need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
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

 Login (or register) to see more


 +16  upvote downvote
submitted by wasabilateral(47)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I htnki it ahs soigmhnet to od twih cnyeigl eu(d ot tis asmll eisz ti nac ift in amyn aplsce ewhre hteor aonmi siacd acn nto dan echne ti rvpoesdi rtcuultsa“r atcsm”pnseoc to hte on,gcelal e..i ptu a nkki in teh halap xhl.)ie If lgeyinc is calipesdm yb gotnmheis l,ese I td’on tiknh gpolec-anlor acn mrfo tsi retcrco soyranecd et.rsutcur

unscramble the site ⋅ become a member$279$49
jotajota94  T!ure os,la nilcgey is 31/ fo llaecgno faal s,ihcna os it skaem neess tath otsiiuuttnsb whti laninea hi(chw si cmhu eggibr) duolw eadl ot disrontiup ni eth hapal lhixe n.faooimtr +2
jotajota94  ureT! als,o nicegyl si 31/ fo cnlolgae faal sniah,c os it smeak neses ttha ituistosbntu hitw nleniaa whhic( si hucm )eggrbi wludo lead to puoirindts ni teh lpaah xheli omtroiaf.n +
thepacksurvives  eliGycn si aslml adn ,ebndy hiwhc slwola it to fmro eht fslribi for teh eptlri lhexi +
brasel  sAol ni erenalg FA( 0281 pg 50) OI si rfom leosbrpm mnigfor het riplte heilx hwhci si dyeaocsnr urecrustt. oaer,nFtytul teyh eavg us nimsoghet to aosrne tihw ni eht qotisnue t-GAll&yg(a); +3
amy  naC oeonsme lhep em utddensanr yhw A is occtreinr? 022AF0 pega :05 pleriT eixhl fo 3 lnagleoc a nisach si fedrmo rmof crponaegoll aiv dnyohreg adn efiiudsld obn.d Is thsi yvre mrsilia ot ahtw A is i?b.Agcerdni eDrsedcae -rgdnobdoyneh ironmafot tewbeen collaeng eelumol.cs +
umpalumpa  The nlptoexnaia vgnei yb sawrabetalali olcdu owkr fi teh tieqsonu louwd sya ;-yGllgaA&-t nmtuitao. reo,vewH hte seionqut astset thta tereh si an llagA&Gy;-t- nai.tutmo +


You must be logged in to vote!

 +13  upvote downvote
submitted by cellgamesgojan(43)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I igd,fuer nycYe--glXi is caytlhnclei dcenoeidrs a ri“apmry nomia caid eutrurtsc of a etroi”np necis eht nniitdfeoi of a ymriPar teruscrtu of a enporit is a“ narlei nahci of nmiao cas”.di fI you ssme thiw eht iyPrarm utcr,eustr sa ni eth qoisntue tms,e oyu acnnto frmo het ycenraSdo steurrctu of eht ,itponer hichw si rdtiemdeen yb hte gdih-ygneboonrdn whihc csorcu tnebwee the eipedtp cekabbno, ntedeinpden fo hte R grps.ou I opeh isht emad sen.se

Frmo edkwpiiai: “ndyreSoca uuttscrre is flyroaml dneifed yb the taetnpr of enhgrdyo obdsn ebteenw teh anomi oreghnyd dan bcrxoaly yeogxn osmta ni the pteidpe ckbaobne”. ms(aseiph )nemi

unscramble the site ⋅ become a member$279$49

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)

You must be logged in to vote!

 +4  upvote downvote
submitted by usmle11a(102)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

ko gsuy dna i uqteo omfr tomsa1wlips/ro.i2hodwrt:puheccc0iitetes4tegto.fnlmw/s/seepo/e/a-rtbs

%"09 vhae na linatiidbefe gteenic itotuamn C LO A11 adn CLO 1A2
s csaeu aornalmb cgeallon oilnnsgsr-kic iva a yilgnce uttsoistuibn ni het ncogllaerop lelcuemo "

chwih snmae hatt IO ash a lncgeyi ibtuisstuotn adn retferho tsi baenul to rmfo a onsyrdace rsctu.urtue

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +4  upvote downvote
submitted by hungrybox(1277)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

Due ot egsyil'cn allsm ezi,s ti tecasre "iksn"k in teh oanmi acdi .ecsnuqee Teshe kniks aer nedeed ot oytrerccl mfor hte yasnodrec suttcr.eur

Otreh snwes:ra

  • naedke"we rnetociinat nwebtee conlaegl nad nepcgaooyl"tr - aenlgclo + ogncolaytrpe = taa.rlgelci hTe qonsieut mset eosntmni mayn stedfec in ONEb yep(t I al)lcegon btu on eimtonn fo csdeetf ni WclarTeaOgl etyp( II lcogenla)
unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +1  upvote downvote
submitted by basic_pathology(25)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

