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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 nhikt ti ash nsomtiegh ot od wthi eyicgnl de(u ot tis asllm sezi ti acn itf ni amyn pelsca rweeh roeth omian casid can ton nda cehne it orivedsp ttsrcraulu“ ct”ecspmonsa ot het c,legoanl ..ei tup a nikk in eht hlpaa ihxel). If cneigly si isdmpealc yb smiengoht sle,e I on’dt kntih golancleopr- acn from sti occrrte eysdnroca tteursu.rc

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jotajota94  r!Tue olas, eycginl is /31 fo lnlogcea lafa hns,iac os it smeak snsee ahtt otutsiisutbn thiw eanianl hiw(hc is much )gebgir odluw elda ot iosdputinr in the pahal lxeih na.tiofrom +2
jotajota94  eruT! o,lsa nielycg si /13 of clngoale lafa csina,h os it mesak nesse htta tbiutusisotn thiw alinnae iw(hhc si hucm bge)igr dwolu alde to oiistpdurn in hte laaph lxieh ootmfniar. +
thepacksurvives  Gienycl is amlls dna e,bdny hwcih solalw it ot mfor het isfribl rfo eht erplit elixh +
brasel  Aosl ni arneelg FA( 8102 gp )50 IO is fomr elmbrpos rgonfim eth plrtei xeihl iwhch is erscnadyo retrcsut.u nyrFe,tatluo ethy egva su sghtmione ot osnear itwh in hte qsinetou A(&ly)gt;-Gla +3
amy  aCn nseooem lpeh me nnuedtdras ywh A is trcicoer?n 0AF202 gpea 5:0 lerTpi liehx of 3 lcgaolen a achsni is rmdefo mfor aeollpcorgn iva hdrgyoen adn ifdisueld on.bd Is hits yevr liirmas to awth A is begrd cn?i.Ai ceDeersad hynbndogo-erd roafmtion bteenwe olgeclna .umllcoees +
umpalumpa  eTh aixatplonne vigen yb abraalwalites odlcu okrw if teh untqsieo owlud asy -gGl-;Aalt&y utitom.an w,rveoHe hte itsnoequ etsast taht ehtre si an yG;--tAall&g o.ttuinma +


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submitted by cellgamesgojan(43)
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I igeud,rf yi-e-YgclnX si hatncllieyc drsinocdee a y“rprami oamin acdi rctuesutr fo a tirnpeo” since teh idtfnoiien fo a aiyPrmr ecsuurtrt fo a etnprio si a“ lrenai cnhia fo imona c”.dasi If yuo essm wthi teh iPyrrma uer,cuttrs as in het ouistqne m,tes oyu ntonac rfmo eht oaycnerSd uesttrurc fo eth eoip,tnr hwchi is eeddnertim by the iohbdnr-ggnyeond hwcih orcsuc tebneew teh ptepdei obceanbk, tieeddnnepn fo eht R .osgrpu I eohp htsi eamd nse.se

Fmro iwpaeikid: ynScodare“ reutrtcus si rafymllo difdnee yb hte aettprn of eodgnrhy nobds tnbweee hte oniam donyehgr adn axyrlocb xngeoy ostma in eht pdetpie baoncbek”. (maieshps i)nme

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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 usgy dna i oqeut ormf /sushwarsp-pls/oete.ce:iib.w/h2tmos/1poraeicermen4it0gtfsotldtewo/tc

90%" vahe na eifbtnldiiae ngieect amtuiton OC L A11 dan LOC 12A
eascs u robmlana lconelga nlr-kcnossiig avi a ncigyle itbtnuutsois ni the glcornelpoa llmeueco "

whchi nmsea ttha IO sah a gncyeli oiitsnuttsub dan fereothr tsi lbenua ot rmfo a adncrsyoe rc.seuutrut

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu to eclynisg' aslml ,isze it escaret sk""ikn ni eht ioanm cdai qeen.cseu eesTh kkisn era nedeed to ryrletcoc from eth arydescon urtstce.ru

eOtrh erasn:ws

  • knwa"deee cnitaortnie ewteebn glocanle dna eonpoc"trgaly - acolegnl + goclpoyrtnae = lticlragae. Teh etqusino mset netonsmi aynm ftesedc ni NbEO te(yp I la)ncogel btu no oitemnn fo eetdcsf in gaTeacWrlOl tep(y II )lcaoenlg
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 +1  upvote downvote
submitted by basic_pathology(25)
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y-Gl-YX is okbenabc orf agclleno phala .niahc 3 egoclnal plhaa scniah lisarp ot romf irtpel i.lexh cnlyeGi ahs no R orgu,p liglnowa for yteliiiflbx and namrtoofi fo ilerpt heil.x No eliygcn nprstvee tshi ucooisnnut agpri,lsin gnvreetnip hte iatnmfoor of nglaolce cyroaensd ctue.ursrt

alceRl atht capls-ihlehea nad stthbae-ees aer apleexsm of yaedsornc ttusr.rsuce isTh nca be tgohhtu fo a imnatsoiaetfn of het apahl ih.exl

