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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 hitkn ti hsa nhsgemoti ot do htiw ienyclg (ude to sit almsl esiz it nca tfi ni nmya lpeasc rehwe toreh nmiao iadcs can not nda enech ti odirevsp ruulttcasr“ ompc”sesatnc to eht oegnc,lal e..i tpu a nikk ni eht haapl h.xl)ei fI ilcygen is ecsdmlapi yb enhtimsgo ,eesl I ’ndot ihtkn aeoprcgoll-n cna morf ist croetcr neyradcso uuesrc.trt

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jotajota94  !rTue sa,lo gncleyi is /13 of enclalog faal nacsi,h so ti sekam ensse taht unsbtsioiutt twih nnliaea i(cwhh si hmuc g)biegr dwuol adle ot dptuirison ni the lphaa ehxil .fotroamni +2
jotajota94  u!erT lsao, gylinec is /31 fo elnlgcao afla ,nhcsai so ti sakem seesn taht uoisutstnitb itwh lnaiena c(wihh si ucmh eg)igbr luodw aedl to ointprsudi ni eth apalh lxeih nfr.amioto +
thepacksurvives  ielncGy si malls adn y,edbn whhic olwlsa ti to from the rifisbl fro teh lipret hlixe +
brasel  lsoA in gaerlen AF( 0812 gp 0)5 OI si fmor msprlbeo iogrfnm teh etlrip hixle hchwi is ysnraodec cetursru.t e,urytanFolt ythe gvea us mshtoeing ot snraoe wiht in teh suqteion G)yA-all>( +3
amy  anC onmsoee leph em ntrnueddas wyh A si ?ocntierrc 02FA20 eapg :50 Tepirl eihlx of 3 eocllang a hancsi is refmdo rfom pnlcraoogel iva ydorgnhe and sefldiidu do.bn sI sith revy samrlii to htaw A is n?bAe gd.irci seDedeacr bgdyoondnerh- aftronoim enweetb lcnolega elescu.oml +
umpalumpa  Teh tnixplenoaa neigv yb asaerlbwailta cdoul owrk if the eiutnqos wdolu asy Gg&t;l--Aaly uitotnma. ero,ewHv het oenstiuq esastt that eehrt is an yG-glat;l&-A itmau.ton +


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submitted by cellgamesgojan(43)
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I feuidg,r cyXYl-gn-ei si elccithayln ceseridond a rprmiy“a niaom dcai ustterrcu of a nioper”t iencs het iiednftion fo a imrarPy rrstcueut of a pienort si a“ niaerl hniac of oanmi .dca”is If uyo essm htiw the miyraPr r,suutetcr as ni het tiusenoq s,met ouy nactno mrof hte ySncearod trurceust fo het roet,pin hcwih is dmreenedti yb het dnir-genydbgnhoo iwhch urscco beeenwt eht teieppd bebknaco, eedtnndenpi of het R osgr.up I eoph tsih mdae sese.n

ormF iadkiwpie: Src“edoyna urtscuter si amlylrof enidfde by teh etrtnap fo oynedhrg nsodb eeewtbn het ainmo nrhogdey dan xbrlyaoc enygxo astmo in eth pedipte oekabbnc”. saphi(esm 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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submitted by usmle11a(102)
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ko gusy dna i oqtue rfmo utrm:eidt4tpglhewiofere/ensebtosi.aite1sc.wh/rm0op-so/csttowp/2lacs/

9"0% ehav na ilifneteadbi iecnetg itnomatu CLO 1A1 nad CLO 12A
sa secu maorlanb lclegaon s-cilkisronng avi a iglncye oitistubutsn ni hte glopcanelor mcleeolu "

iwhch anems atht OI sah a egyncil tsiitunsoubt dna therofre sit anuble to orfm a dyonaecrs scuutrue.rt

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submitted by hungrybox(1277)
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euD ot 'eygicnls smlla zise, ti tsecrea "iksk"n in teh maino cadi eqseen.cu ehsTe kiksn ear needed to cryetorcl mrof the roacnyesd rte.usuctr

ehrOt sra:nsew

  • wedkae"en ieottrncian ebwnete anclloeg dna lnpeygar"ctoo - nolaeclg + oolgaepyrntc = ctlegiaalr. eTh sotneiqu tmse emntinos aymn tseefdc in NbEO py(te I len)lagco tbu on mitnoen fo etdecfs ni aTalgrOeWlc etyp( II enagc)llo
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 +1  upvote downvote
submitted by basic_pathology(25)
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l--GyXY is oenbcabk ofr gclolane lphaa ich.an 3 olneglac alahp snachi lraisp to fomr rtiple .xlhie nleGyci has on R ,pgruo glilawon rof ibflyitixel nad amoinotrf of peiltr xhlie. No ygcnile ntrspeve hits ctunouinso ,ilpgairns gnenepirtv hte oaomnfrti of egnocall yanedorsc ueut.rrcst

eacRll thta helahics-pael nda baeetthess- ear xpeelsma fo dcnsoreay tscesurur.t hTis can eb thutogh fo a nafosinmeaitt of het lphaa lhi.xe

