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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 nitkh ti has nesthiomg ot do whti icngyle d(eu ot tis msall size it nac tif in mnya palsce rehwe ohter mnoai dcisa anc tno and cnehe it ripsedvo ctslurt“rua etsac”osmpcn to teh na,llgcoe .ie. tpu a nikk ni het palha ehxi.)l fI lencgiy si paidcslme by ihgsemton see,l I tdno’ itnhk rnoel-agolpc nca morf sti rtceocr aosryednc uetrt.cusr

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jotajota94  True! ,laos gcleiyn si 3/1 fo noelglac laaf hsi,can so it akesm senes tath snitbtoutusi with eaaninl hh(wci si humc )eriggb dulow elda ot spuodnitir ni the laaph heilx oatof.inrm +2
jotajota94  T!eur ,losa lcneiyg is 3/1 of gnollcea lfaa sh,anci so it mesak eenss hatt nusoittitbsu hwit lnaenai ihhcw( is cuhm )egbrig uowld alde to sodipnurit in het lhaap elihx a.omitofrn +
thepacksurvives  iyncelG is mslla adn ,denyb chwih wolsla ti ot frmo the slbifri rof eth pliert ihxel +
brasel  olsA ni nlargee A(F 8120 pg 0)5 IO is omrf oplbemrs onmgirf teh tierpl hilxe hiwch is eycsnarod etcrsr.utu eFa,ornytlut tyhe avge us tohnmgeis to rnseao ihtw in het nstuqieo ;ly)A&Glgt-(a +3
amy  naC enmosoe ehpl em ddsntnurae ywh A si rerotnci?c 200FA2 pgae :05 pelrTi xihel of 3 egalnclo a nsciha is fmedro rmof lngorecolpa aiv ghdenroy dan uidsedfli odn.b sI isth ryev ialsmir ot tahw A is i?c .eirdngbA ecdDaseer oghreyodd-bnn ifratnomo tbeeewn egalnclo olelecm.su +
umpalumpa  hTe annaeltpiox niveg yb lwaesibtalraa cdlou rwko if the nqsiueto uowdl yas l--Aty;Glga& iomnuat.t werveH,o het uitesonq tsatse atht ereth is na ;-ylgla-tG&A uan.mtiot +


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submitted by cellgamesgojan(43)
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I drue,fig lgyc--YeXin si cenyitcllah oiecsedndr a rir“ypma namoi icad curtutrse fo a prtneo”i ciesn eth inindoetfi of a aiyPrmr uctrutres of a pnriteo si “a ealinr ihanc fo noima said.c” If uoy msse ihwt eht rrmyPai rucerustt, sa ni het sqteoiun em,st yuo tncaon mrfo hte ecrdonyaS utercsrut of hte oi,ertnp cwhhi si mdendteier by eth hidyorgeo-nngdbn hhicw orscuc bweteen teh peitdep cnobbeka, inedpnedten of eht R rpos.ug I ehpo shit amed s.enes

Frmo aewiidpik: d“Soceyran utescrurt si rflalymo nfeided by eth npattre fo ogrnyedh dbsno tewneeb eth imnao rgdhoeny nad oylcbxar ogyenx masto in teh eiptped aeobnkcb”. epsimhas( m)nei

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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 usyg and i qoute fmro i0b.isetr/pultsc/s/do2i:osec-ht/thowsw.tfirlmarpsnamo4w1peeee/etotgc

"%09 vhae an enltiieadfbi tngciee untmaiot OL C A11 dan OLC A12
sausec mraoanlb nllaceog sngrlin-ikosc aiv a ilcynge tssituiubtno in hte pellcagnoro cmoeleul "

iwchh asnme htat IO has a yncelgi utnisitbostu dan eorhterf sit ualben ot orfm a csorndyae tutrsue.cru

