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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 tnhik ti sha imngetohs ot do htiw iclygne u(ed to tsi lasml ezis it can tfi ni aynm cpeals weehr heotr mnioa aidsc acn not dan enhec it vopirdes “utstlaurrc omspstce”can ot the e,gacnllo e..i utp a iknk ni the pahla lixhe.) fI lecyign is mcildeasp by thismeong esle, I d’nto hntik cogaello-npr can ofrm sit tcorcre ryeaosdnc csrtu.ture

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jotajota94  eur!T so,al lncigye is 3/1 fo anlcolge fala anh,isc os it sakme senes ttha stsiotnutibu hwit inleana (hwhci si muhc biegr)g udlow dela to tdrpnisiou ni het palah lixhe irf.aontom +2
jotajota94  uerT! la,so gcylein is /13 of ocglnael afal hcnas,i so it skeam sesen atth utsistntoibu tiwh ianalne chhwi( is humc ri)gbeg owldu ldea ot pidrnstuio ni eht phlaa lexhi mtof.aiorn +
thepacksurvives  ylineGc is lmsal dna byed,n ihhwc wslola ti ot ormf eht ifirlbs for het rlpiet ielxh +
brasel  Aslo in nalgree AF( 0812 pg 5)0 IO is omrf melsbrpo nfgorim the ertpli exlhi hwhic is ocyesadnr rue.urctts Fre,tulntayo eyht geva us mtnigehos ot eroans wtih in eth qusteion aylA)tGl&g(-; +3
amy  anC omeeosn pleh me ddaenustrn yhw A is rcio?tcern AF2200 gaep 05: ilTper hlixe fo 3 englolac a achsni si fodrem frmo oecnrllpaog vai ynhgrdoe dan ideuldisf bdno. Is ihts rvye samiirl to hatw A si nirbA.ei dc?g decDreesa d-nhgoeonbrdy aofmroint bnwetee gllceano eulmeoslc. +
umpalumpa  eTh altaxninoep ingve yb trleaaswalbia duocl rowk fi teh qteonusi duwlo asy -y&-g;llatGA oitamn.ut verwHo,e hte sqoniteu saestt hatt etrhe si na &-yl;gGa-Atl umt.antoi +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I f,geirdu n-gi-yYlXce si eclchiltany snidrdeoce a “ymiprra iamno adic etrtcsruu of a nrtieo”p ecsni teh idenifiton fo a Pmariry turercuts fo a tepiron is a“ lrniae nhcia of oainm asic.”d fI oyu esms wtih teh iymrPra ,euurttcsr as ni eth sqeiunto emts, you otnnca orfm het ardoneySc sruurtect of hte e,iroptn hhwci si ermeiedndt yb eth d-gdbonionehgnyr iwhch ccrsuo weneetb hte eteipdp bkecaobn, nndeeeidpnt fo eth R su.gpor I pohe hsit maed ssne.e

Frmo kiaipiwed: acdnyore“S utusrrcet si olmfraly infdede yb teh tpnreat of yordgenh snobd ebenewt the nomia ndegrhyo dna arbocyxl xoneyg oatms ni het edeppti necbokab.” hisaps(me nemi)

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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 sugy adn i ouetq ofrm sic:-te/.0remuwtlepnsaioetr4cd2fhe/stm/phstlosato/pwgeoe.sctiorw1b/i

9%0" eavh an idiiantbleef igtence ttmiaonu L CO 1A1 nda CLO A21
us caes abarlnmo coglealn ici-nsorgknls iva a icyegnl tosiuintstub in the pngellocoar eomcllue "

ichwh eamsn that IO sha a gencliy tbiuunitssto dan teeforhr tis bulean ot mfor a syadcnero tre.uustruc

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu ot s'nyigecl lmsal iezs, ti ctaerse n"i"skk in the oianm caid ceneue.qs eTehs ksikn rea needed ot tycoecrlr morf eht dnyraesco ttcesur.ru

hOetr :ensraws

  • ekweea"dn trocnntiiea ewteenb ncolgela adn nlegot"acorpy - agnelloc + lpynrcoteaog = cigela.ltra heT quientso estm mtesonni anmy dctesfe in ENbO etpy( I coe)algnl tbu no ieotnnm fo ecdtfes ni aWcOlalgeTr (eytp II anlgl)oec
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 +1  upvote downvote
submitted by basic_pathology(25)
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XGlY-y- is ecobankb orf clglneoa lapha .ainhc 3 cleaongl hlapa iasnhc sprali to romf ipltre hei.lx eyniclG sha on R ,urpgo wnoillag orf ellixbytifi dna iarfomtno of iplter h.lixe No lcyngie eresvtpn thsi iutuncosno n,lprgiais peingrtenv hte rioamnfot of eocgllna dysearocn tureurs.ct

alcelR atth l-hcshepelaia dna hsebte-atse are elxpaems fo yrdaceson s.cuutrsret Tihs can eb hhuogtt of a eitnastmifona fo eht hlapa hxle.i

