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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 nhikt ti sha sigmoehnt to do tihw iclgeny u(de to tsi alsml siez ti nac ift ni many cpales erhwe rheto onima sidac nca ton and enceh it svdepiro arctusl“rut csmoptsec”an ot het lecnog,al .ie. tpu a ikkn ni eth lpaha ex).ilh fI ncegily is dclseipam by iehtmosng s,lee I otd’n kntih gerpc-lolona nac frmo tis torrecc eyrdasnco eturstucr.

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jotajota94  ruT!e ,losa igeycln is /13 fo ncloealg lafa n,sciha os it keasm nsese thta ituouinsbstt ihtw alienan w(ichh is chmu bggier) ulwod deal to dstriponui in hte hlapa hxile a.mrnfotoi +2
jotajota94  Tu!re oas,l glyeinc is 13/ fo gnoealcl lfaa ashinc, os ti kesam enses ttha tsbontuiuits ihtw innaale h(chwi si uhmc rig)egb louwd adle ot dtsinurpio ni het aalhp ihxel iaotfnom.r +
thepacksurvives  lyeGnci si slaml adn yde,bn chhwi lawlos it ot ofrm teh isflbir ofr the retlpi leixh +
brasel  osAl in aeglner A(F 1802 gp )05 IO is rofm bpsmroel mrfnoig teh ilprte heilx whhic is deasrncyo .uuescrrtt oneatlryFtu, teyh egva su hmnisgeot ot anreos iwht in the iseuqtno lAlt)&-G;gya( +3
amy  anC neoseom lhep me anrdendust ywh A si cnrerotic? 2F0A20 gepa 50: rTlpei hlxei fo 3 caoelnlg a hacisn si oefmdr form alrocolnegp iva ngeyodrh adn feiddsiul .ndob Is sthi evyr sriamli ot hwat A si Aiegdn. rb?ci seDaeredc dro-dnhygoben mofiroatn neetweb gneolcal eecu.mllos +
umpalumpa  heT iantplxneao ivnge by leiwsaraltaab cdulo kwor fi eth eunositq udwol say g-ayG-tl&Al; t.oiumant oevweH,r the iustoqen testsa atth eethr is na Gl-gA-l&y;at u.toiamtn +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I gdiur,fe ncYXig-e-yl is llctcyiehna oisrcdeedn a pary“rim anoim dcai ecrrutust fo a eoprti”n nscie eht idoniientf fo a airyrPm uurtrtcse fo a ptrenoi is “a lniear hncai fo miano siad.”c fI ouy mses thwi eht iPaymrr rsrt,uteuc sa ni teh tusioeqn tms,e yuo cnotna from eht acSrodney cuttesurr of teh poteirn, ihwhc is netedmdier yb eht ogiynnndgrd-beoh hhwic crsuoc betnewe eht dpteiep benabkco, inntnpedeed fo teh R og.psru I peho itsh adem e.sens

rFmo iwkeapidi: “Saecdoryn sruucettr is ylfmoral nieddef by eht ntretpa of ehdoynrg sobdn etbeewn eht aomni dyhorneg nda ryxolacb xngeoy atsmo ni hte iptedep beanbcok”. isps(amhe nie)m

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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)


 +4  upvote downvote
submitted by usmle11a(102)
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ko gyus nda i oquet ormf otaeuhwsw/-:rget1ps/ioimfrcpbe.m/trcst0oa4h/wtsps2ld/osc.teeeetnoiil

"%09 aveh an idinlbfeitea tgceine tnmioatu L OC A11 dan COL 2A1
easscu rmbnaalo goalecln -nsscliorkign vai a cngyiel snbtstutiiou ni hte lcgoreonpal uleecoml "

ihwhc maesn that IO sha a gcleyin nituibtssuto nda rhroftee sit ablnue to ormf a esdrnyoac t.uuutsrrce

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 +4  upvote downvote
submitted by hungrybox(1277)
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Deu to yni'lgesc lmsal es,iz ti asetcre n"kk"is in eth mnoai cdia enuq.sece sehTe sikkn ear ddneee ot ltrcyorec ofrm eth csyonarde .uurtcters

htreO rane:wss

  • nkdeeewa" ttcieaironn enbeewt oelgncal dna logpeytnc"roa - onllagce + encgayportol = .eglcaratli heT quoetnsi stme eotmnnsi aynm escfdte in EObN pt(ey I eloglnc)a but no nmtieon fo festcde ni gcrOalWlaeT tpye( II )ocanglel
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 +1  upvote downvote
submitted by basic_pathology(25)
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-GXyl-Y is bkaocbne orf cloagnle pahal cain.h 3 ogelclan plhaa niscah paisrl to form trilep .ixleh cGinlye ahs on R g,pruo laiwongl fro eilxyilfbit nad miafonrot fo lirtep lxihe. oN nlcyegi epvetrns htsi nsoutuconi lrnias,pgi gpetninrve het nfrtiomao of geclanlo ondsyearc rreucts.ut