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 +4  upvote downvote
submitted by hungrybox(1277)
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ueD to 'sengycil amsll zise, it eacrtse sn"k"ki in het anmio adic cns.eqeue ehTes snkik rea ednede to ryortclce fomr het drnsaecoy eruursc.tt

tOrhe s:rwnase

  • anewk"eed tincianorte etbwnee caoellgn dan e"ytcnroaolpg - clleanog + alpogncryeot = atc.lialerg eTh iqeunost stem tensonmi mnya edfctes in NObE tpe(y I len)cgoal utb on tnmineo of fceetds in caagleOWTrl (yept II nelgl)oca
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 +1  upvote downvote
submitted by basic_pathology(25)
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lG-y-YX is ebbkcnoa fro onllacge aphal ni.ach 3 cognlale aahpl anhsic lsraip to fomr petirl e.xilh lceGniy ash no R rp,guo lgnoiwal orf eltliyixbfi nda motonrfai of tirlpe x.lihe No cgnliey nsprevet ihts unstuocnio ,niglipsra ngprveeint het ntioorafm of ecaolgln eraoncsyd .trctsrueu

eaRlcl ttha slaeahcp-lehi dan haet-tessbe aer exaplesm fo dorsanyce tursr.utecs Tihs can be uthotgh fo a snnfteitaimoa of hte lhapa .hlxie

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submitted by an_improved_me(91)
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ertNhoA ayw to etg at it si avi ininaoetm:li

.A hgeorydn nnbdgio olwdutn ayellr caeghn cisen heirent aeinnla rno ciyengl rea .Bpola r lyG &;tg lAa n'slotudh nehcag how lnrepoi is ddfiimoe (I nmae ti U,CLDO fi htere aws a seritc caidnerhn ro ohigmnst,e btu tno a ertag w Dnse).ra gnonthi to ntiecida ttah genclola redeodtgnai si taeerld in neopress to an AA ssottn.ubutii Aso,l ni teh ttxcoen fo IO hcw(hi si hte npertinegs ntm)ocilpa, ew leyadra wonk ttha hte epmlorb sndeto' aehv ntigyhna ot od wtih iertdoegdan, emro with eht agcneh in .uoE /enrustticfcuntr lHsteyno 'ntdo .oknw

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submitted by drdoom(1206)
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eeHs’r oen ayw ot ectriealmnoifoe-s-sp rsadceede“ gndn-borhedyo ftaoo:”nimr I’m nto a gbi fna of ihts ilne of ,srngeoain tbu ylcithanelc linanae as a eids ogpru has omer *ysdrgnohe rof eptiolnta oderhyng bondgni naht enyligc:

aanel:in —3CH
ye:gclin —H

o,S eatl,lcin“h”yc niaaeln wdulo mipret erom noenb-odrdyhg noimtaof,r hihwc hgtmi lwlao yuo to melieanti ahtt coehic.

tTah a,dsi it essem tmolas isbopismle ot uelr out iwhoutt( eryv icalehtcn eodwlgnke ro oesm rdvipoed extaprleenim dt)aa atht het lhgstlyi elarrg nleiana odes otn aipmir nedroyhg dnnibog etebnew anellgco lomceusle aiv siterc ata(lp)si tniefrrcne.ee In rslipem mt,sre esnci naniale si l,egarr you wdulo ntikh ahtt it tsum womohes eernteirf htiw het gndriogen-nhybod ttah ccours tiwh het -dyiwpelt ilyceng.

---
yrlitt*Sc ,spekaign ’tsi nto the erbumn of sdryengho tub oasl the tstrngeh of eht odlpei ahtt fstiailtaec gyhroend odingnb: a nregoydh uondb to a slonygrt roetvecgleienta loeuclme kiel nfeluroi wlli apea“r”p erom ipsvteoi nad, hs,ut odb-nnderohgy roem grsolytn ithw a ayerbn yxgone ocdamrep( tihw a reoghdny ecctnonde ot ocbnr,a rfo a.eelp)mx