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submitted by an_improved_me(91)
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eANthor yaw ot teg ta ti is iav ienl:tiianom

.A ogndrhye nbnogid tdnlouw eyllra hcgaen encsi ertehin ineanal rno nligecy rea a o.lpBr ylG > lAa tsold'unh anhceg how oiprnel is oifidemd (I eamn it LDOU,C if etreh asw a csiret hdcraenin or hmtiose,ng utb ont a taerg )asn.e Dwr gnhonti ot ieidacnt atth eoalglnc gaodeiedntr is tadlree in peonsres to an AA nisotb.suttiu slA,o ni the xontetc of IO iwh(hc is teh tnepgrsnei )imacltnpo, ew ydalrea wkno that eht omelbrp steond' aevh ngitnhya to od tihw detodregna,i rome twih eth agnech ni u Ettrtc.cs/uruneifon onetlHys 'odtn on.wk

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submitted by drdoom(1206)
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’serHe noe wya to aotemer-eilocfns-ips aerceddes“ edondyogrhbn- aitn”orof:m mI’ ton a ibg fna fo tihs niel of i,nnsargeo btu tnchlaeycli lennaia sa a dise orugp sha emor e*nhsgdroy ofr pettnoial nredhgoy dinngbo hnat lignyce:

:aelinan CH—3
icl:nyge H—

,oS y“aitcehcl”nl, aniaenl lowdu ipertm mreo ngronhdyd-boe ntramioof, whhci tghmi lwlao ouy ot tnieiemal ttah hc.oeic

htaT si,ad ti meess oatlsm piiesmoslb to uler out (uitthow yevr ncehlatci dolnkegwe or osme ddrevpio axmentreplie )data atht teh hytsilgl rargle nialean odse tno aiimrp yrondehg onbndig etbwene eanlgloc eoecluslm avi ercits paai)lts( ticnneerefr.e nI mlpires etrm,s iecsn alninae is agl,rre uoy ouwld tinkh that it mtsu ewhooms ifntereer twih teh igbonnoghded-rny atth ruccos ithw eth -wedtyipl gcyenli.

---
r*ytlScti snaiegp,k sti’ tno het embunr fo ohegyrnsd tub olas teh tsgenhtr fo teh edpiol ttah ttiecalaifs ngheydor dninob:g a rgnyoehd dbuon ot a ntglrsyo vatrneelgotecei uemlcoel ielk ufnoreli ilwl eparap”“ orme itivsoep ,dan suh,t hdo-gdbernnoy meor ostylgrn iwht a anreyb gnoexy ro(caemdp wiht a gedyhrno cenctdeno ot r,cabno for .eepxma)l

