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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 ktnih ti ahs timsgoehn to do iwth cenlgyi d(ue to tsi alsml eisz it nca fti in ynma cplsae eerwh erhto moain iacds anc not nda hence it oepsdrvi casrtrut“ul sms”toccepna ot hte lganec,ol e.i. put a knki in eth aalph hixl)e. If eycinlg is eisalmpdc yb thesingom les,e I do’tn tiknh cnrol-lapoge cna orfm its roccert descyaron uucetr.trs

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jotajota94  True! sal,o eigylcn si 31/ fo eollngca afla iacnsh, so it masek snees htta ttusibnuosit hwit eaanlin (hhwic is cmhu ergi)gb ulwod aled to pdtisinrou in het plaah ixelh mia.ofnort +2
jotajota94  Teur! ,laos nlycgei si 3/1 of laelognc aafl ,cisahn so it smake essne that bostiuuitsnt tihw enlaian which( is humc i)ggerb wdoul aled to rdupoiinst in het aaphl elihx roaonift.m +
thepacksurvives  iGnelcy is asllm adn dnbey, chwih olwlsa it ot rmof het bisfirl rof het lriept ilxeh +
brasel  Aols in nrlegae (FA 1082 pg 50) OI is rofm omrpelsb irngfmo the teirlp xehil ciwhh si adrycenos utsrter.cu otyreluatn,F tehy evga su gmheniost to asenor tihw in eht stnoequi a()l&y-AGt;gl +3
amy  Can eseomno phel em dnduaertns hyw A is ocertr?icn 2FA200 aegp 50: Tpreil iexhl of 3 cneaglol a ahicsn si emrofd omrf lrcnloapego avi dorgneyh dan diefludis nod.b sI hsit evyr ilirams ot atwh A si n.Ar bi?ecidg caderseDe ydhdorb-ngnoe frmoatoni beenewt lcnloaeg moes.eucll +
umpalumpa  eTh axaepinnlto gevin by lalsbaraeaiwt odcul wrko fi hte sionqute owudl ysa a-ll-;ygAt&G n.iuoatmt woHvr,ee hte tueisqno etasts tath etrhe is an Gay&-t;lgA-l ni.umotta +


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submitted by cellgamesgojan(43)
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I ue,figrd Yc--nXiylge si ylneihaclct dincrdseeo a mparyir“ oamni diac rceuusrtt fo a noipter” ncsei teh ifiennotid of a rrymPia sreuttcru of a pnrteoi is “a ernial chani fo nomai ai”dsc. If oyu msse itwh hte ryPmria terusctur, as in teh siuentqo mste, ouy onatnc rmof teh onyacrSed tucsrteru fo hte eitp,orn hihwc si dmentdreei by eht oddgreinbo-nhgyn ihchw soccur ebewetn teh pdeteip bcnbkaeo, enedpindnte of eht R .uoprgs I ohep shit dame sne.es

omFr eipiaiwdk: roe“dyancS rutsrutec si rylamolf eiendfd yb eht rtpaent fo oyhgrnde dosbn beeenwt hte ioamn onyrhdge adn yrxcalbo xegyno masot ni eth diptepe cnbakboe.” p(hmsisae )nemi

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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 dna i eoqut rfom ioeaeteprlto-owcort.etswrwisd/mui/hs2tmctph.gn4so/abs/ec1e0ste:lfpi/

%"09 ehav na tiifeibanled iegntce mtiauont LCO 11A dna OCL 2A1
sescua mlrbnoaa ceognlla issnirog-lkcn avi a lingeyc ituutsosibnt in eth apgoclrelon loceulme "

whhci nsema atth IO hsa a glnieyc itstbinsoutu dna feethrro sti alnube ot morf a oaycrnsde .esttrcruuu

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD ot ciyl'engs lmsal ie,zs it retsaec ki"nsk" in the oniam cdia nee.ucesq eehsT nkski aer ddeeen ot rtcycloer fomr the canoresdy r.etstucru

eOrht n:sesarw

  • ad"eewekn inireacnott eewebnt eoalclng and port"elanoycg - llogaenc + ocrtgpleaoyn = ilc.letrgaa hTe oqenitsu mste esnitonm yamn tsefedc in NEOb pyet( I acolnegl) ubt on imntoen fo cestefd in crOTlegWala pty(e II o)canelgl
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 +1  upvote downvote
submitted by basic_pathology(25)
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G--YlyX is knbceoab rfo elcoalgn hplaa .cahin 3 lclegnao lhaap hicnsa lrispa to fmro ltrepi xleih. ceiGlyn sha no R o,prgu algnliwo for ilibxleitfy dna rmiotnoaf fo piretl exl.ih No ilgnecy verepnts iths ocunusitno ,alsnripig ennpgreitv eth iotafornm of lcglneao cdeanorsy c.rutrsetu

aRecll tath aesha-hcilepl dan aetebs-eths are aslmeepx of aoydnrsec ttusre.scru Tshi cna be tughtoh fo a tatfiomaninse fo hte paahl h.xlei

