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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 ihtnk ti sah nstgemohi to od htwi ycleign (ued to sti lmlas isze it nca tif ni myna lpeasc rhewe treho oinam iscad nca nto and nhece it preisdov tr“lcsuruta scptsoe”anmc ot het eg,llcaon .e.i upt a kikn in hte alaph .e)hlix If lgciney si csapmidle by nhisotmeg s,ele I ’tond kinht rnlgpeooal-c anc rmof its ecortrc acnoesryd uurecsttr.

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jotajota94  re!uT loa,s ncgylei is 1/3 fo ocallnge fala cia,nsh os it esmka neess taht ntusisotiutb whit aannile (wihch si cmuh gg)eibr doulw dael ot pirotnuisd in eth haapl lehxi oinfatrmo. +2
jotajota94  ure!T ,loas lgniyec si 13/ fo ocllgnea lafa hi,sanc os it easkm essen htat uitstsnitbou itwh enalnia hciw(h is hmuc ig)breg uwldo aled to doiptiurns ni the aalph ilxeh fot.anmori +
thepacksurvives  Gelynic is lamls nad ,bndey ihhwc lslwoa ti to omfr eth bfliirs ofr het ltperi ixhel +
brasel  Aosl in lgenear (FA 8120 gp 0)5 IO is romf sebomlrp rnigfom het lipter hxile chiwh is adyeconrs urctut.res Flr,yottunea hety gave us mhoitgesn to easnro thwi ni eth eutqosin a&AG-;ytgll() +3
amy  nCa enemsoo ephl me nddutnesar why A is nor?cicter 0F22A0 gpae 0:5 lpreTi lhixe of 3 neaclglo a anishc is meodfr fmro polcaonregl iav deyhngor nda dfilsidue odn.b sI itsh eyrv imlairs to htaw A si griicbnA? d.e resdDceae ydh-nbdogoren tmfroinao tbnweee caeglnlo slmlcu.oee +
umpalumpa  eTh aoepixlnnta vgnie yb arewtbalislaa cdlou rowk fi hte nstqouie lodwu asy -atllA&g-;yG tatioumn. ev,oHrew the qinteuso attses tath rheet is an alGyt-lg-;A& oamntt.iu +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I rufe,gid n-yicXelgY- is ntielcchlya oredniedsc a aprm“iry onaim cdai scrruuett fo a erot”pin sniec het otfnidinie of a irarPmy ruetucstr of a tiporen is “a relian chnai of iamon d”s.aic fI yuo ssem iwth het armriPy tet,rrcuus as ni teh euiqostn tsem, uoy oannct mfro teh acoSedyrn tctusruer of het oinrpet, hiwch si erteeddnim by teh nnen-rddhbgyiogo icwhh orucsc ewtneeb teh detpepi knobceba, pdeteinnden of hte R pgr.uos I oeph ihst aemd .seesn

mroF iewidikap: caydn“oeSr rcutertsu si faylrmol inedefd yb hte erantpt of ondhyerg sdonb enetewb eth omina gdeyrnoh nad lbaoxcry eynogx aomts ni teh depepit beanbokc”. ssia(mhpe 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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ok yusg adn i ouetq rmfo s/gawiccpsots:/tsoedh4lh/ert-rbw0miif/pweuto.n1oetsr/teoecmapse2l.ti

0"9% aveh na aiinibldetfe inetgce inautomt LOC 11A and LOC 2A1
seus ca nolaambr ngclleoa kgrnl-csiiosn iva a leicygn sttubinsotui ni the nlaooclrgpe eceomull "

chhwi masen taht IO ash a yelicgn stibsontutiu nda otferehr ist nableu to mrfo a ydncsaeor rtrtec.suuu

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submitted by hungrybox(1277)
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euD ot sni'cyelg smlal ise,z ti rtseeac knisk"" in the oainm idac nse.eceuq eeThs nkiks era dneede to rctcleryo rfom hte onaycersd .rcrutsuet

etOrh newasrs:

  • ad"nkweee niaornettic wenetbe egcnlaol dna ln"oayotrpgce - elcnolga + yoaortlgcepn = tlia.acrgle The steoqniu mset tinseonm aymn cstefed in EONb e(typ I olacegn)l tbu no mennoit fo cdsfeet ni aelTgrOlacW p(eyt II eoncall)g
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 +1  upvote downvote
submitted by basic_pathology(25)
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Xy--YlG is kecaobbn fro aogcelnl lapha ic.anh 3 gnlolace lapah ihacns plsria to mrfo tirepl .xheli cnlyeGi hsa no R upo,gr lwlnoiag ofr fylxitbliie dna ntifomora of iteprl lx.ieh No igyelnc venspter isht outnusionc ilp,inargs eitnnrepvg teh rnioaftmo fo caolglen adnoycser .csrerutut

lcaleR atht icehahlse-pal nda setbehe-sta aer axemespl fo eacyndors sutecu.rsrt hsiT nac eb hgoutht of a ttoimnaienasf of het hpaal iexl.h

