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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 nihkt it has hsimgenot ot do hiwt ligenyc u(ed ot tsi almsl sezi ti nac fit ni aynm paclse hwree toerh nioam acsdi acn otn nad ehecn ti dsepvroi urtlatr“usc ec”scmtsonap ot the laglceo,n e..i upt a kkni in eht ahlpa lh)xe.i If gycniel si amecsdpil by higesmtno ,esel I o’dnt hnkit cpglrneo-oal acn mfor sti cerortc rsdceaoyn u.usttrrec

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jotajota94  Tue!r ,saol cnliyeg si 13/ fo nacelogl fala n,hcasi so ti eksma sense thta sututnsiiotb hitw nleiana hwc(hi is cmuh ie)grgb odluw aedl to sonutrpiid ni the ahapl iehxl itrnoo.afm +2
jotajota94  Teru! laso, eclygin si 13/ of aloclgne fala cshan,i os ti amske essne atht buntiuotssit twhi nnieala (ihwhc si cumh biergg) ldouw lead ot riospdnuti ni het lpaha lexih iontof.rma +
thepacksurvives  niyGecl is lsmla adn ,eybdn hihcw asolwl it ot from teh iiflsrb rfo the rpteil hxlei +
brasel  slAo ni lranege FA( 0821 gp )50 IO si mofr mroesplb mornigf teh ltepri ilxeh hhiwc si yerasdnco s.rtucrtue ortyenaFl,ut hyet aevg us gtsmhoein to sarneo thwi ni eth eiunqsot yg-A)allGt(&; +3
amy  anC emnoose hple em ndudstnera hwy A is eori?crcnt 02A20F epga 5:0 ripTel xihel fo 3 gelnlaco a schina is remdfo ofmr apegoclolnr avi egydhron dna ifduldeis bo.dn Is this reyv liirmas to awth A is c?iiA.dgr bne asDceeedr -dygdbneohrno aiofnrmto enbetew lonalceg oemsll.euc +
umpalumpa  ehT aoenpilnxta enigv by aalltareiabsw cdolu rokw if the oetisuqn dowlu yas tly;&-l-AgGa tmiut.oan ovew,Her eht itesunoq ssteat that teerh is an -ygaA-lGtl;& ni.autmto +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I ,egufidr nyX-cileY-g is eahlyilctnc doisnceerd a pr“yiamr onmia acid tseutucrr of a onrt”epi senic eth ifnetidion of a myiarrP rrtsuucet fo a einrtop is a“ ianerl ihnac fo oniam ”.iscad If uoy sems ihtw hte iPrryam rr,cttseuu sa in eht etuoqsin sm,et uyo conatn mrof eht Sycendora ueucrtsrt fo teh norep,ti wchih si endeitrmed by teh irnddgnnb-oheygo chihw uscocr enwebet eht tidpepe kcneabob, peneitdnned fo hte R rsu.pog I epoh iths maed ns.ese

mFor iakwidepi: “Soycrdane ucrertust is mlaoyflr ifneedd by the rtntaep fo gernyhdo dnbos nwetebe eth imnao ghdnyoer dan lbrocyax gnxeyo taoms ni the teiedpp ebnackbo.” a(mspeihs )enim

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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 uysg adn i uoqet ofmr toiwppi/orp.scashlwirh-d/g0/cfeie4tato2meeeo1ewtesbsn:us.mocrt/tst/l

0"9% heva na ibeeildnaift ieegtcn aniomtut OCL A11 dna OCL 21A
ceauss bmrloaan oelgacln kgilosnin-crs avi a cilenyg bostitiutuns in the rcalgoopnel oeucleml "

cwhih nsmea hatt IO has a gcyinle sitnoiustubt nad orehfrte sit euanbl to mrfo a nsoydcrea ttucus.rrue

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu ot gsicnley' llmas z,sie it cesarte ks"kni" ni the mnaio cdia qs.ceeneu ehsTe ksikn aer edndee to lrtcreocy ormf eth erydasocn us.trcruet

rthOe wsaresn:

  • knee"weda ticortnniea eneebwt ceonalgl adn crotylgneo"pa - nlgaloec + gpectyloaonr = ilaacl.retg Teh tuqisnoe mest osnentmi ynam cedtsef in NEbO pty(e I )lagncloe but on oetnimn fo ecfsted ni OlWcgaleTra ye(pt II elgacno)l
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 +1  upvote downvote
submitted by basic_pathology(25)
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GyXl-Y- si babkneoc orf lloneacg lahap aihnc. 3 nllgeaoc hapla iacsnh alrips ot fmro etilpr e.xlhi Gnyicel sha on R ogru,p nlglwoai rfo ixtielbiylf nda nimaotrfo fo ieprlt xiel.h No leciyng evpsrent shti ncunousoti laingrip,s pnrgeietnv the noitamfro of loclegna oayesncdr rtcsetuur.

eRlacl htta s-haceeahplil dan eeasthbets- era exeslapm of neyaordsc ucrt.ssetru Tihs anc be uhthogt fo a nafnsiiettaom of het ahlpa eixlh.

