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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 khnti it ahs mtgeniosh to do wthi ygncile d(eu to sit amlls isez ti nca tfi ni amyn calpes ehrwe treoh aimon scdai acn ont adn eehcn it odsivepr rs“utlartuc ao”stmencscp ot teh c,ellonag e..i put a kink in eht plhaa e).xihl fI ycnlgie si dlmpsicea yb nsehomgit le,se I dn’ot kihnt glorpol-cane anc form sti otrrcce aonrdcsye ur.erstutc

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jotajota94  e!urT s,lao eyicnlg is 3/1 fo gcellnao aalf isnhc,a os ti mkeas snsee thta uttisinbsuto ihwt alnnaie ihhc(w is much )ribgeg lodwu ldea to tdinuporsi ni eht hlpaa xlehi mofr.iaotn +2
jotajota94  !euTr sa,lo lgincey si 13/ of gallneco afal ca,insh so it eamks eenss thta utsusiibntto htwi iaenaln (chihw si uchm gb)egri wldou ldae to riniusdpot in het alhpa eilhx om.roiaftn +
thepacksurvives  nGlyeci is mlasl nda enbdy, whhci wosall ti to fmor eht iblrsfi fro eth rpitle eixlh +
brasel  solA ni narlege FA( 0812 gp 5)0 OI si omrf blmeorps fnrmgio het treilp hxiel iwchh si yoseadcnr rcsrtut.ue loFat,eurnyt ehty vega us isnmohgte to oreans wiht in eth oueisntq -aGtgl&)l;Ay( +3
amy  aCn omneeso elph em etdnruadsn yhw A is ec?irtcnro F202A0 gepa :05 priTle exlhi fo 3 aglneolc a hascni si dmoref orfm clrloanogpe iav noedyhgr nad luiifsedd .bond Is ihts very ismliar ot awth A si bc.dniegi? Ar edecasDer ynrogebddohn- mafrtnoio nteweeb gcaelonl ecu.lslome +
umpalumpa  Teh nitxoaenpla nigev yb lrtasaielwbaa uocld kowr fi the iqetonus uwodl ays A-G-;lylgt&a atni.muot eHrevw,o eth sinoeuqt asstte ahtt erhte is an gy-&;lGlaAt- a.uittomn +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I ,grfudie lc-yne-igXY si ynciechtlla dsndicoere a p“yrrima amion daic tcrusruet of a ”epriotn senci the ntdfoiniei of a aiyrPmr retsuurtc fo a ponerti is “a nralei ichan of imoan ac.dis” fI yuo esms hwit the yParrmi rtucur,ste sa in eht uqnoitse ems,t yuo tnaocn frmo the Snedarocy uusrctetr fo het ,reitnpo whchi is irmednteed yb eth ghndeinry-odognb iwhch sorccu beteenw teh ptpiede bnoakebc, nndpneditee fo het R por.sgu I pohe htsi dame sese.n

rFom wipidkiae: rceSodny“a strctueru is ylrfomla defdien by het arnttpe fo herndoyg dbosn tenwebe hte manio enyhdogr and yolrxabc nygoxe stoam in hte ideeppt oenckabb.” shps(eami e)inm

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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 gysu dna i uoeqt omfr i/tcoiels/sntmews-.cwoeecp4rus/lat0tom/p/eofar1shhgw.otesiptid2treb:

%"09 veha na dfeliaeinibt ctegine tntomaui OCL A11 and OLC 2A1
saeucs aormalnb lnlceoga ngs-roknilsic vai a gyilecn utotiusibstn in teh ceorlngaolp oeucleml "

hihcw nmsae hatt OI hsa a eygincl ntsitiuubost dan reoerfht sit enuabl to frmo a enoydsrca uturesc.tru

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 +4  upvote downvote
submitted by hungrybox(1277)
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Due ot gse'cynil lalsm e,izs ti ceseart i"ksk"n in hte nioma aicd n.euqesce Thsee kskni rae deeedn ot leyotcrcr rfom het ranoecdys stutecurr.

rehOt a:swersn

  • dkneaeew" ntcaeitonri ewteenb anlceogl adn yeaolcnport"g - llacgnoe + tcoyeranlpog = lact.lrgiae heT eoisqnut mets nsmoenti anmy sctefed in bENO ytp(e I )ealolngc tub no tnmonei fo cefdtes in cOaTlWrelga peyt( II lnoge)alc
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 +1  upvote downvote
submitted by basic_pathology(25)
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Gly-Y-X si ecknabob ofr genlocal palah hcai.n 3 lonceagl lahpa sichna islapr ot orfm pltrei e.ilhx elcyGin sah on R ,uorpg ilganowl rof xliieftlybi dan itaofmrno of eplrti x.hile No ilnyecg tsveeprn itsh onnciouust spiian,lgr inpveergnt teh mtoafroni fo lcagnole scnorayed ute.tucrrs

elRacl ahtt iaelphlasech- nad thsae-eetsb rea xslapeme fo yeanoscrd ret.susruct shTi can eb ohuthgt of a taftoiiseannm of het paalh xlhi.e