Relcal htat hpseli-haeacl adn hessetaebt- rae xepsmlae fo radsyneoc .suectrtusr siTh cna eb ghtouht of a sntioimtafena of the phaal elh.ix

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 +0  upvote downvote
submitted by an_improved_me(91)
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teNoAhr ayw to etg at ti si aiv aoiii:mlnent

A. ordnghey nidnbgo otdunwl relyla hgnace necis rtieenh ilanane ron iyegcln rae Br.p loa yGl ;&tg Ala houln'dst nhgeca hwo lrpione is fidmieod I( naem ti ODLU,C fi ethre wsa a sritce anredhinc or hsitegmo,n tub ont a etgra .sDwane )r tngionh to ieincatd htat lnlcoaeg otdnareidge is earetdl in sseepnro to na AA .tsiinbusttou ,Asol in eht xnttoce of OI hc(wih is het gptensnrei oal)c,nmtpi we ldeaary know atht het bmelopr ndeso't heva nniyagth to do ihwt iedgntor,dea oemr thwi eht hgncae ni en./iunu uEotfscctrrt Hneytlso n'odt .oknw

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 +0  upvote downvote
submitted by drdoom(1206)
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H’sree eon yaw ot elimf-rcepoot-sainse reed“aceds gebyo-rdhodnn m:nto”orfia ’mI otn a bgi afn of htis niel of grnan,ieos btu liycelctnha aelnain sa a idse pugro sah moer snoryg*ehd rfo elitatnpo ndehrygo onigbnd ahnt ilcengy:

aneail:n C3H—
n:cyielg H—

,So hcntaiyl“”e,lc elnania wluod rptime eorm hdogbyendnor- af,ionrmot hhwic ihmgt wlalo oyu to eleniimta taht cie.ohc

Ttah disa, it sseme tmlaso mbioeslpsi to elur otu hwt(uoit rvye laicnehtc lgkoeenwd or esom dordviep rlpeenmetixa )taad thta teh hysiltgl rlarge eaialnn dose ton ipiamr dhgyenro ibngdon ebneewt ngcealol oumslceel avi stceri lait)as(p eneretrc.nfei In rsepmil es,tmr ecins leianan si ,regalr yuo luwod hitkn taht ti must hoswmoe iftreenre twhi teh h-gdeonydnogrbni tath uocscr itwh teh ptyed-lwi gncliye.

---
ryltiSt*c ikangps,e ti’s otn the emrubn of erhndygso utb osla the rsghntet fo hte oidlpe ahtt slctaaiefti ynrohdge ngdbo:ni a eydorgnh bnudo ot a trsgolyn atglornieecveet omluelce ilek nrufielo will rp”epa“a omer itvepois ad,n ,sthu ohbogrdye-dnn rmoe lynogrst twih a nbeyra xegoyn madc(orpe twhi a hodyrgne nndeceoct to onrbac, ofr aeexl.mp)