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 +0  upvote downvote
submitted by an_improved_me(91)
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hNrtoAe wya ot egt ta it is vai ltieinaoni:m

A. hdrgynoe nidngob odtwuln rallye geahcn niesc ntheire aaninle nor nygclei aer lBpr.ao Gly ;gt& lAa t'ndulohs anehgc ohw rpnolei si mdodiife (I nema it OLC,DU fi teehr wsa a tcseri enhrcnaid or m,gitonhse ubt nto a tgaer sD).ear nw gnnothi ot ciaetnid htat conelalg edgiatonder is letreda ni epeosnsr ot na AA tn.iuiuostsbt lsA,o ni teh ntoextc fo OI (hcwhi si het nepetgnisr cmtnal)p,io ew rdaaely owkn thta het prbomle nesotd' evha hinatyng to do wtih ndtagoeird,e roem wthi hte gnecah ni u cionttrctE/rsen.uuf oltsHeny 'dnto n.owk

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submitted by drdoom(1206)
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reesH’ one awy to timaero-eopsclf-nesi eersdace“d ehdyodnbgro-n rtiaoonfm”: Im’ ont a bgi afn of iths lein fo gornnsa,ie btu thyaenclcil ennilaa sa a idse goupr sah eomr yeshgdr*on rfo ntitopela nhgordye nbonigd thna cligyen:

naal:nei —HC3
ygcienl: —H

,So hela“cctny,li” naaenil uwold terpim more drnoyg-dhoenb amtnrofoi, whchi tgihm ollaw uoy ot ieenialmt htta c.ecoih

taTh is,ad ti messe mstaol eliiobmpss to rule uot (hittouw evyr ciltnceha glkenweod or eosm evddirpo aepnxtielrem daat) that het illyshgt aglrre neliana odse nto rpiiam oenrygdh bgidnon eetnbew clnaoegl meoclselu iva etrcsi aisp)(lat nefeeertcri.n In seprmil mtres, csnei eainnla is gelrar, ouy owlud tiknh atht ti mtsu sehomwo ierreften wiht hte onehoggibd-nrydn htta ruscco ithw eht ipldywte- neigycl.

---
*ySltcrti gkaeips,n s’ti otn eth uemnrb fo deonshgry btu loas hte ngrtthes of eth oepdil ttha astilftacie ndegryho di:gnnob a rdgneyoh donbu ot a sgnrloty geeantetecilrov oellmecu ikel lueofrin lilw pr“apa”e meor vtpiseio da,n htu,s doerbnyn-hdgo rmoe lnysgtro ihtw a yrbena goenxy pmoed(car hwit a hdeonryg etcncnoed ot ,aonbcr orf ep)lm.exa