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submitted by an_improved_me(91)
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NhrteAo ayw to gte ta ti si iav o:leinnmtiai

A. dnyrgheo oibdnng nwutdol reyall gnecah csien thnieer laanien ron glyenci rae . lpBaro Gly g&t; alA oudl'thsn aehngc owh nrpioel si idfeomdi I( maen it UDOCL, fi reteh swa a ietcsr enniadcrh or smgehi,ton tub otn a rgate )anw esDr. htoning ot dnieicat hatt nlaeclgo eadtodirnge si draelte ni eoespsrn to an AA .tsoutniibust oA,ls ni the xtncteo fo IO wihc(h is eht rnieepgtns cpaot),ilnm ew ladreay oknw thta eth pbmrelo ntd'oes aveh hantgyni to do hwti ntgaodrdee,i rmeo twhi teh gehnca in uu u/frinoncectt.trEs lynsHteo tdo'n .nokw

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submitted by drdoom(1206)
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r’eHes eno way ot soeiaemtifn-lrse-ocp dea“sdcree ornegydobhn-d om:fitr”oan Im’ ton a gib nfa fo tsih lien fo n,nrsaeiog utb ncctlilaehy aainlne as a ised ouprg ahs oerm d*sreyonhg rfo tnoelitap dghenroy innbgdo athn neilygc:

a:nliena 3CH—
elcn:giy —H

o,S c”aenhct“yl,il ialnane wodul prtemi more hgobdyn-deron rtoimfao,n hwihc ghitm lwlao oyu to imtinlaee tath ihc.eoc

Tath dai,s it esesm asolmt issmieoplb to rule out i(huwott vrye hitnccela ewdlgonke ro moes dierpovd iemltxrepane taa)d tath teh hyltlgsi lrgrae alenani edos otn riaimp ognydher bndngio eetwben llcegona oelemclsu vai srceti lp)iats(a rnifeencee.tr nI smliepr srtm,e enisc aalenin is arl,reg uoy ludwo inthk tath it tmus soewmoh iretenerf thiw eth nobrnedinohd-ygg htta ccsuro thwi hte iyewtpld- leyngic.

---
*Scyltirt eignk,pas s’it ton eth mrnbue fo yhnrodesg ubt oals eth sthnrtge fo hte lopied hatt citaafeilts ngeohdyr gdo:bnni a dnoegyhr uobnd to a ytrlngso cgvelniotrteaee ecmelluo eilk uroielfn lwil paepa“r” oerm ipeovsit ad,n ,suth d-ehronbngdoy reom oltnysgr with a baenry xenygo e(damcpor ithw a gohndyre etnoecndc to ncr,abo for .epaem)lx

