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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 hknti ti sha mteigosnh to od itwh ciyenlg (ued to sit slalm zies ti anc fit in yman ceapls rewhe oethr ainom csdai cna nto and eench it rsdviope rtc“rtalsuu csomesctnp”a ot hte lonagecl, e.i. ptu a kink in the apalh le.xhi) fI iglycne is mceipdlas yb gsmniohet ,slee I odtn’ ikhtn aonloergp-cl acn omfr sti ecrrcot rscneayod utruse.rct

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jotajota94  Tru!e a,ols nclyige is 3/1 of alegolnc alaf ani,hcs os it ekmas seesn taht nsttuioitusb htwi ainlaen icw(hh is cmhu )ggbrei lwodu dlae ot opudsitrni in the alpha ilehx trmo.fanoi +2
jotajota94  eTru! saol, yeicnlg is 13/ of eogcllan faal saicnh, os ti skeam snese hatt otutntussiib ihtw eialnna hc(iwh si hcum egigr)b ulwod edla to snuotirpid in teh aphal lihxe orano.fimt +
thepacksurvives  lceynGi is msall and yb,end hwcih awlslo ti to mrof the sfbiirl rof het tprlie hlixe +
brasel  oslA in lrneaeg FA( 0281 gp 5)0 IO is rfom mlberosp igonfmr eth tlirep xlhei whhci is scnaodery urerutcs.t yeF,tlntroua etyh vaeg us ihnesmotg ot aesonr htiw in the utsoiqen A()&ly-algG;t +3
amy  Cna oeemnos eplh me darsdtunen hwy A is ?eriorcctn 02A2F0 peag 05: Tripel eihxl of 3 loancegl a sianch is efmdor romf olroglneacp iva eodhygnr adn dielsuidf n.dbo Is htsi yrve milrsia ot atwh A si ?Ac.rg bindie cDreedesa groyondnhd-eb ntooraimf nweeebt alnoeclg .lomeeucsl +
umpalumpa  The tainlnexpao evign by lsairlaatbwae loduc rwok fi teh sqieuont udlow sya -y;tg&aAll-G maou.titn Hwevo,er the enstuoqi ettass atth rhete is an Gy-&Aglt-la; ni.autmot +


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submitted by cellgamesgojan(43)
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I fgdue,ri inl-ycY-Xge si cyaltnhilec eonedriscd a y“mirapr aomni idca esrtrtucu fo a teinrpo” einsc the fdnioeinti fo a aymiPrr rruttuecs fo a teponri si “a aeirln icahn of omina aics.”d If ouy ssem whti hte Priraym surructe,t sa in the uosqneit ,mset yuo ancont fmro teh daSrecnoy esurctutr of eth prei,not wihch is eirmdedten by het yhgneonrdiog-ndb cwhhi srcuoc eeewtnb eht eitdppe knbcoeba, enenpidednt of hte R .pruogs I hepo tish daem snsee.

oFmr idipiekwa: “raSnedcoy srctuurte is rlfmoyla ieendfd by het pnttera of gdrhnyoe odbsn newtebe eht ionam gohdynre nad rybxclao yxoneg msato in the peeidpt knaboecb”. samphi(es mi)ne

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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 sugy dan i toqeu orfm opt.s.rbsww1totc-c0ossiep/moealit4ie/hohie/:dne//wmte2trusgtlafcerps

%0"9 hvea na iebneailtfid eingcet mtutonia O CL 1A1 dna OLC A12
acsues bonaarml eaoglncl ninclirskogs- vai a glnyiec ointttisbsuu ni the orlnoclepga uelmleco "

hihcw enams atht IO ash a gncyiel tionbssttuiu dna eefrrtoh tis nlueab to fmor a oercnsyda .strertuucu

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submitted by hungrybox(1277)
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Due to nygecisl' lalms e,zis it stecrae "sikn"k in teh iaonm cida .seueecqn Teseh knski rea endede ot ltcyocrer rmof eth nosydreac us.rurttec

trOeh :erasnws

  • d"wekaeen nieotcinart wetnebe eloacgnl and penrcaoyo"gtl - llncgoae + cpoyagrtnelo = .lrelgtaaci Teh ousqniet emts etmnonsi yman ecdefst ni NbEO (ytpe I ga)ecllon ubt no noimnte fo csefedt in glOTaeWclra (ptey II o)lalceng
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 +1  upvote downvote
submitted by basic_pathology(25)
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-GylY-X si oknbbeac rfo agcenllo lhapa a.ihnc 3 ecaonllg pahal hcnsai arpisl ot frmo teirlp hlixe. cGenyil ahs on R rgu,op nalligwo orf ftiyixlblie nda namtoirfo fo ptlier x.lhie oN nciylge erevpsnt siht ntnuiuocso rgn,piilsa pirgeentnv teh nomirfoat of allneogc reaydocns rrtcue.tus

aeclRl taht ec-phlashelai dan -shestebtae are alpxmees of sdonyeacr suerucstt.r Tshi acn eb htouhtg fo a siatoteiannfm fo teh paalh .hxlie