ruhterF ea:dnirg

  1. ps/twmclpwuhiqddue./iehulho.rhm./:eddpnt.cwesb//lghtu
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hungrybox  aiAcpterep hte etrfof utb tihs is raf oto goln to be .lusfeu +30
drachenx  xbrghonyu is a rgfakeni aerth +
drdoom  hxendc@ar h,aha anh, gioncm bcka to ihts i iealrez i aws ralbyobp govkeni-rege lol +1
blueberrymuffinbabey  s'int the yoehdrng dongbin detenpden on eht leahydtrxdoy opeirnl dan syniel? so taht 'nldtwou lylera eb eth iseus here enics oseht tr'ean eth saa ibneg ?tedrlae +
drdoom  rble@bryue gicncdoAr to ltrAbe’s MoCB ese( Tatgnesn ta r)i,thg inxlhydyysroe and oderiryhlynpox itoentbcru ehryngod bsnod atht rofm entbewe eht schian rhn“a,inecti”( sa oeopspd to haratnci-n;i teh hasc,ni fo reocs,u are paersaet e;yoptesdlipp ttha ,si eptersaa gelolacn ptir;esno nad ienascirtnot wtbenee peraaets ihcnas aa[tsreep lestdeoiypp]p si awht ew clal q“aerarnuty ctue;tru”sr see entngTa bvaoe.) Adn ni iths s,cae as ouy itpon u,ot teh tems cesebrdsi a lt;lyGaAg&- ouis.subtnitt That smees to eanm owt insthg: )1( eth heetr saeaerpt gcleolna sliptyeodepp llwi otn kp“ca s][a tghi”tyl ot romf eth iepltr xeihl e=raauyrnt(q rcuertu)ts ew lla onwk dan olve dna 2() rpnileo irgns wlil lfia to leray eqitu sa ugs,lyn mmicinpoorgs teh lachiel ooancmftiron ahtt esiefnd an lpaha achni a=(yrdnseco sr;tcteuur teh ahsesp ttha mofr hiwtni a glines opd)t.eieplpy +
tadki38097  also oyu 'atnc H odnb thiw anoc,rb t'is tno aolrp eonugh +
amy  020F2A 5P0 :sttae riamofont fo lnicaoeh(opgchrwl si hte lieprt ilxeh uusr)cttre iva eynrghdo and ifeil.duds So A si roccirnet cb ereht rea on lglecaon slemelocu yet 2(nd securtrut spnaphe ta ogclelaronp eell)v +
drdoom  a@ym ilrpet lxeih si a ryenqutara tcuturres ns(cie itplre elhix si a hsepa ttha morsf EEWBETN treaapes or “udlta” lnecploacnollo/gera-g s.pdpe)ite maPriyr, eocynasrd and trryaiet rscuestrtu aer itncspiosder fo a giesnl e.odiplypetp necO uoy veah 2 ro orem itpslyepdope itacnrignte wiht ahce hreto ,e.(g. bgeoimnHol )ocemulle oyu aevh rraqaytneu .tuseuctrr +

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 tmgih be vnnkhiriotge ti ,tub H ondb taoromfin of 'aas easmk eht raoecysnd teutrursc fo teh rpienot nlol(agec ni shti s)ca.e The ylG to aAl nttsubtosiui esdo esutlr in essl H nodb noita,rmfo tbu of iduvialndi sa'a nto wtnbeee eglnaocl eeoscumll a(tht ihgmt eb omer orf eqnrryauat rrttuues)c

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lpp06  I kniht eht yke si ni eth aewrns ,hgiprnsa eht wasrne intmngenoi Hdn-sbo assy rsopuntDi"i fo oHsbdn- weenbte ealonclg hAeolgutomclul seh" lcgoealn edso erdnguo dbnniHgo- ot tpruosp eth pertil ei,lxh itsh si edno wtinhi hte asme gcaeonll nm.oniklgucLi lee eeirdnfft gnlolaec culeemols cucsro aiv eth seilyn - idhyolnexrsyy kilsn neod in teh CME +1
kevin  isth si teh one cmtnoem ttah yfllnia lehped me trudasnedn why ttah swa oce.ntcrri ahtnk yuo +


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submitted by j123(16)
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miyParr usutrrect = nomai dica Scaenqruoen sedyec suterurct = utcrrseut ormfde htwi a gelisn inoma acdi cnsqeeue bae(t dlapete ,sheet alaph ,ihelx ttearTy)cr ie uscrtteru = etimpull nyocserad tcrseusrut ianenrigctt trgteoeh itlle(pmu eabt tedlpea sheets tsdcake on top fo each terh,o yracrnuaQ)e rtte usutrecrt = irtonpe sretcrutu mdfoer mrfo glofidn of lal ritreaty urturessct to akme igbnind sits,e tec.

Sniec eht lnaeain asw upt in acple of eth l,yncGie eht iyrrmpa sttcreuru wsa ulnaeb to ofmr an aphla elxih csien palah ihlex ertturussc deen a aprrautlic sqenuece lg(y - -x )y ni odrre to rmfo nogrdhye dbnos to ekpe het hliex lab.set

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 -1  upvote downvote
submitted by unknown001(9)
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athw si gnolaelc ? a dcoanerys onpreit turt.scrue

henw oyu omever ng,cieyl teh msot nantbuad aoinm caid , fmor eht osrecprur oucellem wlil yuo etg a orpepr anreodscy etcrustru ? NO

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unknown001  ioreng shti +
drdoom  can yuo labeat?eor sawt'h wnogr wthi ruyo onmtecm? +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl si alorp, aeAnlin si oopralnn dna ho.orbipyhcd eessnsiM ovrnvcsnteanoie uiat.motn sheeT AsA evha dfifeertn emailcch eortippser hiwhc aeld to stuidrdep roeinpt idnglof r(dcyonsae ett.)urcsru rlimaiS ot ulG - lVa buostsiutnti ni kieSlc lelC .Desasei

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