ruheFrt ndaie:rg

  1. opshchn/gdie/hdwudeurptu/e:bp/qllwmw.thlmd.utsi./he.c
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hungrybox  aepArpteic the oetfrf tbu thsi is afr oot lgno to eb usfule. +30
drachenx  gxoubhryn si a rnefgkia herta +
drdoom  eaxhd@cnr aahh, nha, cigmon kbca ot htsi i rzeeail i was barbpoyl gegrieovn-ek lol +1
blueberrymuffinbabey  isn't teh eoyghdrn gobndni enpndeted no eth dydyltxrheoa iploenr nda ?eylsin so atth 'wlnodut layelr be eht iusse rhee icesn hsteo rt'aen hte aas ginbe raeet?dl +
drdoom  urbrbey@el nigdcAcro to tbAelsr’ MBoC s(ee gtasenTn ta rit)g,h nyseilrdyoyhx nad lyyondxopheirr rbetuitnoc eorgndyh bsdon ttha mfro teenewb eth inachs ahcnn,ei”“ri(t as pepsodo ot cntnhi-aa;ri eth hcnais, of sr,ocue rae sereaatp oepps;dteylip atth i,s retsaaep llogcane rsptn;oei dan tantisnorice beeentw esepaatr snhaci tepasera[ sidpeolep]ytp is wtah we acll eyarq“tarnu ceut”r;stru see ngTante baveo.) nAd ni tish s,eca sa ouy nopit tou, the smte sbrsecied a -y&laAgtl;G ustutniistb.o atTh seesm ot mnae tow hn:istg 1)( teh heter aapeters eclganlo dpolptyeespi ilwl tno ca“kp sa][ tl”gyhti ot morf het pleitr xilhe aqnr=auryet( t)rtcurseu we lla owkn adn veol dna ()2 lopreni ngsir will aifl ot rayel eqtui sa l,sygun pcrmosmnioig eht chellai omatfrnnooic tath edisenf na palah icanh o=(nsecyrda se;tcuurtr the hsseap htat fmro iihtwn a nglies de)eo.plpptyi +
tadki38097  olsa oyu cnat' H obdn with crbon,a i'ts not aropl ehnuog +
amy  00A2F2 0P5 ttsa:e oarntofmi fo clpihwoongaherl(c si teh lrpeit lihex r)rtsuutce iav odnhregy dan d.uildifse So A is nicroretc cb erhet are on llnagceo lueemsolc eyt (nd2 utcreustr nhepasp at lopacrnloge e)evll +
drdoom  @yma iertlp iehlx si a qayneutarr etctrsruu c(snie epitlr hlixe is a ephsa taht fosrm EWTEEBN traaepes ro udtal“” glleona/lcpn-crlogaeo ).epdsetip rmriyaP, ryaodscne and airttery usteucrrts era irpsoisendct of a insgle lyoie.tppedp cneO ouy heav 2 or mreo iepyeotlpdsp eiticnngrat thwi ecah herto .,ge.( Hblngiemoo meolcuel) uyo aehv yratnuqare rruutects. +

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 hgtmi eb neotgvkihirn it ,but H ndbo taoimrnfo of a'as seakm teh dyescorna etcrrstuu of hte epintro (gnolecal in hist c.)sae heT Gyl ot Ala titibunosust dseo uetsrl ni sels H ndbo rian,tmofo btu fo idlundavii 'saa ton nebtewe conglale mselluoec (htta ihtgm be mero rfo uyrataenqr urtusecrt)

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lpp06  I nktih teh key si ni the waensr ,inhprsag teh wsaner iennmntgio o-dnsHb ysas po"sntiDiur of bndHso- weeebtn nlalogce smeolhlu tcguA"lheo llangoec dseo edunogr ib-Hdnong ot topspur the ltirep ,xheli this si edno iwinht eth mase leocagnl lnk.uilgiLeec mon frftdneie onealcgl cseolueml cucsor iav hte iylsne - rosxilyenyhdy knsli edon in the ECM +1
kevin  htsi si eht noe tncmome ttha yafnill hlpede em aneuddrnts wyh thta asw rcertncio. tknah uyo +


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submitted by j123(16)
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Piramyr uttrcsuer = ioman daic s eSnqecadoreeyucn tturercsu = tceurutsr orfdem with a lnisge amino acdi eecuesnq b(eat edlpate stehe, lapha xlh,ie tT)cateyrrie euurttcsr = ltemulpi rdoceyans crteursust gantrtcinei ohetrteg u(ietllmp tabe aptedel shtese cestakd on pto fo ahec e,thro r ueaQ)nyractetr cursertut = rnopeit rctreuust ofremd omrf gdnfoil of lla eyartrti reuscutrst to eamk ngnibdi iest,s c.te

ineSc hte alienna aws tpu in lecap fo teh liy,ncGe the mrirpay tutrerucs wsa ebunla ot rfom an ahpla hxeil icens hpaal ilhxe urcusrestt ende a clpaatiurr esucneeq gl(y - x- )y in dorre ot fmro honydger dobsn ot eepk hte hxlie betsl.a

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 -1  upvote downvote
submitted by unknown001(9)
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whta si lclagneo ? a rnaeodycs irnopet u.trrceuts

wenh uyo mrevoe nyglc,ei hte omts unadnatb nmioa iacd , mfro eth erpucorsr cleumelo ilwl yuo egt a rpeopr rnyeoascd cretrsuut ? NO

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unknown001  ionreg ihst +
drdoom  nac you raetleb?ao wh'ast gnrow iwht oruy ?metomnc +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG is r,olpa eliAnna is ronlnopa dan .yohbripdohc nsesseMi novtscrenonaevi umn.titao Teseh AsA vhea fnditrfee clacemhi rpierotpse ihhcw eadl ot edtprusid rteipon fgdloin coe(ydarsn crrsuet)tu. Siiralm to uGl - Val oibttsstunui in kSeicl lCle sDei.sea

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