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submitted by an_improved_me(91)
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AhteorN yaw ot egt ta it si avi itlonmnei:ia

A. nogeyhrd nnoidgb wotndlu ellary hcagen cines theenri nnailea orn elgniyc are op.a lrB Gly &;gt lAa 'sdnotuhl gechna owh prileno is idfeodmi I( name it U,ODLC fi trhee wsa a rstcie icenahrnd ro tg,nhmeios tbu otn a egart wDr)n sea. ighnnto ot eitidacn taht gnlaocel eogriadtnde is areltde ni seoenrps to na AA btittons.siuu ol,As ni eth tonxtce fo OI whc(ih si the eestpngirn )i,molcptna ew alaredy nwko that eth bolmper n'odest ahev gitanhyn ot od ithw ndit,eaedgor mreo iwth hte hanecg ni ct/ntnsiu.uerrtfEc uo tyneosHl tnod' .ownk

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submitted by drdoom(1206)
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r’esHe noe awy ot teonirc-im-olseafpse dseracee“d dnobhrneg-ody :onmoftri”a Im’ otn a big afn fo stih inle fo aneosring, tbu lecchailynt annaeli as a desi upgro ash orme eronhgysd* rof altenotpi eyodhrgn obgindn than ylncgie:

ea:aninl —3HC
ieclnyg: H—

o,S ll”“,ycihtcean anenali loudw ipterm reom enhnyogdrob-d fmrinoo,at cwihh mithg oalwl oyu to nimaletie hatt hcioce.

htaT ,dasi it seems mlasto imssploeib to ruel tou itu(hwto evyr cltaneich oldekengw ro meos vodeipdr ieertelmpaxn tad)a hatt teh ytlhslgi rrgeal niaeanl odse not marpii ndoyrghe dgonnbi neetebw aelolgcn clesuoelm iav etisrc isat(pl)a recetr.nenief nI rlpeism re,mst ceisn iaalnne is r,aerlg you would kthni tath ti sutm mseohwo rfteneier hwit het egrghyd-oninnobd hatt ccrous ithw het ildwtype- igynlec.

---
iltct*ySr p,ksngaei tis’ not hte enmbru fo orndgeyhs tub oasl eht tsgrehnt fo hte loiedp ahtt acesiaifltt dnegyhro nig:dbon a ogehndry oudnb to a nrtlsgyo oanereitctveegl leumolec leki eournlfi ilwl ”eap“apr emro sitipove ,adn tu,hs d-ynbhnrooegd rmoe olrngyts twih a yebran xyngeo pedrcamo( hwti a ehorgdny ntdecnoce ot ,ocbrna ofr elpe)max.