hFrertu dgn:eair

  1. lmqlcmp/uwwsnth./pop.iuwghhtdedi:/d/td.r.hsucheubee/l
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hungrybox  ptAeperaci teh eoftfr tub thsi si rfa too ngol ot eb euuslf. +30
drachenx  nugbxyhro si a afrnegik ehrta +
drdoom  d@nxhecar a,hha ,hna cogimn cabk to tshi i aelierz i saw bybropal -eekngoivgre lol +1
blueberrymuffinbabey  it'ns the nrdyhego innbgdo etnpndede no the hxeadryltydo nlreoip and lni?esy os thta d'ntluwo yralel be eht suise here seinc hoets arten' het saa ignbe ealr?etd +
drdoom  bryb@euerl crcgondiA to Asebrtl’ BCoM (ees negnTast at trh),ig sxyylnhrydieo nad rxihdyloyeporn cibteurotn rohndgey ondsb htat omrf ntewbee eht nchsai ”ianneithrc“,( as edpospo ot c-hnrt;iaian teh sic,anh fo csureo, era erptaeas pltdpeyo;sipe thta ,is aepretsa eolncagl ;etpsonri nad cntsainotrei wtbneee tpeesraa ncisah pes[ratea ip]elosyetdpp is ahwt ew llac yrqrneatu“a etucstrru”; ese nnetTag vaboe.) Adn ni isth e,asc as oyu ipnto ,uto hte emst eibrecdss a ;lyg-alG&tA bosuunsttit.i That seesm ot nmea tow h:snitg (1) het ehtre eaetpasr eanogllc yslpotedpiep liwl tno “akcp []sa hltg”iyt to mrfo the eltrip lxieh arre=au(nqyt ruut)scter ew lal ownk nda vole nda 2)( npeliro rsngi wlli flia to elray quite sa ugyl,ns rgpcimismoon eht lielcha rtonoicamfon htat efensdi na ahalp cinha soydnrae=c( utsc;teurr eth aepshs htat mofr thiniw a inselg tdeipypp)elo. +
tadki38097  asol yuo ct'na H obdn wtih rba,noc 'tsi ont rplao guenoh +
amy  FA2002 P50 s:aett mootfainr fo hpgnweioohcllca(r si eth rlietp xileh tr)ucsretu iva hrogdnye and dfsliuedi. oS A is rctenoric cb hrtee era on lalcegon soceemllu ety nd2( utetsrucr papeshn at arnceplgloo el)evl +
drdoom  ma@y piltre lixeh si a reayrqautn ucrsutrte ce(nsi telirp ihelx is a shpea htta srfom TEEEBWN arestpae ro dat”“lu cg-nlolalpecor/lagnoe .esipde)tp yPmairr, ocsrdnaey dan reyirtat ucuerrtsst ear idepctsnsior of a slgeni opiepy.dlept eOcn you vaeh 2 or oerm poppdytliees ctitangiern iwht each orthe .e,.g( ngeobimloH emelcoul) you vaeh arqanrtyeu turcesut.r +

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 ighmt eb ihnengotikvr ti tb,u H bodn foormaint fo s'aa kesma teh ncaeryosd rutestcur of teh erponti cngoea(ll in tish )ces.a Teh ylG to alA iusbutiotnst odse reltus ni sels H dobn nfraotiom, utb fo ddiuliavni 'asa ton wneeebt llaogcen slmuleoce ttha( mgthi eb remo rfo rrnuqteaay resurct)tu

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lpp06  I nhtik hte key si in eth ernswa gshirnap, the rswnea intnegionm oH-sbnd ssya Ditupnos"ri fo bo-Hdsn teebnew lleacnog "tsugolcmhAhloeleu coelnlga sdeo egdroun Hb-ndogin to sprpout the reptli x,ileh tish is eond htiniw hte maes lngoelca o.e unlkmnliLcegi rtifdeefn goleacnl leecolusm uoccrs iva het nseyil - hyslixyenordy lsnki ndoe in the CEM +1
kevin  isth is the oen omentcm htat afylinl lpheed em sdndtnerua wyh atht swa oit.ncercr ktnha ouy +


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submitted by j123(16)
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mrrPyia rrstuucet = anomi dcai enrsncceuoSqed eay tsrtureuc = ctrsutrue edfomr ihwt a elnisg onami idca neceesqu eabt( edeplat hsee,t aaplh x,elih ter) recayiTt tsrutceru = lpteumli dsyrocaen rutrsstecu inracigetnt eotgtehr (tpuemlil abte petdlea ehesst ctdseak on top fo ecah ,heort eeanrtrcr)tQuya rctteusur = eptnoir utserturc rfmedo rfmo fiodlng fo lla irettray strruesctu to maek nidbgni ,estsi tec.

nciSe hte nelniaa aws ptu ni aelpc fo eht y,iceGln eth parrmiy trsceuurt asw uebanl to orfm na palah xileh inces apahl elihx tcturssure ende a ptralarcui scueqeen yg(l - x- )y ni rrdeo ot frmo negyohdr obdns ot ekep teh hlexi bels.ta

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submitted by unknown001(9)
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awth is aclgleno ? a nesoryadc otinepr .scturuetr

wenh yuo eromev ,gicyenl teh mots aadnntub imano acdi , omfr het ersrpucor comeelul wlli uoy teg a prpeor yaerdoncs cturretsu ? ON

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unknown001  irengo ihts +
drdoom  nac oyu l?brtoaeea sahtw' wgron wtih ruyo nmtm?coe +


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submitted by lilmonkey(63)
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lyG si olp,ra inaAlen si nnoolpra dna brodohypchi. Msseesin avstrnenicvneoo tm.ntaiou heesT AsA heav ffretnide emcliach eertpipors ichhw lade ot dtpdurise opernti golifdn odesarcn(y uc)tt.errsu lmSriai to ulG - Val suoutibnttsi in Silcke leCl eaesiD.s

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