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submitted by an_improved_me(91)
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eANhotr way to gte at it is iav nlia:tiomien

A. drgoenhy indobng ulonwdt rlylea gaehcn senic ehtnire aianlne nro lgeniyc are aop lr.B ylG ;gt& Aal nosutlhd' egcnah who rnpolei si imeodidf (I mnae it ULC,DO fi erhte swa a tiescr hncaerind ro nosigthe,m ubt nto a regat )w sr.nDae hnntgoi to dtciaeni atth cnloglae dodegrianet si atelred in seorensp to an AA ti.usbnotuits o,lsA ni eth txconte fo IO (cwhih si het npetrsgine nipmlto,)ac ew ylearda nokw that eht opmrebl eo'nsdt vahe yhnntgia ot do tihw ien,egaroddt omer htwi hte nghaec in cuEnnrs .c/ouurtfttei oyteHsnl d'not ok.wn

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submitted by drdoom(1206)
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r’Hese neo ywa to ioeem-cnotfearls-pis dsdea“rcee grobdnyhno-ed onm”aorfit: ’Im tno a gbi fan of shit lnie of ,sgrnenaoi btu ctcihlylnae naniale sa a deis gourp sha mroe dh*gnseoyr for opettnial erdgnyoh nbgniod ntha cleigyn:

ni:alean C3H—
ilcnyeg: H—

,So cncay,litel”h“ aeailnn ulwdo piretm emro byoehgodrd-nn ifao,mtnor hiwch hgtmi allow you to melinetai taht cehco.i

aTht ,adsi ti meses tsamol bselpoiims ot rlue uto otuhiw(t yevr cnhetacli gdekewnol ro smeo ddevpori ilreetaxmnpe aatd) ttah hte lisltghy argrel lnaenai deos ont apiimr odeygrhn bgdnino newetbe aglconel smuclolee via ctirse t)ipl(asa r.erfeeenncti In pelimsr tsm,er eiscn naelnia is lrera,g you wdolu nktih thta ti utms msowhoe rreniefet whit eht hnoegi-dgdynborn ahtt sccour htwi the ltyedw-ip lycieng.

---
*cStrilyt ksing,epa ’ist not hte nebrmu fo yheongrds tub aols hte gthenrts fo hte eldpio atth sitafclaiet gryhdoen ngdni:bo a eyhndrog bodun to a nyslgrot caetrteengvoiel umcoelle leik eirlounf wlli ra”p“eap reom tiesovpi a,dn t,uhs nhoydrd-gbneo remo gyontrsl htwi a eanybr ongyxe eodac(mpr thiw a ghdryone onncedetc ot bancor, fro axee)pml.

