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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 ktihn ti ahs oghetsnim to od itwh lngyeci ude( ot its mslla eisz ti cna fit ni amyn calesp hrwee oterh ionam scdai anc ton nda eench it ievprods tuutrrlsac“ cnatcpo”sesm ot hte agncolle, ..ie utp a nkki ni the hapla ex)hli. fI lyiegcn si msacielpd yb netmoighs esle, I n’tdo ikhtn ol-crpaonegl cna frmo tsi erocrct nyocsedra .eusrtturc

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jotajota94  !eurT ,sola inlygce is /13 of clelnoag alfa icsnh,a os it sekma nsees ahtt tisiouutnbst whti aleinan (hhiwc is uchm gberg)i ulwod edla to nptiosriud ni eth lphaa xielh ioato.mrfn +2
jotajota94  !Ture sao,l ecgyinl si 1/3 fo nlocelga afal ciash,n so ti ksmea snees that itusosntubti ihwt iaaennl w(hhci si mchu )ribgge odlwu dale to prtidsioun ni teh ahlap xhlei foaionrt.m +
thepacksurvives  yicnelG is llams dna b,yned hhciw lowlsa it to fmro eth bilrifs orf hte ptleir hxlei +
brasel  oslA in gernael (FA 8201 gp 0)5 OI si rmof osrpelmb frinomg eht etrlip exihl cihwh is nsodreayc tr.uerucst Foulyrtne,ta hyet geav us sehogntmi ot oesrna thwi ni teh oietunqs )&;(Gl-talAyg +3
amy  Cna eosonme ehpl me ndrtendusa yhw A is i?ronccter 0F20A2 agep 5:0 lpTrie ixehl fo 3 cllngeao a hsncai is efrdmo rofm rcploneogal aiv edgnyohr dan ulfiseddi bnod. Is stih revy isrlami to ahtw A is A?dng .ieibrc seceaeDrd eryhbngdnood- matinfoor eeetbnw cnlegola l.uesmcloe +
umpalumpa  Teh nopeaxtnail nivge yb iwlastlbeaara ouldc wrok if het nqiuoste udolw ysa lt&-Ala;Gg-y i.uoatntm roewHev, hte qonisuet saetts atht eehtr si na ly&-aGlt;Ag- n.omtuiat +


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submitted by cellgamesgojan(43)
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I rudgfei, l-cXyeYing- is lycniehclta drcdnoiees a iyprr“am imona iacd srtuetcru fo a teniopr” iencs het odntieinfi fo a raymiPr ruttrescu of a oertipn is “a nleair hcnai fo namoi ”sacdi. fI ouy essm tihw the ryPirma ,tuerutscr sa in eth sneiuqto s,met ouy onantc omfr eht yracSndoe ectrrutsu of teh otpein,r ciwhh si mneededrit by eht ggnondnhr-idbeoy iwhch croscu eetnbew the depeitp eocnabkb, pednntiedne of het R grsu.op I oehp htsi amde e.nsse

Fomr kipwdiiae: dyeoS“cnra rrestucut si falyroml fiedend by het npttare fo ghrodney sdbno eewentb the aomin horygnde nad xolbyacr gyenox osamt in het etpedip aobbcnek”. m(ishpsae )enmi

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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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ko sgyu nad i otueq ormf fwlcmrpoethltpgs/t/nrtow/op-i0icirt.ibt4mseho2sso1/scteae./eseeuwad:

"%90 aveh na flnibietiade eencitg naouttim LOC A11 nad LCO A12
uss ace ramolanb lealngoc oliksrncn-sgi avi a egcinyl tuonistbsiut ni teh cloprgonael comelelu "

cihwh seman htat IO ash a lcnegyi tosttbusunii nda toreherf tsi uelnba ot rmfo a nydcorsea uttruruce.s

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submitted by hungrybox(1277)
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uDe ot ygsin'cel slmal esiz, ti etacesr snik"k" in eth iamon caid ecuesn.eq esehT kikns era eedned to cyrrotcel frmo the radonycse ets.trcuru

tOreh ns:swaer

  • nawekdee" icernointta wneeebt caelnogl and oar"onceptlgy - locnaleg + yortcpagoenl = ertalacl.ig Teh sioeqtnu etsm emtonins ymna ecsefdt ni ObNE epyt( I cagol)nel tub no notmnei of esftcde in aellaWrgOcT tepy( II cen)laolg
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 +1  upvote downvote
submitted by basic_pathology(25)
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X-ylY-G si nbocbeka ofr clnelago hlaap .hnica 3 noelgalc plaah hinasc srapil ot fmro lptrei ile.hx neilcGy ash on R pgor,u gwlilaon for xfltiblyiei and rotfaionm of tlierp .ixehl oN lyeignc vpnertes hsti uinnouotcs rp,glaisni nretepgivn eth noartfomi fo goalcenl roeanycsd es.utrcutr

llRace ahtt sleh-ahcaiple dna esat-hesbte era aeelxspm of rdaesyocn tuuect.srrs hsTi nca eb hogthtu of a aetnsinmoftia of the alhap x.lehi

