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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 ktihn ti sha itomgehsn ot od htiw yegcinl ud(e ot tsi allsm sezi it cna itf in nyma esapcl wrhee hetor iaonm acsdi anc nto and eenhc it viopesdr raulust“tcr acspnoctes”m to het oagcllne, ..ei ptu a knki in het ahapl .)eihlx If iyecnlg is dsimlcaep by songmtehi else, I otnd’ hiknt lgnepa-cloro acn mfro sit etocrrc ordaeyscn tucterrs.u

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jotajota94  T!rue salo, yignecl is 3/1 of llgenoac alfa ahic,ns so it kasme seesn ttah biiountsutts htwi lnneiaa hi(whc si ucmh b)eiggr douwl aeld to iptunsidro ni hte lhapa xehli ar.tifoomn +2
jotajota94  !eruT sola, ygnceil si /31 of lalgocen aalf cahs,in so ti kemas ssnee atht isitbtotuuns wthi nlainae iwhh(c si chmu rebgig) uldow aeld ot rnusdpitio in hte aphla helix oomrt.fnai +
thepacksurvives  eGicnyl is llsma dan ybnde, hciwh swlola it ot rfmo hte blisfir for hte ertpil hleix +
brasel  Aosl in lnegare AF( 2108 gp 50) IO si orfm beplomrs noimgfr het eritpl exhli ihchw is dnaysreoc etsuru.trc Frunaleyto,t tyhe eavg su hsnmoigte ot onreas twih in eth etuonsqi yGatllg&);A(- +3
amy  naC onemoes lhep me nnausterdd yhw A si oetir?nrcc 0A20F2 agep 05: eilrpT ehixl fo 3 nacgeoll a ihcsna si edmofr rofm apllgooncer via gyhredon dan sfileuddi bnd.o Is ihst vyre sirmali to htaw A is rcidnebgi.A? aeedersDc bhryeddgno-on tfonmraio weeebtn oallengc u.meolelcs +
umpalumpa  eTh xltpenanioa viegn by wiasbtearalla dclou owkr fi the qntsioeu would sya ya;<-Gl-Ag ut.noaitm orev,eHw the noustiqe stteas htta ether si an A&-l;a-tgylG t.unotami +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I frdue,ig -XcneyYigl- si ctchliynela dicsrendeo a iprmayr“ ionam daci eutrutcrs fo a ritnoe”p nscie eth infinidoet fo a miayrrP trutceusr of a rioepnt is a“ rianle chnia fo nimoa a”sdci. If uoy esms htwi hte yPirram tuertucr,s as in the snitueoq esmt, uyo ntaonc rfmo teh nScrdyoae rruttceus fo eht i,pteonr hihcw is tdeeiemrnd yb het nrigdg-oonhedybn hwchi scrcou twbeene eht pepetid eanbbkco, ennindpedet fo the R so.rgpu I epho thsi adem .enses

orFm kdipwiaie: Soyn“edrca rresuuctt is olyrlamf edfendi yb teh tenartp fo oenhrdyg bnsod eeebtwn eht onmai dernygho nad ycarbxlo exnoyg asmot in the tdieepp bconeabk.” asiemsph( mnei)

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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 gsyu dna i qtoue ofrm /artcmtc/osto/.wussoleepsm0/rtiepbsiagidt-t.sh2prnw4ieef:holweoc/t1e

%09" vahe an fteanedibiil ceetign imtuaton LOC A11 dan OCL 12A
sasuec naorbaml celogaln iskrsonlig-cn iva a ncliyge btistuouisnt ni teh ceolanprglo oeemlulc "

cwhhi mnesa ttha IO sah a ilgeync suiobtstunti nad ertehfor ist balneu ot mofr a yncoardse utrtsuer.uc

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submitted by hungrybox(1277)
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Due ot elisn'gyc mllsa e,zis it rceeats snki"k" ni the amnoi acid snqce.uee esehT kinks ear eeeddn ot cctrrlyoe ofmr het yrcnesoda ueutrs.tcr

heOtr wsrea:ns

  • kaeew"dne inincrtaote wneetbe aoleglnc dan cnayleogrpo"t - oneclgal + tnpleycogroa = iagrl.talce The qiuosnte etsm msntinoe yman cedfest ni EObN eytp( I eoa)cglnl ubt on mnnetoi of seedfct ni WlTOrlageca pt(ey II g)nlceola
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 +1  upvote downvote
submitted by basic_pathology(25)
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-Yy-lXG is ecbaknob for nlgeloca apalh an.chi 3 locnglae hapal cniahs rlpais to rfmo ltperi hxil.e cyGlnie ash on R u,opgr oglnliaw rfo teyiflibixl dan otinamofr fo eltipr .elhxi oN yiegcnl nesrptve shit tuncinouos ,aigirlspn ereignpvnt het maoiftrno of lconlgae carsdoeyn trurect.us

lecRal htta hhacl-eslaeip dan beateth-ess are lpxemsae of scoyarend trc.utssure This anc eb tthhoug of a itnosaamentif of het plhaa x.lhie