rtFruhe girnea:d

  1. tqetsppdl/g.hmcipse:nwwh/uuwuuldihch.merdthbo.l/de//.
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hungrybox  pieAtreapc teh foetrf btu stih si raf oot lgon ot be ufue.sl +30
drachenx  bohxnugry is a efringka arthe +
drdoom  n@derhxac ha,ha hn,a ncgomi cakb to thsi i eaezlri i swa pbaobylr vkei-erenogg llo +1
blueberrymuffinbabey  t'sni teh rgedyohn onbgnid tedepnden on the eldxoyrhtday eponilr nda einl?ys os hatt lotnw'ud alelyr eb het ueiss eher ncsei ohste ntre'a teh aas ibegn rldea?et +
drdoom  blrybu@eer cniocdrAg to eblstr’A BCoM ese( sTnngeat at )hi,gtr olxyynsdryihe adn hxylrdoonierpy ecrinbutot donyegrh odbns ahtt morf beneetw hte nhaics arten(“ih,”inc as sdeoppo to tiiahr;-cnan eht ,snachi of c,ousre are erptasea pldyo;eptieps htta ,is atepasre oalenlgc eonipts;r dan ercitonistna ebtenwe areeaspt hanisc sapae[etr ppld]styopiee si waht we lcal rqny“taareu tscue;ut”rr ees ennTatg obeav.) dAn in isth ecs,a as ouy intop ou,t teh smte edbsrisec a gal;tylG-A& ut.tutisibons htTa sseem ot emna owt g:ithns 1)( teh ehert astarepe alnlcoeg peodtspylpie lwli otn “ckap ]as[ hty”tgli ot rfom teh iplter ehxli nar(aqruey=t cut)estrru ew all wkno dan eolv dan 2)( irpeoln rsign illw fali to yrela ueitq sa u,ylsgn pcosrimgonmi eht aiellch omcntoornifa ahtt nseifde an pahla hnica cea=osy(rdn cttrs;ureu hte hapess thta rmfo ihnitw a inelgs lop)yeit.dpep +
tadki38097  soal oyu 'ntac H onbd thwi ra,oncb 'sti ont ropal uenhgo +
amy  0F220A P50 :sttae ariomofnt of panehoiwolhcgc(lr si teh pelrti ielxh ttrcersu)u iva eohygdrn nad sdlei.fdiu So A is tencrcori cb eerht rae on eaglnlco losleeucm yte n2(d trerusutc ashnppe at oncoegparll le)lve +
drdoom  ma@y petrli hxeli si a arruayenqt tucuetrsr (cseni ptleri hxlei is a hpeas ttah fosmr ETEWNBE aeatpres or ”ua“dtl ngeleplcgrlcnolo-ao/a e).ptdeips ,irramyP scodnyare dna erttyira ecuruttrss aer tpsoisdnicer of a ngslei pieylppto.de neOc ouy veha 2 or omre sypeldpeipto nitnaecitrg thwi ahec hetro ,eg(.. eimonHbolg mloc)eeul ouy haev errtuanqay rctuues.rt +

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)


 +0  upvote downvote
submitted by nmb29(0)
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I ghmit be ietgrkvhnino it ,but H bdno iafmrtnoo fo 'aas esakm teh yocesarnd tseructru of het ortinep aoenc(lgl ni hist easc.) ehT Gyl to laA soutitinbsut edso uetslr in lses H bndo ainm,otfro tub of dunviaiild 'saa tno eebnwte ocnlalge lluceosme ta(ht higtm eb meor rof reqynataru escrurtt)u

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lpp06  I hnkti hte eyk is ni eth anrsew ir,nhpsga het nwears nontnigeim ondb-sH yssa "riDoutnspi fo -Hbdosn nbewtee calonleg uloegomuchl h"eAlts elclagno edso genrodu ngndH-iob ot roptspu eth iptrel ixlh,e thsi si node iiwnht eth smae acolngle noikn.cgelilLm eu eiedftnfr eacllgno euloecmsl coucsr avi het yielns - lirdyeysoxhyn snlik eond in teh CME +1
kevin  itsh si the one omtncme ttha ialylfn edplhe me urdsnatnde hyw taht swa ietocn.rcr ntkha uoy +



 +0  upvote downvote
submitted by j123(16)
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Prriaym rreutstcu = imano icda Sqrcnyecnaoesedue utrrtcuse = seurtutcr doemfr thiw a elsing maoin icad uesecenq ea(tb dptaeel eeh,st plaha xeihl, eTeryicatt r) crsruttue = eimpllut saoenrcyd etrcrstuus negiractitn gteohtre m(tpiulel aebt plaedet esetsh kcedsat on pot of aech ,etrho caerartynuer) tQ rttsrcueu = pioenrt suctturre oremdf mrof lnogfid of lal aytriert urtersstuc ot meak gniidbn ,tssei tce.

iecnS het lieaann asw tpu in ealpc fo hte cGl,ynie eht mayrrip cteurruts was anuleb to from na hlapa hliex nseci apahl heixl ecurststur ndee a rucpiatrla enseuecq ly(g - -x )y ni eodrr to morf rednohgy odnbs to epke eth heixl atb.sel

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 -1  upvote downvote
submitted by unknown001(9)
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whta si goalnecl ? a eordsncya rtoenpi e.uutrcrst

wnhe uyo roeemv ,gnceyil the mtso anntabud ionam cadi , mrfo the rroeurscp ellocume lwil uyo teg a reorpp rycenaods cttrruues ? NO

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unknown001  einrog tshi +
drdoom  acn yuo aeorbla?te hswat' ngrow wiht uyor tnemocm? +



 -4  upvote downvote
submitted by lilmonkey(63)
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lGy is oa,lpr enAilan si rlpaoonn nad ochh.iobyrdp sseeinsM oiecrnoevnvsant tinau.omt Tehse AAs have dfitefren limheacc seripreotp ichwh leda ot dreutpdsi peonrit olfingd do(nresayc sc.rurt)tue Siliarm ot Glu - Val tbittusinuso ni kiSelc Cell .seieDas

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