YXyl-G- is akecobnb orf oegcalnl paahl i.chna 3 cegonlla lpaah nacsih rlspia ot omrf preitl xhil.e liGynec ahs on R gopur, wligaoln rfo ilbxtiyfeli dna oritnaofm fo rpilet x.eilh No ygcinle ernpestv stih nosinouctu g,rnislipa veepngntir eht rtmanofio of celaolng ncrsodyea ttr.ucusre

lelaRc hatt -ahsacpehllei nda t-shsatebee era esmalexp fo royendsca c.tutuessrr Thsi cna be hhgutto of a aitasmnteinfo of teh lpaha i.elhx

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by an_improved_me(91)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

hAortNe way ot etg at it is avi na:lioinmeti

A. ndyhrgoe gnbndoi dwtunlo eylral gncahe scnei eerinth neniaal onr ycnelgi era B oapl.r Gly ;> Aal hst'ulndo gehanc ohw lrpeoni si diomeifd (I amen it LC,UOD if reeth asw a rtcise rncehdnia ro gemnisot,h tub otn a getra nrD eas.w) igohnnt ot einacdit tath enllcaog dtgeoairden si deltear in nesropes to na AA nsutt.toiisbu ols,A in het txnetco of IO wc(ihh is eht ntsgnpreei ,lanicoptm) ew dayrela owkn ttha eth oblmper tods'ne ehva ihnatyng ot do itwh i,tdeeagdnro rmeo iwht hte ghacen in ./ttuutrcsfueoncnr Ei esHotynl dtn'o ok.wn

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by drdoom(1206)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

Her’es eno ywa ot scsaoelo-emeinpti-rf ce“adeesrd obry-ogehddnn ifrn:motoa” Im’ otn a big fna of isht enli of eiaonrnsg, tbu lthyeicncal nlieana as a esid rgupo ash meor gohsredyn* rof ltitapnoe negohyrd ogndnbi ahtn ynlgeic:

n:nalaei 3—HC
ignlc:ye H—

So, l,nahycl”“itec ailnnea oduwl rpmeti roem bredhnd-gonyo notiomarf, whchi gmhit lowla oyu ot atienlmei htat e.iocch

aTht ai,sd it msese tomlsa libpeismso ot elur uot iwh(tout vyre eaitclhcn wdnlgkoee or seom idoepvrd eaemtprxinle d)ata taht the syhllitg larreg laeainn sedo otn piimar rdynhoge gnobnid eteenwb ongelcla meeolculs iva seictr ial)as(tp ererficeen.nt In leisrpm st,rme esinc naelain si e,alrrg yuo wlodu hntik ahtt ti sumt whmosoe iteernefr hiwt teh broegdoghinnd-ny atth orcusc thwi teh dpiyle-tw cylgeni.

---
ryilctt*S n,kesgiap ti’s nto teh bnmreu of ngydoersh but losa the retstnhg fo eht idelpo atht staeialcfti nogerydh odn:gibn a dynergoh obdnu ot a sgtnroly attireegeeovlnc oumlclee lkei ferinoul wlli ar“pep”a reom ipstivoe nad, su,ht no-obydnrgehd reom gtlnsyro twih a byarne gnexyo cor(dmpae iwth a oeryhndg neotcedcn to ,nocbra fro mpe.la)ex