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 +0  upvote downvote
submitted by an_improved_me(91)
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htNoreA ayw ot get ta ti si iva oiatinlmeni:

.A ohnygdre idognnb ontwdul ayrlel gehacn isenc neeirth nanaeil orn eyinlcg aer . raBpol Gyl ;&tg Aal otndluh's ncheag owh oeilrnp si idefmoid (I eman it UD,CLO fi heert swa a estric annhicedr ro t,hemisong btu ton a reatg nrD)w a.se ihnognt to acteiind htta caeolnlg terndaogdie si eeratld in onesresp ot an AA tbuisi.outtns A,ols in eht xcnotet of OI hhwc(i si eth sneipnegrt )anpto,ilmc ew rylaeda konw taht het polerbm netsdo' vhea ihngytan ot do iwth eitnardoeg,d oemr thiw hte nehagc in n.tt/eucsfo tirErucnu nsetHyol o'dnt wkno.

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submitted by drdoom(1206)
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eresH’ one wya ot f-miplrcen-eesstaioo eedsd“earc yehdoob-dgnnr ”mt:nriofoa ’mI ont a big nfa of thsi ilen of sreoninga, tub hylcitalnce inealan sa a isde grupo ahs erom h*dgyrneos rfo ialtpteon ohrendgy ongdnib anth liencgy:

n:eialna C3—H
eliy:cng —H

S,o l“ec”,lcaytnih ieannal udolw pmteri omer yngdbdn-eorho foo,niratm hhicw ithmg lolaw oyu to nmilieate ttha echio.c

thTa s,dia it emses smaotl ieiosmbspl to eulr tuo uhowt(it very hnecalitc kldnwoege or oesm odevidrp nreatxlepmie aa)dt that teh tglylhsi rregla anealin osed tno irapmi nyrogehd oibgnnd ewtenbe logencal esmlucloe vai sricte (aia)stlp f.neteneecirr In limpres res,tm nsice nnaieal si r,agrle uoy would tnikh ttah ti usmt smhoowe rtfrienee hitw hte nghb-nndgrodyeio tath scuorc ihwt eht ty-epwldi yenlgic.

---
t*Sriltcy pe,kasngi si’t otn eth unbmre of roghnysde btu aslo het nretgsht fo het ipoedl ttha fetsicaliat ygrhdoen giob:dnn a ghydoner donbu ot a tglrnoys velentaigteecro oeuecllm ekil nfliueor liwl ea”pp“ra more ievpsiot n,da usth, oohngb-drnedy emor yslgontr iwth a eabyrn yexngo mcde(opra hwit a ondrygeh eonnctdec ot rnbao,c rfo eax.l)emp

uehrrtF andgeir:

  1. q/mudiul/w/cspdhlni/.ertpdh.wete.ul/wmuohh:hpcbsdget.
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hungrybox  reecpaiApt teh rffote ubt tsih si arf too lgno ot be ulu.fes +30
drachenx  ngrhoxuyb is a krgfniae arhte +
drdoom  xdcnhe@ra ahha, ah,n inocgm abck ot isht i aeirzle i was brlaboyp vekoirgnge-e oll +1
blueberrymuffinbabey  i'snt teh yendoghr nnbgiod dtnendeep on het oydeltxyarhd epnlroi and se?inly so taht unow'dtl ryalle be het sseui eher enisc heost netr'a het saa ngbie rte?elad +
drdoom  rbueye@rbl orndcgAci to r’Aslebt BoCM e(se tesnnTag at g,)irth siyhxnyyoedlr nad rnoyoxphlriedy btreitncuo ryeonghd odsbn ttha ofmr wbtneee het ichsan anc(hr”ii,n“et as odoespp to rcihtan-in;a the na,hcsi of coreus, are earetpsa ppoitslpeye;d atht ,si atsaepre aloelgnc nrst;opie adn osnnateiritc enbewte setpaaer cnahsi reta[psae etioesldpppy] is twah we lalc reqnrytaa“u ucrretts;”u see gneTtan aebvo). dnA ni tsih scae, sa yuo point tou, hte stme rdesecbis a ;yA-a&lgGtl itt.tbnsouusi thaT msese to enam otw :ntsigh (1) eth teehr saeteapr gonlaecl tpseypliodpe lilw otn k“acp ][sa htiyt”lg to frmo eth tpirel lhxei (auqrty=naer )uerructst ew lal nowk nda love dna )(2 nprileo girsn lwli afli ot ryael utiqe as lun,ysg nmocoisrpgim eht allceih raonoomcifnt htat eidnfes na hapla nchai yd(nosr=cea uustcr;etr eht epahss thta from tihwni a enslig pyppt)oeli.ed +
tadki38097  also ouy 'ntac H ndbo thiw rocb,an 'tis ont rolpa nehugo +
amy  2A020F P50 s:ttea mriatfono fo chlaplicn(oohwegr is teh rpilet lehix ceut)trsru vai ogerdnhy nda s.iledfiud oS A is ccetonrri cb trhee are no lgocelan eluscoeml ety n2d( securttru phsepan at lrclooepagn eevll) +
drdoom  yam@ tiperl lexih si a aqyeanurrt tsucrtuer sneic( eltpir exhli si a seaph atht frsom NETWBEE aerpates ro tl“u”da loopaocancegrl/ngl-le p)ts.epeid iPrr,mya ncyersaod nda rtaieytr sttusurrce ear sdpostiercin fo a enigsl eeyt.oippdpl ecnO uoy aevh 2 or eomr tloppdesepyi eintgrinact twhi ceah rohet ,eg..( gelomioHbn eulocel)m uoy haev arqtraneuy ure.ttrusc +

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 mhtig be rkhinniovteg it ub,t H bdno trfmoinoa fo 'asa ameks the sndyecrao tcetrrsuu fo teh oeirptn l(nglaeoc in hits c)s.ae Teh Gyl ot Ala ittbtuinusos eods erustl in sesl H bodn ,oroafmnti btu fo viialiddun 'saa nto betwnee egclnlao emselucol aht(t tihmg be moer rof nueaqraytr eursrt)cut

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lpp06  I nkith het yke si ni hte nwrase anshrpi,g eth rwsnea nngnoeiitm nobd-sH asys iu"tpiDnsro of -odbsHn ntebwee ecaonlgl mol luosuAcehlg"eth gcnelloa edso rngdoeu odb-iHnng ot rostpup het lperit ,helxi hist is done tiwhni hte maes aclnlego iie mlgnLunc.leok fetrfeind nelgloac eclmleous suorcc aiv eth inslye - hxdnlreyyoysi nikls deon ni eht ECM +1
kevin  tshi si hte oen ctonmem tath yfainll heldep em sdtanendur wyh ahtt swa rcnre.ocit kntha uoy +


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submitted by j123(16)
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raryiPm strucerut = minoa daci oqsurecaceyd eSnne rcsrutteu = rutuserct ermdfo whit a isngle moian aicd suceqene eta(b pleetad ,thees plaah ie,lhx tr eie)ytcraT rucetutrs = ultilmep ycnrsaedo usetsrutcr incianrtteg orehgtte tpulie(ml aebt tpealed theses ekdtasc no opt fo ache rote,h certn) aQureyrat uttecrsru = nipetor cuttrsure fdmroe omrf nildogf of lal iretytra rusetsuctr ot kaem inbdngi tsi,es tec.

Sncei hte aiaenln wsa tpu in cplae fo eht yiGc,eln the irrpaym tuutrcres wsa anubel ot mfor na laaph ihlex iencs alpha eihxl srtecsutru dene a iractarplu ecuesqne gyl( - -x y) in orrde to frmo orgdyhen dsobn ot pkee hte hlxei ets.bal

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 -1  upvote downvote
submitted by unknown001(9)
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wtah is leacongl ? a ysdcaneor itonerp sruttcrue.

nweh you evrmoe lieg,ycn eht tsmo dntaanub ianmo daic , mrof het prrresouc eomulcle wlli uoy egt a eorprp nsycraeod trrusutec ? NO

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unknown001  oinrge tshi +
drdoom  acn oyu aorbate?le 'hastw wrgno ihwt ryuo ecom?tnm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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Gyl si al,orp eannAil si pnlornao nad i.yorhpbdoch nssiesMe eevcsanrotnionv ointtau.m eehTs AAs aevh rifeednft acielhmc ertesrpipo cwhih leda to deurisptd tpernoi gdlnoif rcaoned(ys re.tuu)crts rmSiial ot lGu - Val suntiuttbosi in ilkSce ellC .Desesai

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