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 +0  upvote downvote
submitted by an_improved_me(91)
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eoNAhtr wya to tge ta it si avi iliti:eoamnn

A. dnegryho odgnnbi udontlw ayllre nehcag seinc treheni ananlie onr gnceyli aer apBrol. ylG t&g; alA tdsu'nohl nhegca hwo ponerli si mdeiifdo (I nema ti LCUOD, if htere saw a ctiers nnahricde ro hen,tigoms but tno a aterg .rawDes)n onhtngi ot cdneiati atth elagclon doeiegdtrna si relaetd ni essopren to an AA .utinioutstsb l,Aso in hte tncexot of IO wc(ihh si het rnsteengpi )pc,maitoln ew ryeldaa owkn htta eth eormlbp tondse' evah nihtaygn ot od hwti en,iraeoddtg roem hiwt the necgah in int.r ucrfnetsEuuco/t oyHneslt ntod' .kwon

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submitted by drdoom(1206)
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sree’H oen yaw to meops-leesntc-iraifo eaee“rddsc eodbr-ydohgnn tm”:anriofo mI’ not a ibg anf fo sthi enil fo ,naigroens ubt lcehncitaly inlaane sa a desi pgruo has emor sghd*roeny orf tnaolteip hedrgyno noibgdn ntah lcnygie:

:aninale C—H3
gin:lcey —H

,oS “lhynetcl,ica” aneanil dlouw mtierp eomr dneoy-ndbrhog ritom,nafo whhic hmtgi lawol uyo to lainmieet taht ieco.hc

Ttah d,sai ti sseem tsloam leiibosmps ot rule uto t(uhtwio very henitccal ndwkeegol ro mose iodpdrev xaetnemliper ad)ta that the sltigylh grrael anelina oesd not ipiamr yhnoegdr nodgbni eeenwbt lglcaeon ullemscoe aiv iesrtc l()itspaa reefeeni.rtnc In mplsier s,metr cenis nnaelia is lr,egar you owdlu thkin that ti msut ohmsewo ntefriree itwh hte ynngrgd-niehbood hatt urccos wtih the dpel-tyiw ienlgcy.

---
i*ytlrSct s,gipneak ’its tno hte nmuebr of doeyrngsh utb osla eth tseghtrn fo teh oilpde atht stcliaaifte oedgnryh ndgb:noi a oeyrdgnh onbud to a tonrgysl irnegolatectvee clloeemu klie eifounlr liwl “epapar” mroe tipoesvi dn,a hus,t ny-drdbnoegoh oemr oryltgsn tihw a braeyn gynxeo rpdcmoea( whti a oerygdnh edneccnot to ,cnbrao rfo le)aem.px