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 +0  upvote downvote
submitted by an_improved_me(91)
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rNehtAo way ot gte at ti si iav e:ltiannimoi

.A odyrenhg ngbndio todwuln ylearl ghnace niecs ntieehr laaenin rno liecgny aer . polaBr Gyl gt;& laA n'hodsult naecgh owh peionlr is dmodfiei (I aemn ti ,DLCUO if etreh wsa a sritce ndecrhani or ,isomnhgte tub not a ragte )rsDwe n.a nnihgot to eicitadn thta lenaoclg etdnrodgeia is ldratee in sseorpne ot an AA outntt.isbius ,Also ni teh txeotcn fo OI i(hchw si eth rgienpenst lntipo,)mca ew ayrlade konw atht teh meoblpr 'estnod hvae nhgiyant ot od hwti aot,dreiendg oemr ihtw hte acgneh in nuufunccsitt.ro/ etEr teyolHsn nodt' kow.n

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submitted by drdoom(1206)
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’resHe one wya ot ree-imolopae-ntsisfc rdeds“aeec ergo-nbonhydd ntoa:”ofmir mI’ ton a igb afn fo thsi ienl of sganirone, tbu lacnliectyh laneani sa a esdi rgopu hsa omre rneydhso*g fro tenpaotli oyegdnhr ndginbo anth ygeclni:

aenia:nl H3C—
eicl:ygn —H

S,o niccll”tea“,yh lannaei lwduo etrimp rome od-drygnbnohe naofiortm, cwihh hmigt walol uyo ot meitnalei atht .oehcci

ahTt sdai, ti smsee smtola mspbiieosl to eulr tuo hw(ttuoi yerv ciethancl gkwloende or mseo oedipdrv pratemnleiex tdaa) htat the lhsligyt realrg laeinan dseo ton apmiri rgnyoehd bnogdni eetnwbe clogelan euloelscm iav csirte slap)ta(i etcn.frreneie nI smlirpe ersmt, ncsie leaiann si rar,gle yuo duowl inthk thta ti mstu hmsoeow tenrifeer wtih eth -ggdbenhdyroonni atth rccosu wthi the diewytlp- ilecygn.

---
Stricty*l pnakiges, its’ tno the rbeunm of rdonhgyse ubt oasl het gsrehttn fo eht dipleo ahtt aifttaesilc goyedrhn ongib:nd a gednoryh udonb ot a stynolgr tvcernelotiagee eomuecll kile urefonil wlil ”eaprp“a emor ptisovei d,na ,tshu oednhno-rdygb rmoe ortlyngs wiht a ybrane xgneyo cmaep(rod thiw a edyrgnoh ndeneotcc ot rboacn, ofr e.alpe)mx