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 +0  upvote downvote
submitted by an_improved_me(91)
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hoNetrA way ot teg ta it is iav n:imnioliaet

A. noregydh ndnoigb wlnodtu lyrale cneahg eincs ritneeh anlniea rno nclieyg rae oBal.rp Gyl ;&tg lAa tlhdu'osn hcgnae hwo oplneir is deiifdmo I( aemn it O,UCDL fi rheet was a tcries hcnadenir or nghomte,si tbu not a rateg )saer.wnD nngohti to decniiat thta leaoclgn giddteorean si dearelt in esesrnop to na AA .tsitsnoutbui s,Aol ni the cxontte fo OI hhwic( si eth nesnriptge cima),onltp we yraaled wkno that the lorebmp s'neotd avhe ihagnynt to od hwit d,nortegaeid rome wthi het neaghc ni u.iuErc/ts notcetfnru nloyesHt 'tond onk.w

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submitted by drdoom(1206)
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eres’H neo wya to ainfreesmpscieloto-- edcsera“ed nobr-eondghdy oira:mtfn”o ’mI ton a gib fna of ihts nlie of ornigas,ne tbu lntyihelcac laainen sa a dies pguro sha ermo yn*desgohr rfo pttlaonei eonydhgr bgnonid ntah ecyngil:

:ienalna 3—CH
cyelnig: H—

o,S in,atylche“l”c eiannal dwuol rptime rmoe ngoyodn-dhreb mirtfn,oao chiwh mhtgi walol oyu ot neamltiie ttah .ccheio

Ttah si,ad ti sseme mlsota mlosisipbe to elur uot wih(utot rvye cncaileth nedeowlgk or esom rdpdiove neailrtpxmee dtaa) htta the syliltgh lagrre annaiel esdo nto airipm rhgodyne dinnbog etewneb clongael lulcoemse aiv criets ptiaals)( .fencetreienr In rmlpeis tme,sr necsi nineaal is laregr, yuo ludow nkiht tath ti smtu sewhmoo rtieeenrf thiw teh bngdinyohoedgr-n ttah rsccuo htiw het w-ydtpeil cgeiyln.

---
ttrSy*cil epnaig,sk st’i ont hte buermn fo hoygsnrde btu olas teh ntgrshet of eth dipleo taht sattfceiali hdyogner nigdob:n a hygerdon nodub ot a rytlgons iltocveageetrne eecmlulo keli uiofnler llwi e”praap“ erom vspoiiet a,dn uhs,t g-dyhoeborndn omer gsronytl itwh a brenay xygoen p(mcdareo hitw a yndehrog odetencnc ot bna,cro rfo elap.xem)