hrFuetr d:agrien

  1. chthuil/ldcu/be/ogww.ueq/ptre:dpsms/t..dd.mlupwhehnih
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hungrybox  creipeAatp het reffto btu htsi is rfa too logn to eb ules.uf +30
drachenx  yogbnruxh is a agrfniek aetrh +
drdoom  hndracx@e ha,ah ,ahn comign bakc ot ihts i reizela i was ypbobalr kr-ggveoieen llo +1
blueberrymuffinbabey  itn's eht ohderngy oibngnd eneddetnp no teh hyreyaltxdod ornlipe dna ley?isn so ttah ltonud'w ralley eb the suesi eehr isnce sohet 'ranet hte asa bgein el?tader +
drdoom  brleruby@e cAigcndro ot sAtbel’r CoMB es(e asnntegT at rht)g,i hrseloyyixynd nad pldnhoyyerroix icteontrub onghdrey nsdob tath ofrm ebetenw hte cnsiha “n(h”nticiaer, as deopsop to ca;aitinr-nh teh ashn,ci fo cu,oers are rtaasepe ;tepppoiysdel hatt ,si trsaaeep alogelcn ni;eptsro adn neiinoctatsr wbeneet stpeaear icsanh aas[terep ]spyetlppideo si hatw we alcl rytrqu“aena ruc”tets;ur see nneaTgt aobev). dAn in itsh sae,c sa oyu tponi tu,o the semt cssredbie a ;gAlyGt-l&a .boiutiunttss That smsee ot enam otw :nsithg (1) eht ehetr aertspea nocelagl ppdelyotpies lwil tno pa“kc []as lghiy”tt to form the elitpr iexhl ueranrat(=qy sruetr)ctu we all onwk dna levo and )2( polirne snigr iwll afil to lyera iqeut as ynl,sug gomniimsrcop eht aelilch nfmonocaitor atht siedenf na ahalp incha nysr(=cdaoe sc;uutterr teh asseph that from twiinh a gilesn p)pi.eedpytol +
tadki38097  oasl ouy natc' H bond hiwt ,baorcn t'is ont roalp unoheg +
amy  0AF022 05P set:ta ratnmofio fo lclcgnoiwah(hroep si the epltri ixlhe ctrursute) iav gdryhoen dan fd.sieluid oS A is rcctniero cb ehtre ear on gcllaneo euseomlcl yet n(2d tceurstru shpnape at pocanrglloe levl)e +
drdoom  m@ay eitplr lxhie si a reuraytqan uuctesrrt ei(ncs eiptlr ihexl si a haeps atth fosmr WTENBEE eaprtsea or t“”alud ronnla-laeogll/ocecgp s)eidetpp. ra,iymPr ynaoscrde nda retayirt trsusecrut rae iotncsspried fo a lgneis odeetpplp.iy neOc oyu vaeh 2 or oemr sippyodlptee ttgnireniac iwht ahec ohret ge(.,. lobeHnmoig euecolml) you vaeh euayqtrrna urrecu.stt +

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 mhgit eb tkingrohievn ti u,bt H nbod armnootfi of 'aas skmae teh snryeadoc csruerttu fo eth ropneti allc(engo ni tsih .aec)s The lyG ot alA usitiounttsb sedo lertus ni esls H dobn namiofot,r tub fo divdnailiu a'as not tenwbee lganloec luoecemls htat( gtmhi be mroe fro qnratreuya seurtutc)r

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lpp06  I thikn the eky is ni teh awersn si,garhpn het awsnre itnoninmge sondbH- yssa Dsiprio"utn fo s-ndoHb wtbneee gclnealo osmhg"o leAelluuhtc gacnloel odse redgonu iH-dbnnog to turppso hte peilrt xlhi,e hsit si deno nwithi eth aems cnealogl uklnlcLi oei.mnge tenfidref lngoacel clolesume urscoc iav the neylis - hyorynxsdeiyl klsin dneo in teh ECM +1
kevin  shit si teh neo mnectmo ttha nyfilla leepdh em rsudentnad hwy ttah was tenir.occr tahnk you +


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submitted by j123(16)
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Piyamrr trsurceut = aionm daic enc eeayqndSuoserc crteusutr = uurtcrest odrfem ithw a sligne aionm adci cuesnqee (beta aleptde ht,ese halpa ,xileh etirT)t yearc utuecrrst = ulilmpet oenysrcad ceurtssrut inratecingt htoreget (utmilepl tbae pedtlae hsstee taekdcs on tpo fo hace ,otreh craaeny)Q errtut esrruuttc = otrnpei tturrcseu rodemf form igdlonf of lal ierrtayt ucrtsetrsu ot eamk ingndib esit,s t.ec

icnSe het nalanie asw tup in elcpa of eht c,Gilyne the ymrripa etrtursuc swa enluab ot fmro an haapl helix cenis aalph hexli etrtruscsu deen a icrtplarua eencequs (ygl - x- )y in rdoer to morf odygenhr dbnos to eepk hte hxeil t.lsabe

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 -1  upvote downvote
submitted by unknown001(9)
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twha si glacnleo ? a nrsdcyaeo poterni s.trtcurue

nwhe ouy eeormv ynl,cgei hte otms dntabaun omian cdai , ofrm hte rouersprc eoumlelc wlil ouy etg a reoppr sycaeordn uturstrce ? NO

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unknown001  irngoe sthi +
drdoom  anc you oreatbeal? s'hwta rngow tiwh ryuo mo?tmenc +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl si oralp, ailnAen si aponorln dan cbopyih.dohr eiMsssne neocanevintovsr tmtuani.o ehsTe sAA eahv nfriedtfe imlcheca reeiopsptr whhci deal to iueptsdrd itrpeon niolfdg yarcend(so )etusrtur.c aiirSlm ot Gul - lVa tonsiittubus ni elickS elCl .aeDsies

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