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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 hktni ti ash hsiongetm to od iwth lcgniey e(du ot tis asmll izse ti anc tif ni aynm spceal hwree ohret ainmo siacd acn tno and chnee it peodrsiv tt“cruslura cnoscmetas”p to the onaglel,c .ei. tpu a nikk in eht palha lxe).hi fI iglcyne is laimdpsce by gohesmnit slee, I on’td thkin gnrlleocpoa- anc mfro ist rceroct aydcerosn .ruecrtsut

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jotajota94  erT!u o,lsa gneclyi is /31 of gaeolcln alfa naci,sh os ti emsak snees that sntiutisutob ithw linnaea (ciwhh si ucmh bggie)r uwlod adle to rpiusdinto in teh alpah lixhe anrotm.iof +2
jotajota94  !reuT al,so yeinlcg is 31/ fo lognecal lfaa in,chas os ti saemk sseen htta sobtuusintti tiwh nalnaie wi(hhc si umhc girgb)e wodul alde ot sintdiorpu ni hte apahl hliex tnoo.ifmar +
thepacksurvives  nlyiGce si lasml dan db,ney whchi wlolsa ti ot orfm hte frliibs orf het lerpit ihxel +
brasel  sAlo ni nraelge AF( 1082 pg 0)5 IO si fomr rlomepsb imonrfg eth tlprie lxihe hiwhc is dcrosyean tuure.ctrs ,ytoarueFtln yhet gvae us nhtmigeso ot ronase with in teh tosqineu -)(tal;gAG&yl +3
amy  Can meoenos lphe me nudstrdnea wyh A is c?inrecrot 0F022A egpa 0:5 erilpT xlhei of 3 clgaelon a ahsnci is drmfoe fmro onlrgpelaco vai hdyonreg and uddfsilie donb. Is ihts rvey simalri ot hwta A si dAig r.eicb?n eDdraesec bhrogddyen-on trfiamono btnewee eolglcna ms.coeulel +
umpalumpa  heT txnilaopena gnive by baewalrlatias olcdu work fi the tisunoqe ulowd sya -;lyG&atA-lg iuomttan. o,weeHrv eth nsqeuoti sastte taht trhee si an g;at-AlG-&ly ntiuomat. +


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submitted by cellgamesgojan(43)
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I ,iefdurg gY-eyci-nlX si nathiellccy eceinrddos a “ripmary namoi acid ertscutru fo a ipeotnr” neics hte eiiiofdnnt fo a rPmairy tcurturse fo a npetrio is a“ aierln chian of ionam is”.dac If you essm htiw eth aiPrmry tucurtes,r sa in hte qnseouit esmt, you ntaocn ofmr teh Sednraoyc csreuurtt fo het ,ptnrieo hichw si ddniemtree by het bnghod-ngeonrydi ihcwh occrsu nbeweet het deitpep anbeobkc, eneddtpnien of het R p.grsou I hepo shti adme ness.e

Form iiekadipw: yncorde“aS suurcettr is yarmofll edfdein yb het prttnea of dnrheogy bonsd wbneeet the noaim ydehnogr adn orycbaxl xnygoe omast ni hte edtpepi eobknbca”. seapsihm( e)imn

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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 syug dan i uqteo ofrm harhid/ccwetose4-t/emmorwltpiobiasesporfo:ics2tut0./wes/.ettpnl1/seg

%"09 ahve an infeatbeilid eneticg mottinua OC L A11 and OCL A21
cess au bralonma gaelconl issncgki-nrol avi a ecglyin sbtisuioutnt ni eht ocnalgeplor elmlouce "

chihw mnaes taht OI has a eiglcny ibssuittnout nda ehetrfor tsi nelabu to rfom a srdoeancy rtuust.ruec

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submitted by hungrybox(1277)
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uDe ot le'ngyics salml is,ez ti caerets ins""kk ni eth naimo iacd ees.enqcu Tseeh nkski ear eededn ot lectcoyrr romf het scryndeoa .ettrsucru

rtheO sne:swar

  • e"dwaneek irneactinot ebnweet nocealgl adn gtanpreoyo"cl - gacnoell + nlaryepcgoto = telri.glaac hTe eisnuoqt tsme itonmsne anym tecdfes ni OEbN eyp(t I lo)lacegn ubt no tneoimn fo dtecfes in lalcWraeTgO (epty II nglecao)l
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 +1  upvote downvote
submitted by basic_pathology(25)
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-YyG-Xl si bbaoknce fro aenolgcl ahlpa na.chi 3 coenlagl apalh ainshc plsrai ot mrof rtpiel l.xihe enyiGlc ahs on R urgp,o iwgoalln rfo lytiilbxfie dna fmonaiotr fo piretl h.ixel oN cnieylg epretvns htsi oncotiuuns p,agsiriln tnnevergpi the oftnrioma of nogelcla ncoaeyrsd trtrueu.cs

calleR ttha shall-ieahcep nda btetee-shsa rae leepmasx fo nedracsoy t.rutucesrs iTsh cna eb ohughtt fo a itioaentfsamn of teh haalp .hliex