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submitted by an_improved_me(91)
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hNrteAo yaw to gte ta ti is via iiei:lnanmto

.A gnyhedor bnngdoi noldtwu ryeall aceghn inecs nrieeth ienaaln nor iclengy era ol.rBpa lGy ;g&t lAa nshl'utdo ngahec who irnpole is ioedifmd I( nema ti ,DLUCO fi ehret saw a sciert dianrchen or gostiem,nh utb ton a tareg n)aeDr. ws nhtonig ot tiaecnid that lolceagn dogidteaern is teedarl ni esrposen to an AA n.utbiossiutt ,lsoA ni eth tnoxect fo IO whch(i si het gptnseneri c,pimlo)nat ew aaydelr oknw taht hte bplrome d'nsoet have taihnngy to od twih rotd,ndgiaee oemr with teh ecahng in tni/o uurfEnsrt.cuect etonHsyl todn' nwo.k

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submitted by drdoom(1206)
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esHer’ noe awy ot clrt-pmanees-ioofsei edarsd“eec eryhgdonbodn- tomrinfa”:o I’m nto a ibg nfa fo ihst enli fo so,neanrgi tbu hlliccaynte nanliae as a side uogpr sah mero ed*nohgyrs ofr tonpaleti engohdyr oinngdb tanh ncyegli:

inlaean: —C3H
lc:nygie H—

oS, chlecily”an“t, liaeann dulow pitrem mreo nygdrbh-eodon fora,minto chhwi igthm laowl you to ialieemtn that e.cocih

Thta dsi,a it eesms ltamso osmliepbsi ot uerl uot wihottu( vyer nlcachtei kodnweelg ro soem ripdvoed eaimplxnreet data) atth the htslylig glarre naleani sdeo nto apiimr rgonydhe ndniobg etnwbee gnaeollc clolmuese avi ecirst (li)aspta ecit.feerrenn In milersp sem,rt nesic alnaine is el,garr yuo wudol tnihk thta it muts owmhose erenifter iwth hte dogorhnebdn-iyng taht surcoc twhi teh t-dwlpiey cilgeny.

---
tilctSyr* ,pniesagk ts’i otn hte breumn fo redshoyng btu soal teh gethnsrt fo eth eodilp taht fcstitlaaei dyhgoenr :noibndg a heygdonr obdun to a sotyrlng ltienecgeroveat ueclolme ikle lunoierf ilwl aepap“”r eorm viptseio a,nd t,uhs hodgnbnodye-r orme srtlogyn ihwt a ayebnr xenyog racoep(dm htiw a yhregodn cceondnet to o,narcb fro xpaeml)e.

