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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 khnit ti sah isnemtohg ot od ithw ilnygec (deu to tis lsmal zise it cna ift in amny lcpase ehrwe htroe nioma aidsc nac nto dna cehne it doevprsi srtlcuuar“t ”oeccspstnma ot the lolcena,g ei.. tup a kikn ni het pahla ).heixl If eglyicn is ieplcmasd by getsimhon ,eesl I d’ton hinkt golcop-naler nac mfro sti ortcerc yrscaodne uer.cttsur

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jotajota94  ru!eT oa,ls igceyln si 31/ fo aglcnloe fala i,cnsah so ti akmes snsee ttah suinousttbti thwi inaneal hihc(w si uhcm i)regbg dwoul alde ot irpnusotid in het lpaah lhiex oa.mrinotf +2
jotajota94  ueT!r as,lo gyneilc si /31 fo caolelgn afla chansi, so ti emask ssnee that sinubistoutt itwh nlaiean ih(chw is mchu )egigbr ldouw ldea to nidutopisr in hte hplaa eilxh roo.fmniat +
thepacksurvives  ineclGy si lsmla adn dbey,n wchih awosll ti ot rmfo eth risbilf ofr hte ltripe ilxhe +
brasel  oslA ni reglane (FA 0218 gp 0)5 IO is romf posrlbem irnogfm eth rpliet hxlei whhci is dyrsnaceo ettrrc.suu yFltoeau,nrt ehyt egva su ismeonhgt to osaern twhi in the instqoue gAallyG-&(t); +3
amy  aCn oemneos plhe me seanrdtdnu hyw A si renoc?rcit A22F00 gepa 50: pTirle lxhie fo 3 glecnoal a sihcna si meodrf romf eanlcoplrog iva rhyedgon dan lfidsuide onbd. Is htis vrye asirlim to wath A si ig c.eb?rAidn Decdasere rneonodgb-ydh ofnairmot ewtbene elncaogl l.mesuecol +
umpalumpa  heT texaianonlp ievng yb aralibealatws colud wokr if hte eoisunqt olwud sya -tag-;A&lyGl uomta.int ,eevoHwr eht usntoiqe teatss that ehret si an Gy<A-lg-a amont.uti +


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submitted by cellgamesgojan(43)
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I giuf,erd n-cyel-giYX is cleihctnayl sinedcdroe a a“rpyrim omain cdia tustcurer of a et”onpri nices eht inetidfoni fo a iarPyrm eusrrttcu fo a nipotre is “a alerin hcina of anmio cd.as”i If ouy msse htwi hte ryarmPi stureturc, as ni the sutioeqn mse,t you nctaon form the dSeacrnoy tscretruu fo teh ne,tpoir hiwhc is mdtidneree yb teh yeonhgddbrnniog- hwhic cosrcu ebeetnw eth ipetped knebaocb, enieednndpt of eht R .pgruso I poeh htsi daem e.esns

rFom daiwikpie: dernaoyc“S tesururct is frmallyo dienedf by eht rnaptte fo rhgondye onsbd weetebn het maoni gynhdroe adn xlroaybc goxyen satmo ni eth pdpeite ecbokbna.” ihpesams( eimn)

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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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ok gsuy dna i equot mfro aculs/ee.opswwfgdo-pehtrs:/0peebitailserth1is4trt2/seom/n/.oicmtwoct

09"% vahe na lntdiiebfiae cgetein tnatioum LC O A11 nda OCL 12A
sueasc nalbramo ngelaocl iikosgnns-lrc avi a lyngeci utsbtusintoi in eth cllponoraeg uceomlel "

cihhw snmea that IO hsa a ylgneci oinsstubtitu nda ehetorfr sti unable ot ofrm a nreosaydc ururcesutt.

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submitted by hungrybox(1277)
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Deu to lsn'iceyg allsm z,sie ti sceraet k""knis ni het oiman cdia qee.ensuc eehsT kskni aer eedden to ctcolyrre romf eth csdyareno rrtcs.ueut

hteOr ser:nasw

  • edwkenea" ninotreiatc eewetnb egaclnlo adn rlcogn"pyeota - elolnacg + ntperocyolga = lrat.eaclgi ehT qtouesni tmes inemnsto yanm edetsfc in NOEb ptey( I ognlalec) tub no innetom fo tdseecf in crlegTlWaOa (epty II leaol)cng
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 +1  upvote downvote
submitted by basic_pathology(25)
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-XylYG- is oacebnbk fro gcnoalel plaha .ichna 3 nagcoell ahlap chiasn iapsrl ot rfmo eprtli x.lhei yeicGnl sah no R pugor, nolagwli ofr tfilixilyeb adn afootrimn of erlipt h.xlie oN eicglny pvresnet siht isnuctuoon saiginlr,p nengpteivr eht tnorfomia of aelcongl sorecdnya tru.certsu

aRllce ttah lhe-acahleisp dan setetes-hab ear xmspeeal fo coaydrnse tutsesrcu.r isTh nac eb othuhgt of a mainastntofei of hte palha .hixel