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submitted by an_improved_me(91)
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rNAeoth ywa to etg at ti is avi :ilentnmiaio

.A oerydnhg bigondn utdnwlo laryle geahnc cesni rtihnee nlaaeni onr cynelig rae .oBal pr Gyl > aAl do'ntshlu ecnhga owh orniepl is omefiidd (I enma it O,CDLU fi herte asw a streci eahcinndr ro si,omgthen but nto a gater ws. )earnD gnthino to ditinaec atht elaolncg idgoearnetd si deteral ni eornsspe to na AA .nttobsutusii l,sAo ni hte otcntex fo OI iwhhc( si eht nesienptgr pcimtln),ao we adreyal wonk that eht bmlepor no'tsde vahe nyniathg ot do ihwt dentdogi,are orme twih eth cehang in ctr/uurtoeusc.nEn tfi lntyeHos 'ndot nk.wo

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submitted by drdoom(1206)
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re’Hse eon awy ot reetmnas-ieoosi-lcpf daes“eedcr hnydodnge-rbo :irt”ofmoan m’I ont a bgi anf of htis lien fo gonseir,an but cnaiehycllt ilannae sa a sdei rpguo ash mero dnshgyor*e for pnatlotie ednoyhgr dngoinb nath lyeincg:

nlniaa:e CH3—
ycige:nl H—

S,o ,clhl”tean“cyi lnienaa odwul eiptmr omre yh-ordnboedgn oan,fotimr ihchw hgmit lwaol oyu ot leitmniae htta ieco.hc

taTh s,iad ti messe msltoa iospmisebl ot eurl otu iwt(tuoh vrey lceaithnc okgedlewn ro emos pdrievod tmrlaeixpnee at)ad hatt hte isyhltlg gaerlr aalienn esod ton pamiir onghydre dongbin etenwbe laolecng eleouslcm avi ercist aap(s)lit e.cternfniree nI mesripl mr,ste sicen lnaiane si gerla,r uyo ldwou kinth htta it tsmu eoohmws efnrertei tiwh eht gednybornhgo-nid tath cscuor wthi teh deyw-plti leinycg.

---
*Syiltrtc ne,apigks tis’ not hte enrbmu of ydeghorsn tub olsa teh shtengrt of hte ioedlp ahtt elsaiiatftc ydhnreog n:ibodgn a yrngdheo dounb to a tnslryog vegttieneerloac umelolec lkie ionreful wlli aepa”pr“ rmeo spvioite na,d h,sut noedhg-ordnyb omre yorstlgn hiwt a aryneb oxenyg pcea(rmod twih a rheoydng oeecdcntn ot bac,nor rfo .emapxel)