rrhtueF egdn:air

  1. tlpe/l/c:uwgdmshrqecth.b..msiethedd/.pw/idohlnuwuh/up
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hungrybox  Aeicaptrpe eth otffer btu shti si afr oto nlog to eb fuu.sle +30
drachenx  uxbrgynoh si a iagferkn erhat +
drdoom  cnehrd@xa haha, h,an iogmnc kacb to hist i leaierz i saw lybraopb oe-nkigvereg oll +1
blueberrymuffinbabey  itn's teh yderghno bonidng ndeetnpde on het lathxoreyydd iolrpne adn ?ieysln so ahtt wtnlod'u yerall be het siseu heer cisne shote r'etna the asa nbieg ?teadlre +
drdoom  ueyrrbbel@ grAdcocin ot bAters’l BoCM ee(s nngTaest at ,t)rghi lyioeryxyndsh nad ypnehrylrxoiod cbttneroiu odrhgeny bdosn thta from etbween het hsnaic t“iar(n,cieh”n as dpoesop to -itnrhi;naca teh aihcs,n of ose,ruc aer taeesrpa ptd;eeypposli thta ,si pseaerta eoanlgcl sot;eiprn nad iotnnetisarc tebwnee rapatese haiscn tae[espar oeteyidpppsl] is htaw we allc t“ruyqnaaer cut”t;urser ees Tentgan aovbe.) dAn ni sthi ce,sa as yuo ntipo u,to hte tesm rscbdseei a ;gyGlta-&Al tsusiiobnutt. haTt esems ot nmae owt ni:hgst )(1 eth three eersptaa oclgalne iplppeetyods wlil nto kpc“a a[s] ”ytihgtl to ofrm hte pilter xlhei u=nrra(qtaye ucste)rtur ew lla nkwo and oelv dan ()2 loernip ngirs wlli afli ot ayler qtiue as gun,yls mgpisoionmrc the challei oimnoafnctro htat dsnfeei na aalhp inhac cr=eo(dnasy teut;rrcsu the pshsae thta fmor tihinw a linseg pey.plei)odpt +
tadki38097  aslo oyu cnta' H odbn hitw cobar,n 'tis ont alorp gnohue +
amy  2A020F P50 st:eta fmnatrooi of chcparelglw(hnoio is the liptre lexih sutrc)tuer vai dhreyogn and .lifdsdeiu So A si oetrcircn cb heetr aer no cnlelago seulolcem yet n2d( etursuctr snehapp at arloclenopg vlee)l +
drdoom  m@ay rpleit iexlh is a ntaqraurye estrrcutu c(esin retpil hxiel si a aesph ttha orsmf EETBENW aaresept ro dlt“au” agglorle/pcneoocnl-la ptsepd)ei. rirPmay, oycrnedas nad atyeirtr rusutsetrc era tiinedcssorp fo a neligs ltidop.peype Ocen uoy heva 2 or mreo eetypidlpops eianigncttr itwh ehac toher ..eg(, inmoolHegb )ulmceloe yuo aehv rynerqutaa ut.rercsut +

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 ghtmi eb ihornntevkgi it u,bt H dbno oatomifnr fo aas' emksa eht syrneacod tctrrueus fo the prntioe aegllco(n in stih ).csae heT lGy to Ala ouiitutsntsb sdoe sletur ni lsse H bodn amofrnto,i ubt of ulniavdidi 'aas nto nebtwee ocealgln eelucmlos ta(ht htmgi eb rmoe rfo auatqernry urtusrec)t

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lpp06  I nikht eth eky is ni hte nrseaw hpsnir,ga hte rswnea nnitmigone ndsb-Ho ayss opDitunr"si of os-bdHn eewtnbe acgoelnl muostgho"llA ecelhu nelglaco osed egnrduo Hngi-nobd ot pputrso eht relpti xle,hi tihs is dneo iithwn eht sema eoglalcn ulikLi.oeeg mcnnl rteefdinf nogacell lcmolsuee ocucrs avi teh nlisey - lysiyyrodxehn snlik done ni hte EMC +1
kevin  siht si hte oen mtemcno ahtt yafliln hlpede me annsrdeutd hyw ttha aws rcntero.ic nahkt uoy +


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submitted by j123(16)
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ryimaPr rtseutcur = nomia cdia rqSscueenac neeyod terrusuct = uturrtsec fmoerd wthi a gnleis omani acid qsneeuec tb(ae dlatepe et,she alpha le,ixh eerrTyt ic)at crueuttrs = mteulilp yrecandso rtrctuuess tcntrnieiga eetthogr mpli(eutl abet epetdla ehtess cdtasek on pot fo aehc ,hoetr Qa atrcy)enuterr cesrtrutu = prionet truecusrt ofdemr form lfdinog fo all iytrarte trcsueruts to kmae idnbgni tsi,es c.et

cSeni the naielna asw ptu in aplec fo het Geiyn,lc het ryampir cuttrrsue asw elbnau ot frmo na ahalp ilxeh escni lhaap xhile rusuresctt edne a aaicrrpltu csqneeeu lg(y - x- )y in orrde ot mrof derygohn odbns to ekep eht eihxl .ltesba

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 -1  upvote downvote
submitted by unknown001(9)
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ahtw is oclaenlg ? a rynsdcaeo oretipn t.trurcues

ehnw uyo mevreo g,linyec eht msot atnubdan nomia icad , frmo eth rrcrsupoe culolmee illw uoy get a eporrp ascroyned uctsrteur ? NO

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unknown001  noregi tihs +
drdoom  anc yuo ?ortaalbee s'wtha wognr iwht yrou ?monemct +


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submitted by lilmonkey(63)
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Gly is lra,op anelniA is onprlnoa adn choio.bhyprd eMssnies vionvrsonectane oumtint.a sTeeh AsA vaeh fneetirfd imhalcec reroesptip hihcw eadl ot urteddips rontepi idolfng naerodscy( setcru)tr.u maSiril to Glu - alV bnutosuitsti ni kcleSi llCe eD.iseas

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