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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 nthki ti ash goinstmeh to od hiwt ngiylce d(ue ot tis lslam izes ti cna fit in anym pceals wehre eroht omani dcsia anc tno and enhce it ivoserpd utrcrl“tasu asopesmnctc” ot het ,golelanc ie.. put a kkin in eth aaphl e)ixhl. fI geynilc si lscmdpiea by nhtgosmie e,els I dnt’o khint oenargclopl- cna fmro sit recrcto ceaornsyd st.rurcute

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jotajota94  ue!rT aslo, legcyni is 31/ fo ollcgnea afla ,nsaihc os ti smkae sesen hatt tsuituinosbt hwit aneianl hchwi( is cumh g)gireb dluow dela ot siupirnotd ni eht laahp ehixl i.oraontmf +2
jotajota94  reT!u aos,l eyniclg si 13/ fo lcleoagn faal nhasi,c os it aeksm ensse ttha snusiouttibt tihw nlaeian (ichhw is chmu g)gerib wdoul adel ot uronpiitsd ni hte pahal exhli i.ftoomarn +
thepacksurvives  cniyGle is small nad ,yndbe cwhhi alwslo ti ot ofmr hte rblisfi fro eth eptlri xehil +
brasel  Aosl in lereagn (FA 1208 gp )50 OI si morf elrmsopb gionfmr eth ilterp liehx wchih is sdoecrnay tsc.ueurrt yaFoutt,rlen yeht gaev su tnmgohesi ot soarne ihtw ni eth nuteqiso aAg(tlyG;l&)- +3
amy  Can meeosno help em sedrnuntad why A si ieconrt?rc 2A2F00 page 0:5 irTlpe eihlx fo 3 alelocgn a iahscn is rmofed mrfo llogaopncer iva hryedogn adn fleudiids nb.od Is hits vrye liriams to thaw A is neAd?g.irib c areDecsed dgn-breoydohn foiatomrn teebwen ngaloecl uclom.slee +
umpalumpa  Teh anltinoepxa geivn yb aaeaslrtwbali doclu rokw fi the itqonesu uodlw yas t-&ga-lyG;lA antom.tui wHvroe,e eht stiunoeq teasts ahtt hetre is an tAa;gG&l-yl- tainout.m +


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submitted by cellgamesgojan(43)
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I fgder,iu -gYciXy-eln is ltlyneaihcc oeincdsdre a mrr“paiy nioma iacd rcuetrsut of a o”tnrepi nscie hte nditnifeoi of a ryPrmia teuscrtru of a nroteip si a“ nrelai chnai fo aimon a”cdsi. If you ssem wiht het mrParyi urcrst,uet sa ni eht notuqesi e,tms you aontnc form eth derynSaoc csurreutt of teh etrinpo, ciwhh is emdeeirndt by eht iggehndbnnro-oyd hhciw ccosru ebewnte eht epitdep kcbnoabe, didnpetneen of hte R u.orgps I heop ihts eadm es.nse

Fomr iipikdwae: “aSdceroyn uetrsctru si fmallroy eiefndd by eth tpatenr of gednyohr sbond tbeween teh aiomn drohygne dan xcloyarb gyoexn tsamo in teh dpepite nebbacok”. smepiahs( n)emi

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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 syug and i uteoq rmfo toh-lmoa/e/ftewir.lgotrptwi/nemos.d2ortci:/saehctsiwpeb/s14e0ptcuses

"0%9 avhe na entibldaeiif eicengt aoumtitn C LO 1A1 nda LCO A12
usse ca naaobmlr clgnlaeo nisnkorlc-sgi iva a cynielg tbontisitusu ni het oglpnalerco lumeeclo "

ciwhh emsna atht IO ahs a nelgcyi tbonsusuttii nad erhfteor tsi enulba to rfom a racoyneds uu.reustrtc

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submitted by hungrybox(1277)
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ueD ot gyl'ncise sllam ,eizs ti ateescr n"kik"s in het nomai ciad uq.ncesee eesTh nsikk rae nedeed to rorlectcy fmor eth dcasoyren trutcs.reu

thrOe nreas:sw

  • "adwneeek enoitcriatn tnbweee coenlgla and yegctonprao"l - lngaleco + ongorylcapte = giralea.tlc ehT ontuqies etsm eontsmni ynma sedtcef in EbNO (tyep I eaco)lgln ubt on tonmine of efectds ni alrTeWgclaO tpye( II loagnle)c
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 +1  upvote downvote
submitted by basic_pathology(25)
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-X-lGYy is onbkcabe for oelngalc aplah ihan.c 3 neogcall hlpaa acsinh rsalpi ot fmor triepl i.xelh Gecinyl ahs no R gp,uro nlgwilao ofr bfliyexilti dna otrifamno of pliert hxl.ie No eilcnyg eetrnvsp isth tunsuoncoi pisgian,lr neerpngvti eht tfiamorno fo ncogaell dcyensroa rtctsu.ure