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submitted by an_improved_me(91)
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eoNrthA ayw to etg at it is vai :timioaielnn

A. eordyghn nngdibo tduolwn really heacgn ciens eehtirn nelnaia rno eilgnyc rea Barol .p yGl g;t& Aal sd'htulon gahnec ohw noieplr si eoifdidm (I anem ti OCUD,L if herte swa a tciesr cnrdehina ro tm,ieohngs utb nto a retag rDna s)w.e ghntino to icteiand hatt lcoangle gientdeorda is eetrald ni espsroen ot na AA iuostb.tintsu ols,A in het ntecxto of OI whi(ch si teh enerstipgn )naotplmic, we eardyla nkow that eth mrleobp ndeos't avhe tinghnay to do hwit da,deorgietn eomr hwti het ahncge in uf.icutrno tuecsrt/En oHlnstye ntd'o .wkno

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submitted by drdoom(1206)
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s’reHe eno yaw ot sclnirsetofia-emoe-p ddrece“eas rnbo-hndydgoe tfrmo:n”iao Im’ not a gbi nfa of tish leni of nn,asgerio ubt ntaccylihle aealinn as a idse pogur hsa oerm ohensg*dry rof tpaleinot nyhrgeod onbidgn hatn gilyecn:

nnla:eia —C3H
:ylgenci H—

S,o ah”licyceltn,“ ainnlea wdoul irtepm erom bddeogo-nhnry ,iomnaorft wihhc gimth alwol uoy to lnimiaete thta icohe.c

tTha idas, it esems tlasom mboiplessi ot eulr tuo hoittw(u yrev lchctenia lgdnoeekw ro msoe vpdodeir laptneriexem atad) atth eht slilgyht grreal nlnaeai edso not mpiiar ongyhedr dboinng enbwtee llancego umelscole avi stcrie )ais(tapl reectre.innef In irmplse trms,e eicsn lneiana is er,aglr ouy odwlu kniht htta ti stum owhsmoe eefreirnt with eth e-onihnodrygdnbg tath soccru hiwt teh detypwil- eylginc.

---
lt*tryiSc nkgeasip, s’it not eth umbren fo ngerhdyos utb aols eht rtnehtsg of het eliopd thta tfitclsiaea ndeoyrgh dg:noibn a yodhenrg obudn ot a tosnrlyg eeglentvicaetro loelmuce leki ifnluore will rap”“aep rmoe peoisvit and, ,thus dyor-odehnnbg emro tlgsrony thiw a beynar gonexy maecpdro( wthi a oendgyrh eenotdccn ot rncao,b rfo e.empal)x

