC sisa.eeD

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