Rclael ttah hea-ahillceps dan s-tshbeetea rae eapsxeml of ocensdayr crtsuret.su hTsi anc be htohgtu fo a aiefatsmniotn of eth hapla .xielh

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submitted by an_improved_me(91)
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rANeoth yaw to get ta ti is vai t:neoinialim

.A yongdehr ognindb ndlotwu llyaer nchaeg encsi rntehie neliaan onr lgiynce ear .lBo rap lyG t&g; aAl slt'nhoud cgehna woh erpnloi is feodimid I( enma ti ODC,LU fi hrete swa a sirtec crenhidna or eot,gsnhmi btu ont a getar wDsrae.n) gtnihon ot cinietad taht noeaclgl dgretoieand si aeedltr ni srsnepoe to na AA i.iuossttnbtu s,loA ni eht etntcxo of OI (hchiw is eht itgnnepesr nom)lta,ipc ew lyarade wnok hatt eht relpomb sodte'n veha hyniagnt ot do tihw ni,todaeegdr mroe wiht the hcnaeg ni cctsrtiuEu.turnnefo/ Hntlesyo 'ondt wo.kn

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submitted by drdoom(1206)
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s’erHe one awy ot natcrselmfe--ioesoip “srdaeedec b-doyhgdnonre n”tomar:ofi Im’ nto a gib fna of sith ienl of ons,anierg ubt hcenaycltli ainenal sa a esdi gprou ash mroe dgoysrhne* rfo nitptolea nrohgeyd igondbn tnha gnyicle:

ilan:ena —HC3
lgiy:cne H—

So, a”,cillnct“hey ailnnea dwuol imretp emor o-hnndygreobd ratnio,ofm hihwc itmgh ollaw oyu ot eiltnaime taht occh.ie

tahT di,as ti messe soamlt slsiiempbo to uerl out t(iowhut eryv calenhitc wgeolednk or meos vdripode ernexplmaeit atda) tath eth yhgtlsli alrgre nianlae does nto miripa nhoeydgr ingdobn ewetnbe galolnce lceeoslum iav rescit )itsp(laa .irreeftencen In prsmile smr,te nesic nlianae is alre,gr uoy luwdo knhti htat it utsm moosehw etiernrfe twih het ngerhdo-ndynbgio ahtt uoccrs thwi het yewipld-t celgyni.

---
yctrilS*t sep,anikg sti’ nto eht nmrueb fo hosyenrdg btu aslo hte ngtshter fo het ioplde ttah etscafiltia rdgoeyhn :gbonnid a rodgeynh dobun to a ysrltong ginlvterectoeae lloceume kiel nufirole wlli pae“”rap mreo tivoeisp d,an sut,h engon-dohbryd mero lorygtns hwti a ebayrn nxgyeo ed(ocmrpa tiwh a ehrogndy cntnodece ot nborc,a rfo )aml.epex

rFtureh gniared:

  1. hih/leu/ltt.dwp/prdmlthsug/cimhsdeee.:uo/hqduc.pwwb.n
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hungrybox  pcrpeetAia eth ftefro utb hist si raf too onlg ot be eufslu. +30
drachenx  xybhgnrou si a fagiekrn terah +
drdoom  ahecxdrn@ ,ahah ah,n gicnmo bcka ot tshi i ralziee i wsa lroybbpa neggvkree-io oll +1
blueberrymuffinbabey  stni' the nodyeghr inbgdon neenetpdd on teh dorxatyylhde pioelnr nda nyisl?e os htta wulo'dnt laeryl be the eisus ereh iscne ohset r'tena hte aas igbne lat?erde +
drdoom  l@rereyubb nrcoiAgcd to ’rlsbtAe BCMo e(se ntgesnaT ta rg)t,hi dxhneyiylyosr adn dorlyhpirenoxy bncetturoi dhgorney bodns ttah mofr ebtenew eth chansi ,nh”etin“(aicr sa odpoesp ot iaiahcnn;rt- hte sha,icn fo ecusr,o aer taserepa iltpop;syedep hatt is, ertaaeps gacnloel pe;ontirs nda roinsattenci ntebewe seraatpe nihcsa p[atereas ]dspetpeliyop is thwa we lacl ya“tqaeurnr ;rcr”ustteu see negTnta oeavb). dnA ni hsit asce, as uyo notip ,otu the mest esbcdiser a &tgAlya-;Gl bt.uunisttsoi taTh smees to aenm tow tihgs:n 1() het eehrt paeesatr ogcnllae piesytldeopp illw ton kcpa“ sa][ ttyhigl” ot mfor hte irtlpe lhexi re(aqt=yraun tus)eturrc we lla wnok and love dan 2() oerlinp gisrn ilwl alfi ot laery qiuet as nlugy,s rigmcsmpnooi eth lliehac fonirancmoto htta eednsfi an lapah chnia es(=ayndocr uttsrcr;eu het hpesas ahtt rfmo wihitn a nlgies idlypeo.eptp) +
tadki38097  aols oyu anc't H dnob twhi raon,bc 'sti otn lproa uohgne +
amy  02A20F 50P tstea: fotnaoimr fo lgnhcicohae(plowr is het letpir ilxeh crreu)tust avi edrghoyn nda df.uileids oS A si oircecrtn bc ehetr rea on lloanegc lecusmoel tey nd2( ttrcsuure pnepahs at napoerglolc vle)le +
drdoom  y@ma iltrpe ehxli is a ruteyanraq rseutrctu ic(ens ipelrt hxlei is a apesh ttha omfrs ETEWNBE eptraesa ro at“dlu” al/enologgpa-rnlcceol eisdpe.pt) ri,yParm naoeycrsd nda yaertirt rscsrttuue era spcdionersti fo a gsnlie ptil.peyodep cOne uoy hvea 2 or meor plopdpieeyst etraigncint hwti ehac trohe .e,(.g goHbomelni leceml)uo oyu vhae qyaretnura ecsutrtru. +

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 htimg be einronivkhgt it b,ut H ondb mfiaootnr fo saa' meska eth rnycoesad tcrsrtueu fo eht tinepro nlel(coga ni ihts a.cse) The lyG ot Ala iuitntosbtus dose utrels in sesl H odnb ,omtfoniar ubt fo vaidiliudn s'aa tno eewntbe gnecaoll oelsmluce tt(ah might eb orem for ryaeqarunt sctreurut)

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lpp06  I thkni eth eyk si in the rseawn ,psiraghn hte seawrn nogiitnmne H-dbnos ssya tu"ornipsDi fo bond-Hs ewnbtee gnlleoac lcteolulmso" huegAh calnogel edos duneogr n-niHobdg ot psptoru eth itrpel ,hxeil isth is edon iitwhn eht same llcegaon oi.u lnLgkcmlieen tniredffe anoelglc ullsemeoc cosruc iav het eilysn - iyxlyehsynord slikn eodn ni eht EMC +1
kevin  htis si eth neo nmcmoet atht lnfilay ehpeld me saderdnntu why hatt saw toeinrrcc. nhkat you +


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submitted by j123(16)
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ayPrrim curusettr = oamin caid eaueeccqend soySnr srcetuurt = restucrut dorefm twhi a seglin nomai acdi cueseqen beta( teedpal sht,ee hpala lhexi, t r)Ttreyeiac trsercuut = ullpmtie onsaredyc euttusrscr rtinnticage eothgtre u(lliempt eabt eldaept tseshe dscekta no otp of each o,etrh tr)yartnQeeracu srttcuure = onrtepi rturcteus orfemd form lndiogf of all treitrya tcssurtuer to meak nbdnigi tss,ie ec.t

nSice teh eanialn swa tup ni lepac fo hte lyeGc,ni the miapryr euurtctsr was lnbeau ot rmfo na aalph xhlie ecsni apahl lixeh suestcrrtu ndee a plructaria ueqecnes gy(l - x- y) ni roder to fmro yenhogrd sonbd ot epke hte lihxe sela.tb

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 -1  upvote downvote
submitted by unknown001(9)
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what si ceonlagl ? a donsyrcea itonpre tr.uteuscr

ehwn yuo rmoeve ycnigel, the mots ntnudaba manio cdia , frmo teh reuoprcsr elmcluoe wlli you etg a eoprrp ornadsyce resctrtuu ? ON

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unknown001  iogren ihts +
drdoom  can ouy raaoteebl? 'ashtw ogwrn twih oyur ec?nmtmo +


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submitted by lilmonkey(63)
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lGy is oar,pl eaiAlnn si aolponrn adn ocdrpyh.hobi ssnisMee oaitecrsvenonvn itanot.mu seTeh sAA hvea ditferenf ielaccmh pertorespi hcwih aedl ot idrdpeust perinto fdinlgo odnacesry( re.u)stctur ilimrSa to ulG - alV tiobuntstsiu ni iceSlk lCle eDsisae.

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