erFhtru :nagdrei

  1. mlhnqh.wbhc.edehtc/e/gpsodhsudir/./mu:ilwp/.eutdltpwu
unscramble the site ⋅ become a member$279$49
hungrybox  ripeaeAcpt hte fferto tub sith is far oot nlog to be ueulf.s +30
drachenx  ynhxobrug is a rkgaenfi rahet +
drdoom  har@edncx haah, ,han niogmc bcka ot siht i zealrie i aws yropalbb -inkgrevgeeo oll +1
blueberrymuffinbabey  nist' hte ehgnryod gnodnib ddnetnepe on teh xdyeotladhyr enpilor dna eny?sil so tath unwol'td alylre eb hte ussie eehr nisec eoths 'rtnae the asa nebgi atl?eder +
drdoom  brybre@elu riAcdcogn to ’erAblst MoCB ee(s gatnTens ta r)gth,i hnoxiysdyyrel nda rlyxonedporyhi cbouirntet gdnhroye odnbs thta from nebewet hte scianh enna”cr“ti(h,i as eoopsdp to ;hiatrna-cni hte has,nic of ersu,co era paerstea ;sotepdypilpe htat si, tsrpaaee oenlalcg s;oiprtne dna oerntiscntai tbenewe reetpasa cashni srtpaae[e plp]iodeptyse si tawh we clla uatr“nyerqa u;cuts”etrr ese ntaengT aevob). nAd in hist cesa, as oyu noipt ,out hte setm resedsbic a a&;lA-gGtyl its.otiunbtus tTah msese ot emna tow gnits:h (1) het ehetr aaesterp aenlcolg dtepepyiopls lwli nto “kpca a]s[ ygtht”li ot rmof hte leprit lihex a(=rqteauryn srtuurcte) we lal wonk nad eovl and 2() ileopnr nsgir lilw flia ot reayl ieqtu as ulgy,ns gspcoroiinmm hte lalhice ooinnroatcfm that eneifsd na hpala hcnia yroden=c(sa ;ctursrteu teh psheas taht morf inhwti a ilnegs il.)dpeetyppo +
tadki38097  alos uoy ca'tn H dobn ihtw abo,ncr 'tsi nto raolp heguno +
amy  20AF02 0P5 :tesat ionoftmar of cplihchgolr(anwoe si eth lpriet lhxie crseutut)r avi ngerhoyd nad id.sefudli oS A si cnrritceo bc tehre rea no enlgclao leuomslec yte 2d(n tuserurtc nhapspe at ploeoalncrg l)leev +
drdoom  m@ya rpetli lhxei si a aertuqaynr teuutsrcr nsce(i lpitre xielh is a peahs ttha msfro NEETBWE petareas ro ”altu“d ceponclagel/agol-norl .teips)pde myiP,rra oecydanrs dna ttyeirar eurusctrst era peitrnsiscod of a ginesl e.eltdppypoi ecnO uyo vahe 2 ro mero dpsylipeoetp ginttairnec whti aehc tohre ..(,ge oHblngmeoi )elceuolm uyo evah uyanrteqar cts.eururt +

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)

You must be logged in to vote!

 +0  upvote downvote
submitted by nmb29(0)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I ihtgm be ernogvikniht it ubt, H odnb minafrtoo of asa' msaek het aoeydcsnr currteuts fo eth roepnti (lgalnoec in ihts cs.e)a ehT Gyl ot Ala iuosttbtsuin deso sluret in sels H ndob ,taonfoirm utb of iniaudilvd asa' ont eewentb olcaglne moueleslc ht(ta mhtgi eb eomr ofr aynuertqra tusrt)urce

unscramble the site ⋅ become a member$279$49
lpp06  I ihknt het yke is ni the wsarne ,ainrgphs het sawern innmotigne -sobdnH ssay spturioDi"n fo H-dsbno eteebnw ocenlalg luhullethgm es"oAco enlaolgc edso ugdreno gndbonH-i to usptrpo teh etpril lxie,h isht is neod niiwth het sema clenlago lek m.iongeuLilcn refidftne onglcale meluleosc ousccr iav teh ynelis - ihsredyxylyno links dneo in the MEC +1
kevin  hist si het one mtnmeoc htta illnyaf lehdpe me rdsnuatnde ywh tath saw tcrein.orc hntka yuo +


You must be logged in to vote!

 +0  upvote downvote
submitted by j123(16)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

ryarimP rtectuurs = omnia adci ecnncSqdeosyu aeer ruusrcett = tuerusrtc ferodm itwh a inegsl naomi daic eneqsuec abe(t etaledp hetse, ahlap ,xhile ety)rrTtaiec ceuusrttr = ulemitlp coardsnye eurcststur genrinactti htetoerg utilelmp( baet epadlet ehesst kcatdse on opt fo aceh oreh,t tuna cryeer)tQar rrcttusue = peirton ettrsuucr erdfom from nfgldio of all taetyrri tursresuct ot akem bngndii s,iets et.c

neciS the naailen wsa put in caelp fo eht yenGicl, the imrrpya ruceturts asw belnua ot rfom na plaah lehix cnesi halpa exhil ersttrcusu ndee a rlrcpiatua queeensc (lyg - -x y) in redor ot orfm drhnegoy ondsb to ekep hte lhixe abe.stl

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -1  upvote downvote
submitted by unknown001(9)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

twha is ecgolaln ? a snrdcoeya rneotip turrset.uc

when you vormee egl,icyn hte smot nbudnaat nomia cida , fomr teh roerpscur luemlcoe illw uoy get a rprpoe ensrdacyo rteucsutr ? NO

unscramble the site ⋅ become a member$279$49
unknown001  rngeoi ihts +
drdoom  anc oyu etlabo?are ahwst' onwrg hitw ouyr tonmcm?e +


You must be logged in to vote!

 -4  upvote downvote
submitted by lilmonkey(63)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

yGl is lp,aor ieannAl is narponlo adn odhpc.oyhibr eMsseisn ovonsvetcnnerai otiamtu.n seThe AAs ahve etinferdf acmielhc rpeseroitp chihw dela to urdesdpti iterpon odglifn ace(dyorsn tre.utruc)s alSmiir ot Gul - lVa usutnbitsoit in elSkci lCle ees.Dasi

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3− transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!