Fetrurh dn:girea

  1. tgihhubs.dunmd.m:li/hwh.et/educsepq/.pdewpl/h/utlowrc
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hungrybox  aipepetrcA hte ferotf btu hsit si rfa oto nolg to eb u.lsefu +30
drachenx  yhbrgnxou si a rkinfgea ethar +
drdoom  n@ehdaxcr aha,h n,ah ocimgn ckba ot stih i eaezilr i asw baobpylr eie-neogvrkg lol +1
blueberrymuffinbabey  'tsni het hergydon oignbdn nepdenedt no the atxroelyyddh enlripo adn sl?niye os ttha nutdlow' leaylr be the essiu rhee secin ehtos ertna' eht aas ignbe el?edrta +
drdoom  uerblreb@y onrcdgicA ot rb’lAste MBCo e(es Testgnna ta g),ihrt xnyohrydisley adn rxlireyonydohp teuotbcinr hedngory bdson that omfr ewebetn het hacnsi niaher(n,t”i“c sa despoop to ain;ch-ntria het hasn,ci of r,sceou ear eataspre tleidp;pepoys htat s,i atrsepea nclagloe eionrsp;t nad cietanisotnr eetnwbe satraepe sihnac st[arepea spiepey]tldop si twah we clal trar“neuqya ”etuscutrr; ese ennatgT beoav). dnA ni sthi easc, as you tonpi to,u eht mste bscedsrei a ;g&aA-ytlGl ttsiuios.utbn tTha eemss to name owt sintgh: )1( hte tereh petraaes goclnael tieoleypppsd wlil nto kac“p sa[] iglyhtt” ot mofr eht pleirt lxieh eu=yraqnta(r )restturuc ew lal okwn adn vole dan )2( nlpireo nrsgi lilw laif to yrale tuieq as lynusg, moinorgipmcs het helcial ofcmonnatoir atht fdsiene an ahalp ihcna onscra=ey(d strueutc;r teh hepass tath mrfo wnthii a nsigel p)oit.deyplpe +
tadki38097  slao ouy 'atcn H donb ihtw bacno,r 'its tno plora hongue +
amy  2AF020 05P t:teas iomraotfn of nhewcclihlo(aorgp si eht letpir hliex tursret)uc iav gdyrhneo adn e.dlifsdui So A is rrecotnci bc erteh rae on ngaoelcl olumcseel ety 2nd( truerctus npesahp ta leglcopnoar l)evel +
drdoom  ma@y eriplt ehlix is a qurrentaya ettsuurrc csien( tlripe iehlx is a ehasp tath smorf WEEEBNT eratpsae ro uat“d”l llg/lgneocnaeolarcp-o es)ietd.pp yrri,Pam eyncroads nda traytier rrutscuets aer rcstnieoispd of a nelisg ed.ptyopepli cenO oyu have 2 or emro ppplosieyedt rtegnticain ithw aech htoer g..(,e emgbnioloH ee)colulm ouy ahev urnretyqaa tuces.trru +

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 ghtmi eb iogeitrvnknh it ,tbu H nodb noortifam fo 'saa kmase hte ecandyosr rtucutesr of eht prntieo (oegancll in iths ).cesa heT ylG ot laA tsusituotnbi edos seulrt in sesl H nbod franimt,oo but of viniluaidd a'sa not tweeben noclglae usolceeml (htat gthim eb rmoe rfo auerrytqna usr)rtutec

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lpp06  I hitkn the yek is in het warsen gpanir,sh het ewrnas tininoemgn oHdb-sn ssya it"ripuonDs fo -snodbH bnteeew ocnelgal uom hllAh"ectgeluso colelnag oesd nudgroe bdinnoHg- to stpurpo the tlprei ilxh,e tihs si odne iiwnht het smea ngllaeco ni.m leeLncgkliou rfiefendt nceallgo mcoueslle rucosc avi the lyesni - yhyxndryeslio ilskn onde in het MCE +1
kevin  sith si eth oen ecnmmot thta afnlliy epehld me deudtsnrna wyh htta saw no.cceritr taknh you +


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submitted by j123(16)
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Pryimra rrstueuct = onaim acdi qnececsu yaorSeedn ustrtucer = tsrrecuut rmfedo ihtw a selngi omani dcia cesuqeen (ebta dtlapee e,seht aaplh ih,lxe r )aTcriyttee erttucusr = itlplmeu sndyoaerc trursestcu atenrcgniti heoetgrt e(tulmlpi eabt edptale tesehs aetcdsk on opt fo each eh,rot e uan)aQrcyttrer serrtctuu = itnorep usturrtce emordf rfom dniglof of lal rttireay trtscuresu ot meka bindngi ss,tie tc.e

cSein eth nanaeli asw ptu ni pecla fo teh nlceiG,y eth ipmyrra srcturuet aws lnueab ot ofmr na lhapa leixh eiscn ahpal hlixe trsusetucr nede a pulairartc cneqseue l(yg - -x )y ni rerod to rmfo enhodyrg nbosd ot epke eth eixhl ls.tabe

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 -1  upvote downvote
submitted by unknown001(9)
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awth si aonclleg ? a sedyrnaoc ortnpie tsrutuc.re

ewhn uyo evmero ygcni,el teh smot aatndubn ianmo cdai , romf eht soprrurce ollecmeu wlli ouy etg a perpor sndecrayo ucesrrtut ? ON

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unknown001  egrnoi ihst +
drdoom  can yuo olt?eaeabr h'awst grwon iwht yoru mecnomt? +


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submitted by lilmonkey(63)
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Gyl is aprl,o alinneA si onlrnpao and dbhhcioo.pyr esesisMn cennoteanirsvvo .mtinauto heseT AsA evha nifreetdf ichaclme eorpirtpes ihcwh aedl to siterddup tiernop oilnfdg sednycoar( c)rues.utrt miSlira ot Glu - laV ibitnotsuust ni ileckS lelC .eiDasse

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