rFrueht :egnrdai

  1. eleu.tdqubsclcrd//h:e/th.i/l.wdgwenipmht/wm.sdopuuhhp
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hungrybox  tpcaeireAp eht tfoerf ubt htis is raf oot olgn to be fl.eusu +30
drachenx  uyrngbhox is a nfgakire ehtra +
drdoom  arxnechd@ hha,a ah,n mgnoic cbak to shit i rlaeeiz i wsa ypbboarl eegengivro-k oll +1
blueberrymuffinbabey  tsin' the hoyegdnr igodnnb ndndepeet no the hrlyytdoxade peionrl nad lye?nis os atht ndul'two rlylae be the uises heer inces tehso r'taen hte aas eibgn e?ledrat +
drdoom  uelb@beryr nAorgcidc to eAbrt’sl MCoB e(se egnTtnas at trgi),h yhryloisnxedy and onpildxhryryoe oetiubnrtc renhgdoy bnods hatt mfor enwtbee het naschi a“ethi,ci(”nnr sa dpespoo to ri;n-tihcana the ai,hsnc fo reuosc, ear sreaptae y;loieptppsde taht is, saepetar cogelnal ;pnrteiso adn tintcnsaoire wneebte ertpasea ashicn [asreteap espt]eylpdoip is hwat we llca aqenyrr“aut erutcs”r;ut ese etaTgnn vbeoa.) ndA ni stih aecs, sa yuo notip ,uto hte mtes seisbcdre a g-l&Gy;Atla nioubti.ssutt haTt semse to maen otw :gihnst )1( teh trehe sapeeatr cgaollen ldeppiypeost lilw not apkc“ as][ y”gtltih to rmfo hte teilrp hxlei qn(r=tyueraa )tersructu ew all kwon adn evlo and )2( irpelon grsin will lifa ot yaelr uiqet as ul,sygn isoomgnpmirc het alelhic maoioctnorfn ttah dinefes na hlaap cinha ydcanseo=(r trr;uteusc eth aepshs ttha mfor hintiw a glsnie li.depteypop) +
tadki38097  aols uoy 'antc H nbdo itwh boran,c i'st ont aolpr ehgnuo +
amy  2A2F00 0P5 astte: mnooitraf of wcchneolgrhpal(io is eht rletpi ihexl tuscetr)ru iva yenrhgod dan sdue.fdili So A si oreircntc cb tehre ear no acelgonl cluoselem ety nd2( urrtceuts pphaens ta cpealnorolg lvle)e +
drdoom  m@ay tipelr xlhei is a eqtuynaarr terutrsuc cnise( lprtie eixlh si a shpea ahtt rfmso NEETBWE saapeter ro “adtu”l lcolpecnreg-goola/nal .stpdeep)i mP,ryrai sndraocye and trryatie ustscuertr rae itsonrpsceid fo a linges lipdpo.ytepe Oecn yuo heav 2 ro oemr ipppteosydle inegrtctain thwi echa teorh .,.e(g oeigonmbHl luo)lcmee yuo evah eqtuyrnaar ctrutrs.ue +

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 thgim eb vetgkinrhoin ti utb, H nobd fonmtioar of 'aas maeks the sadyenorc urrusttce of the itprnoe loc(ngeal ni ihts s)eca. hTe Gly ot aAl nuibtoiuttss sode eslurt ni lsse H bodn o,nmotfira but fo luadinvidi aas' tno ntebwee cgeonall elmeuoscl (htta tihmg be emro rfo anyraeuqrt ucus)terrt

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lpp06  I hintk het yek si ni the nsewra hirspnga, eht wersan tgnioemnni so-Hndb assy pou"ritsiDn fo obdsn-H etewben naglcloe " uAsmholhtloeclgue eglncaol dsoe urndego ngoibH-nd ot uptrpos het irelpt ih,lxe tihs si edno wiinth hte meas glloacne ennlgki Lmocu.ile dtineeffr eallocng emlulceos cucsro iav teh elsiyn - rxydnisyhoyel sklni edno in teh MEC +1
kevin  tihs si teh neo cmmnteo ttha ianllyf dpelhe me daetnrsdnu ywh atht asw .nocrrciet tahnk uyo +


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submitted by j123(16)
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Pmayirr tutrrcesu = maoni icda equaodeSrc seencny csrruteut = uscteurtr efomrd whti a esingl namio diac sneeucqe a(etb teplaed ,tshee aaplh xhiel, )rtrait yeecT rctusruet = eltuplmi eyrocsand usectrsutr tarceinnigt getheort til(upeml eabt aledetp sheset atcksed on pot fo cahe ,hroet ntyrecQ rraeut)a rtstreucu = eptorin uretuscrt ofdmre mrof nfldogi fo lla traeiytr ueutctrrss to kaem ingdbni i,esst c.te

nciSe het nlnaaei wsa ptu in lcape of hte Glceiy,n the ypmrair rtrsuetuc aws nauelb to from an aphla hlxie isnec aalhp iehlx rtctusurse dnee a rrcalpuita eenusqec (lgy - -x )y in edror to rofm ndogeryh snbod to eekp hte ehlxi e.ltsba

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 -1  upvote downvote
submitted by unknown001(9)
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hwta is lecaonlg ? a dosynacer otenrpi c.retsruut

nwhe oyu emoevr iy,cnleg eht ostm dntanuba oamni idca , rofm eht rousecrpr ucloeeml lwil oyu gte a opprer recadnsyo rursutcte ? ON

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unknown001  ioreng shit +
drdoom  anc uyo aaeoebl?rt tsawh' wnogr tiwh oury to?mncme +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG si a,prol ilAnane is olrapnno nad idybcorop.hh sMsinsee naesevtonioncvr amont.tiu ehseT sAA heva dnfefreti cemhicla espprrieot hiwch dlae to disetpdur roetnpi oldinfg coydenra(s tcut)esrur. Sliriam ot uGl - aVl osutunisbtti in ecSkli lCel Die.ssae

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