trFheru dn:igear

  1. e/hd.thpdwbu..l/pqh:gutr/hopsm.tmedwh/uuwdeecni/sllci
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hungrybox  atiArpeepc teh ftfore but this is raf oto glon to eb us.lfue +30
drachenx  huoyrgxnb is a arfigken hetar +
drdoom  hdnxc@era ah,ha ha,n niogcm bcka ot tish i irezale i aws baolprby kgee-igenvor lol +1
blueberrymuffinbabey  'stni eht ndygeorh gniobnd epdndtnee on teh xylyarhodtde nrploie and yneil?s os ttha wuodtl'n ralyel eb hte iesus ehre csien hsote te'anr eht asa begni eaedr?lt +
drdoom  rebbleruy@ Acngdrcio to tAebrls’ MBoC es(e saegtTnn at t,irgh) inoyhlsyrydex nad lnroiodprhyexy rittbueonc hnedroyg obsdn htta rfmo bteween eth saihnc tni,rh“can(”ie as ppsooed to iraah;nncti- eth chs,nai fo coe,rsu ear aaetprse pitple;esdyop atht s,i earapest oenlalcg iptnoers; and sronaitntcei eewnebt speaaert ishanc [tpaeares iypsee]potldp si hwat ew allc qryatn“raue u”;eurtsrtc see Tennatg vbeoa.) nAd in thsi caes, sa you piotn t,ou het esmt seserbdic a lgG;tya&Al- suot.btsntuii aTth mssee to mane wto ghints: ()1 the there aesrteap oglnaelc osdpptpeeyli iwll nto ak“pc a]s[ lyttigh” ot mrfo the trepli lixeh r=t(yqaraenu rrutcteu)s ew all wonk and evlo nda (2) reilopn gisrn illw lafi to areyl qtiue as ylgns,u sinpmrmoogci eht aihlcle ormotfncaoin ahtt fdsniee na pahla nhcia rnays=oc(de ucrstet;ru the pasesh atht mfor hitnwi a nsegli pepiepo.lydt) +
tadki38097  asol uoy atc'n H bdon hiwt oca,brn tis' ton aropl ungheo +
amy  F2A200 P05 :tates otonframi fo coproghaw(nelichl is eth irlpte lxehi ucst)rture avi yoghrned nda ueilsdfdi. oS A is eictncorr bc erthe aer on llonegac esluocmel yte 2(nd tcrreustu epapnhs at cgoonaprlel )lvele +
drdoom  yam@ tliepr hlexi si a rnayuqtrea trtrusuce nics(e tierlp lihex si a eahps tath sormf WNTEEBE astepera ro u“la”dt nogclpnlecaagleolor/- .p)desietp ymiPrra, cenyarsdo and aiteyrrt ussrceutrt era iisndcspreot of a sgleni l.otdypeippe cOen oyu eavh 2 ro erom isplpydpoeet ngrittianec hwti hcea treoh .g.,e( bHioomgeln cuol)lmee yuo ehva rayrqneuat tut.csrreu +

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 tighm be tihiveornngk ti ut,b H nbdo monatofri of a'sa kemas eth noarcesdy rtuercust of eht opetinr lalcngo(e in hsit es)a.c heT Gyl ot Aal iosnibttuust edso srtlue in sles H nobd no,itfmrao tub fo dudinailvi aa's not ebeentw oganlelc lcleosuem t(hta imthg be rome fro naaryequtr sturr)tceu

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lpp06  I hnkit teh eky is in eth saenwr ,gphnsrai eth rasewn tennmngoii Hodsbn- syas intDro"pusi of dbsno-H beewnet gacenoll ot hlclueeloh"musAg ncaelglo sedo egunodr biond-ngH ot tpposru teh liptre lei,hx tihs si eond inhitw the mesa ncloleag ngnlkeoeuLimic.l ifednerft oaecnlgl uolmeelsc osrccu iav eht ynlsei - hdiyleoyxsynr inkls edno in het CEM +1
kevin  ihts is teh one eommtnc ttha nlyifal dlheep em asndnrduet why ttha saw rne.toccir tnkah oyu +


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submitted by j123(16)
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yPirarm ucuertrts = monia aicd d euSseccnenaqreoy trutcusre = rsectrutu roemdf wthi a neglis aoinm aicd ncueeseq a(ebt paedtel th,ese hpaal xil,eh ryi )rtetceTa rtrseuutc = lpulimte adceonysr utrcstseur tiingnceart trheoetg tlu(pieml baet eelatdp ehsset adtecks no pot of ahce eht,ro teQy)rcanaruetr rtetusurc = rientop utctsreru ferdom frmo dolfing of lal iayrertt usscruttre to kame gnibdin tesis, .etc

Scnie eth naliean saw tup in caple fo het ,neyGilc the yrmirap cruuttser aws nluabe to fmor na phaal ehixl iensc palah hxeli srcetruust eedn a trraaciupl equensce yg(l - -x )y in eordr to mrof edhnogyr sobnd ot kpee eth xheil ts.blea

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 -1  upvote downvote
submitted by unknown001(9)
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what si eancogll ? a enyasodrc oeniptr rurtu.tsce

hewn ouy movree nci,ygle hte stmo anbdnaut naomi aidc , rfmo eth csrueprro lceulmoe liwl oyu egt a reprop nosyearcd usterctur ? NO

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unknown001  goeirn hsti +
drdoom  nac uyo eea?balotr whas't ongrw with oury to?mcemn +


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submitted by lilmonkey(63)
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Gyl is l,aopr Aaneiln si orlnpona nda odyo.hiphbcr Messsien nrivenovtaocsen u.oimntat seeTh AsA have rdnietffe ielcamhc srtrppieeo hwich ldae to editrudsp ntpiero ldgifon oaeyrcd(ns sucerr)t.tu mlriiaS to uGl - alV bittuituosns ni iceSkl lleC i.seeasD

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