Freutrh :dagnrie

  1. .oslhe/r.edmhhcet:lpph/nitdwmeuwcpdblh/.qudsgiwtu.u//
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hungrybox  rpeapiAect the tfrfeo utb hits is afr oto lgno ot be ues.ufl +30
drachenx  rnxubgyho is a ifkngrae rtahe +
drdoom  edcxar@hn hh,aa an,h gnmcoi bcak to tshi i aeliezr i was bpaorlby eerigevgko-n lol +1
blueberrymuffinbabey  'snit the ryegodhn ngnidbo denedpnte no eth axerhotdydly penolri dna lyne?si os atht dtuwon'l ylaelr eb eht ussei heer ncesi ohtse e'artn the asa benig altered? +
drdoom  relbru@bey drcAconig to seAt’blr oBMC ese( Tgsnenta at irgt)h, xydyilseyonrh adn oydpirrnlyoehx nitutcober ghrodyne nobds htta rmfo bwneeet eth asnchi ian“nr”(cieth, sa dpeoops ot intarh-acn;i hte nis,cha fo ,csoure rea aarpetes le;ppdoisypte taht si, eparesta gcallneo nrioe;pst adn caieoritnsnt ebtwene rpesteaa asinch etaaspr[e eitl]pospyedp is what we llca yatunrq“aer u”suttr;rec ese Tatgenn voeba.) Adn in this sec,a as uoy itpno ot,u the mtes esiecdsrb a ;<ayl-AgG iu.iossbtttun ahTt sesem to mnea tow htgsn:i (1) the herte pateraes lgaclneo osptyeeppdil lliw otn kp“ca a[]s hyilttg” ot frmo eth iplert ehlxi a(anrue=qtyr sructrt)eu we lal nowk dan olve dan ()2 pronlei grins liwl lfia ot reyla ueiqt as g,sunyl immnpociorgs teh elilcha annomioortfc that enidesf an plaha hinac (sey=ncroad uttrc;ruse eht asshpe ahtt mofr inwith a isnlge )edotp.ypilpe +
tadki38097  sloa you tn'ac H dnbo iwht rnao,cb 'ist not raolp goneuh +
amy  F0202A P05 esta:t otifmonra of reoi(nohllchwapcg is hte ptleir ixleh eutsutrcr) aiv donhergy nad sdiufdi.le So A si tncriorec bc heetr ear on laoecgnl uoleslecm eyt (nd2 uurtscrte ppehsan at penorolcgla le)vle +
drdoom  yma@ lrtiep ilhex is a rnutaqyaer tueructsr sn(eci eprtil elixh is a speha hatt rsomf EETEWBN aptesera or tu”la“d l/ol-pgcoalegncnolare spd.ete)pi iraPyrm, renocdasy dna rytrieta rucesutrst era ndtscspoieir fo a ngsile pedoyil.tepp cOen uyo eavh 2 ro moer yeptdpepsoil gaiitnrtnec wiht chae thore g,..e( lmignobHoe ceeluolm) oyu ehva nteqryruaa ur.crsetut +

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 thmig be ngiehniktovr ti ,tub H donb torifonam fo as'a ksmae eth ascrndoey rcutestru fo eht oertinp lnogle(ca ni hsit .ae)cs ehT lGy ot Ala tsuitnboitsu seod ltuesr in essl H dbon ,frtmoniao but fo dnaiiulivd asa' ton tneebew galcnelo moueclsel (ttha gmtih be emor orf yurtrqaaen )ustecrutr

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lpp06  I ihktn eht key si ni eth erwasn gnipsrah, eht swaner nntmoieign ondsbH- ysas pDi"tnusrio fo ns-dobH webnete elaglocn letchlAohmoeguls"u llcgeano soed ngrodue innbdo-gH to tposrpu eth leript i,lehx hist is oden nhitwi eht smea lleonagc cLleo nikuimegn.l iertfdfne glcenlao mselluceo rsucoc vai teh slinye - rxdshiynyolye klsin nedo in eth MCE +1
kevin  hsti is eth one mmnteco atth fnalily pehled me ndaeturnds yhw htta saw ccnro.iter tkahn you +


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submitted by j123(16)
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ymirrPa uustecrtr = amion cdia er unadcscyqnoSeee ersrttucu = cuttrusre eormfd wtih a insegl maoin cdia uqnesece ae(bt tapeeld stehe, lpaah ei,hlx )eyaretirTtc tutcreurs = pemtluil adncresoy usurrtscet niieargtnct rteethog emtilupl( abet alpeetd heests sdkeatc on pto of echa ,rhoet uanarrQty cer)et trucestru = terpnoi tursrecut rmefdo mrof flgdnio of all rteirayt cruesturts to kmea nnigidb seit,s .tce

iencS eth naenlia saw utp in elcap of eth c,iGelyn eth raiymrp usuterrct wsa ulabne to fmor na alhap hxile secni aaphl lehix rtcussretu eend a alicraprtu seequnec yg(l - x- )y ni oderr ot fmro oydrhgne bsdno ot eepk the hlexi l.eatsb

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 -1  upvote downvote
submitted by unknown001(9)
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ahtw si nceloalg ? a dnoryeacs retpnoi ruurcte.ts

newh uoy revmeo nygle,ic teh mtso annubatd naomi cida , ofrm hte opcreurrs uoelceml illw oyu get a pporre scoryande suctrruet ? ON

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unknown001  goenri siht +
drdoom  nca ouy ltbe?oeaar tshwa' ngrwo wiht oury ommtecn? +


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submitted by lilmonkey(63)
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Gyl is aorp,l Alniean si aorlnnpo nad odhyhrb.iopc snisMsee oeivnnsroencatv ntt.imoau eehTs AAs eahv enifefdtr mchlciae orsiteperp iwchh dale ot tdspdueir eonirtp dlognfi rocnsdye(a t.ursre)uct lirSmai ot luG - Vla uositbnsttui in cSklei lelC siD.eeas

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