rretFuh irnged:a

  1. /igsmee.qhrpewd.hutcu.eh/:mhlpldtbp//wutnl./ciuwsddoh
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hungrybox  aeripceApt hte rfefto utb thsi si raf oot nglo ot eb .flsuue +30
drachenx  urghoyxbn is a nkrfgeai rateh +
drdoom  hrxndac@e ha,ah nh,a mgncoi ackb ot tshi i rzliaee i saw blrpaoyb grveenokegi- llo +1
blueberrymuffinbabey  'sitn hte grenhydo dgbionn neteenpdd on hte yrxeldytodha pinerlo adn in?esly so ttha 'ntwluod lyaler eb hte ssiue heer insec ehost etnr'a hte asa ngbei rd?eatle +
drdoom  rule@rbeyb cgAdrinoc ot lrt’sAeb BMCo ese( sengtaTn ta ghti),r hxoinsydyeyrl and pionerxlohrdyy uborettnci onyegdhr nosbd hatt rmof wbnetee eht anshic n,c“einta”hir( sa sodepop to tiaincr-a;hn the cshina, of uscro,e rea erepatas pdeysloi;tppe hatt i,s esataerp lolanceg npi;trsoe nad aiortncinset ewebnte easraetp nhcasi etsaaer[p ptdp]olpyseie si wtha ew lacl aqnu“raeryt ”csrrt;ueut ees netngaT veboa.) And in siht seac, as oyu ontpi ,otu teh semt dbreesisc a &gll-GAyat; touiibutss.nt hatT eemss to eman wto :ingths 1() the ereht epetaasr aclleong yipopltdpsee illw tno k“apc a[]s ”htyltig to rfmo eth riptel xileh auyrqtnre=(a r)usettrcu ew lla kwon adn lvoe adn 2() poeinlr sgrni wlli alfi to ayrle quiet as glus,yn mpciorgsnimo het lheailc inamtoofnrco htat desfnie na ahalp iahnc scn(rad=eoy uresrt;tuc eht apessh that rfmo tiiwhn a lngsie epipty)opeld. +
tadki38097  losa uoy tnca' H nodb itwh ,aobcnr its' nto prloa oenhgu +
amy  00F2A2 P50 aes:tt rfiotanmo fo clenroghol(capihw is hte trlipe xelih rus)tteurc iav oegdrnyh dan ifliudes.d oS A si roiccrent bc eetrh era no cnelgalo cleleuosm ety n(d2 tuesutcrr sapnhpe at gnplaocroel lle)ve +
drdoom  yam@ teilrp ihexl is a equnartary rturcuest ces(ni rtpile ihlex si a phsae atth omfrs BEENWTE taearpes or at”ul“d ogoelracglpnaoll/ne-c ieepptd).s a,rmyriP esdancryo dna ryatreti ectsstrruu era npoerdcstisi fo a gnesil l.oteypdppie ecOn uoy heva 2 or emor detsplypeopi irntectiang htiw ceah toehr .ge,.( oieolbmnHg mulcoele) uyo vahe nuqaaryrte ecus.turrt +

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 ihtmg be ovinighertnk it tbu, H bdno oimrfaotn of saa' askme het ynoacrdes uutrtersc fo the ntiepor c(laelong ni siht ).aesc The Gly to Ala inotiusuttsb deos urtles ni ssel H odbn imf,rtaono ubt fo idnaiivlud 'asa ont eeetwnb elacglno lmlseceou (taht tigmh eb eomr fro tarqyeranu tcetsru)ur

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lpp06  I kihnt hte eyk is in het esrwna ,agipnhrs hte erwasn gntiniomen dosn-bH ssya D"souipnrit fo sbd-Hno eteenbw leclaong slgcouoheel ltuA"mh lcloegna dsoe gnudoer obi-gHndn ot topurps the tpelir xi,ehl isth is node nhitwi teh mase elongcal meLulkenc.iionlg dtrinfefe ollgecan esloculem sccuor via hte leiyns - yxrihydeoysln lskin oden ni eth EMC +1
kevin  isth is eth eon tecomnm tath fanliyl leephd em enrnddutas ywh atth wsa erriccto.n nthak uoy +


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submitted by j123(16)
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rayrmiP tutcsuerr = oanim diac yaeoS ncnreeduqecs rucsutert = srutcrute fedmor htwi a sgneil onmia dica esqceneu tba(e ateedlp sheet, aphla le,hxi crteetraTiy) rutesctur = eputmlil yasndroce teuursrsct rangiteticn ottehrge itlpmuel( eabt etlpade thsees caksdte on otp of ache ehot,r ruetQr)ctanre ya crrseuutt = ptonire rtuuetrcs frmeod fmor gfnoldi fo lal ttrryaie tsrteurucs ot mkae gnbdnii sst,ie etc.

iSnce eth anenali asw tup in calpe fo eht iy,Gcenl eht myprrai tuectrrus swa balune to frmo na hapal ilhxe since hplaa lixeh ctsuetrurs deen a trliacrupa unqeesce l(gy - -x )y ni roder to mrof ohryegdn bdosn to ekep het leixh stbl.ae

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 -1  upvote downvote
submitted by unknown001(9)
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htwa is gcaellno ? a dayneosrc ptnorei rucrs.uett

nweh uyo merove le,ngicy het toms nudtanba mnaoi caid , fmro the scprorreu leuloecm liwl uoy gte a oerprp nreaycsod ustcuetrr ? ON

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unknown001  nigroe htsi +
drdoom  nca oyu aatro?leeb 'shatw ownrg iwht oruy tcoen?mm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG si oparl, naiAeln si ponoanlr nad .drihpoybhoc sseMseni tvocvanesnnieor outm.itan sheTe AsA evah ridnfftee ealcicmh etpirersop ihchw dlae to stprddieu eripton nglfido aoedc(rnsy su)r.rtcute lSmriai ot Glu - aVl ttsuioibnsut in ckliSe leCl aDee.ssi

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