Fhurter gnra:eid

  1. so/hul../ue//:dlmhbmcc.ptw.qehdutglphwduedt/sepihnwir
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hungrybox  aeirAcetpp the frtofe ubt hsit si far oot olgn ot be sufe.ul +30
drachenx  rougxhnyb is a rangekif earht +
drdoom  rhceda@xn h,haa ,nha mcigno acbk to hsit i ealizer i asw rboyblap oieveggrek-n llo +1
blueberrymuffinbabey  nsi't eth hgednyor oningbd ptndeened on the toledyhaxyrd eirpnol adn ?sinely so thta tl'ounwd elyalr eb eth sesui eher ncise ohtse 'tanre het asa iegnb ltdear?e +
drdoom  r@erublbey irdccAgon to ’eAlrbts BoCM ees( sntegTan ta thrgi,) reiyhlyndsyox nad ryyedioxnprhlo cturnetoib hgonyred odnsb ttha ormf beetewn eth hacins ,ic“”h(naniert sa peosdpo to rhianta-nci; het ,ihsnac of oecsru, aer ateepras ldsieypeto;pp atht s,i ertpseaa oclleagn r;ienptso adn iotesnactinr wetbene tpeasrae scnhai eapart[se epyippted]slo si htwa we lcal rryauae“nqt u;etucstrr” see eannTgt bvaoe.) Adn in sith e,acs as you pntoi ,uto eht etms ebceissrd a tlg&;alA-Gy sio.btinsuutt Thta sesme ot maen wot n:ithgs )1( the hrete easapert lancgelo psopepletiyd will nto kca“p ]s[a ”hlytigt to mofr eht tlierp eilxh u=(eaqrntrya uecr)tusrt we lla knwo nad eovl nda ()2 orlepni rigsn wlil ilfa to areyl iueqt sa ylusng, onmpogmiicsr the alhicle ocntrfoinamo atht edisnef an alhpa nicah n=(sydocera eu;rscrtut hte sshpea atth form iwinth a gilens )t.dylpieopep +
tadki38097  laos oyu tcan' H bodn hitw o,abrcn 'ist ton rlaop oughne +
amy  AF0202 05P ats:te aitrnoomf of ic(rlghenwocplaho si het etlirp xlieh rc)uuterts avi eoghyrdn and iuisledd.f So A si rercotinc bc erhte aer on laloengc oclmelues tey (n2d uresttruc sepnhap at aglelcrpoon eev)ll +
drdoom  @yam lrpeit ilehx is a nutraeryaq trsetcuru s(neic iptelr xelhi si a aphse tath ormfs BTENWEE spaateer ro “tl”dua g-npaenalcrle/oocgllo depspti.e) Pryia,mr anedsoryc and tiyrtaer ttsurcsrue era eidcrotspnsi fo a gleisn olteydpp.ipe cneO ouy aevh 2 or more toseippedypl teticgnniar itwh haec erhot (..,eg ogolbHeimn o)mluleec you ehav trqenrayau tuu.ercrst +

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_

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submitted by nmb29(0)
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I hitgm eb nkrvegitonih it ,tub H onbd noitaofmr of s'aa msaek teh dcynrsaeo seurrtuct fo het otreipn glao(nlce in hsti )a.sec heT Gyl to Aal usibitutsnot esod relsut in elss H nbdo ainomrfo,t utb fo andidliviu as'a nto eeenwbt lncegaol lecumsoel ta(th might eb moer orf raeuqrnyta uurs)ecttr

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lpp06  I tkhni hte eky is ni hte nwersa ,rsahnigp teh esanrw nigomeintn b-Hodsn ysas itousnripD" fo nHos-db ntbeewe cloangle losmgh" eectulloAuh ecolnlag soed unreogd nHbngiod- to upsoptr eth elpirt ixh,el tsih si odne nthwii eht mesa lagelnco gie.euLkomi lcnln iefferdtn gecanlol culmeesol rcsuoc iav teh ynilse - ilyydosrxnhey snilk nedo ni hte MEC +1
kevin  isth si eht oen netcomm atht llfyain edpehl em ardetudnns why hatt wsa c.ietncorr nkhat you +


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submitted by j123(16)
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iarPrmy tusterruc = nmoai icda qennrecedyoacs ueS rectuurst = srrcteuut ferdmo tihw a lngsie oianm daci cneeeusq tae(b aledpte esth,e aalph lh,exi rcytTte) riea uutcerrts = lelmtuip rsneaocyd rcutsutrse naitetrcnig grhteoet (mletuipl tbea datelpe sshete asckedt on pto fo echa hoter, c ttQnaay)errreu teuctusrr = itpoenr uerscttru rofmed fmor ifdlong fo lla ariyttre ttuurrscse to kaem igndbin stsei, .cet

iecnS hte aanelin was utp ni elcap of eht inleGy,c the pyriarm trutsuerc asw lanube to ofrm an ahpal heixl ensic aalhp ilexh rsstruutec eedn a atriprlacu sqeenecu (ygl - x- )y in edror ot omfr odhgryen obsnd to ekep eth xelih s.tbela

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submitted by unknown001(9)
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hatw is gonallec ? a darscyeno reopnti ct.uteurrs

wehn oyu evemro gnl,ceyi teh otms abdnuatn mnoai icad , morf teh pursroerc umolecle lilw oyu tge a ppreor yreoscdan rusrteuct ? ON

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unknown001  ornige sith +
drdoom  nca uoy lb?eeorata wtsha' grnwo ihtw ruoy mtce?onm +


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submitted by lilmonkey(63)
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Gyl si aor,pl nnAlaie is lornpaon dna .iydhbchroop ssseenMi avtscenvnnoiroe uoantmi.t eeTsh AsA vhea eendfirft hcamclie pprioreets ichhw aled ot diurpsted ptreino lfnigdo nredcyao(s uttsruce.)r raimiSl to uGl - aVl utinotsustbi in clkSie lelC easesD.i

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