rtreFuh egir:adn

  1. quuwpt/pd.gwe/.e:lluwhs/o.cch/hdestmneiphldtburidm/.h
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hungrybox  cAeartpiep eth ferotf ubt hits is arf oto olgn ot be uef.uls +30
drachenx  hbuoynrxg si a kefngiar haert +
drdoom  e@cdraxnh aahh, n,ah mgonci akbc ot siht i eriaelz i was lpabyorb rgeve-kegnoi lol +1
blueberrymuffinbabey  'sitn hte yehodrgn inobndg dnnpeeetd on eht hxtrdadyeylo leponir nad ilnsy?e os that dwl'toun rllyea be teh ssiue rehe sncie hseto at'ner eht asa nbegi eldr?ate +
drdoom  @lerburyeb orcidAcng ot ebAt’rls CoMB es(e Tesnatgn ta ht)gri, dilehsoxyynry nda ypehxonordliry tocretuinb negrhyod onsdb htta omrf etneebw eht shanci ni“ra,(htni”ec sa ppeoods ot a-anni;tcihr the cashin, of o,esruc rae apesarte epe;dptsoplyi ahtt si, eeatpasr aleolcgn npoesi;rt nda ettrinisanco eteewbn pteersaa hascni esepa[atr ylotep]pespid si waht ew allc uya“natqrre trretu”us;c ese netagTn bvaeo.) And ni htsi aces, as uoy ption ut,o teh smet bicesdrse a Aagt-lyG;&l ituubsiotnts. tahT emses to mean wto :itgsnh ()1 eht etrhe rspeteaa loaegcln lpdiptyespeo illw not “ackp ][as ”thigtly to fmor teh eltrpi lexhi =e(aruatqnry ectutu)srr ew lal kwon dna evlo nda 2() rolneip rngsi will lfia to aeyrl iteuq as gl,suyn scmginoipmor het icahell rtfnoacimono hatt ediesnf an haapl hcnia yoa=s(edrcn eus;rtucrt het hpaess atth ormf iwtnhi a gsinle pdeitey.olpp) +
tadki38097  sola ouy 'tcan H ndbo twih c,anbor 'ist ont plora nuohge +
amy  F002A2 5P0 tesat: matnioorf fo epowhlrnog(liahcc is hte eltirp eilhx ser)tucutr aiv gnyorhed dna eid.lsduif oS A si rocnretic cb hreet era no llacngeo ocseeluml eyt d(2n ttercusru apnehsp at eoargpcllno ele)lv +
drdoom  aym@ iprelt ilxeh is a eqayatnurr uteucrstr isnce( replit lhxei si a spaeh atth srofm TBENEWE aserpeat ro lt“”uda eopcalcllnagr/nooe-gl eip).dptse ariPmy,r enscodray nda eryirtta rtectrussu ear csieoirsptdn of a glensi tpopdy.lpiee nOec uoy vhea 2 or mero lisppyepdoet rcanitnegit thwi caeh erhot ge(,.. oenHmgoibl eoul)ecml oyu avhe auetaqnyrr ure.tutrsc +

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 hgtim be rvningihteok ti bt,u H bnod oaortfimn of asa' mkaes the odsaecnry ruteurcts fo het toprein olaeng(lc in tshi s)ca.e Teh ylG to Ala itttsuonsbui osde tlresu in ssle H obnd tom,nrofia utb of lvadnduiii as'a otn twenebe gconlael sleolmeuc (hatt gthmi be rmeo ofr quytearran truesrctu)

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lpp06  I nkith the eky si ni teh asrenw rns,gaihp eht eansrw tmnnngieio odH-bns assy tinrsiou"pD of -bHndso ebtwene algcloen "smgletlucu hhleoAo oalenlcg seod geoudnr -nnbioHdg ot psrtuop teh trepli ixleh, htis si enod tiinhw the aems gaoecnll lnkcleoiegn .Lmiu dffenrtie lclngeao eolmscule rsuocc iav the iselyn - xysrihnydeylo lnksi nedo ni teh MCE +1
kevin  hsti si teh eon etcnmmo tath inyflla edpelh me edrnnatusd wyh that was oir.cetrnc athkn ouy +


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submitted by j123(16)
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raPriym crsuttreu = onmai adic dSueaco eysrecnnqe ttrursuce = rrusuetct romfed wiht a nilgse oinma ciad eucensqe ateb( delpeta h,stee apahl e,ilhx ceT etta)rriy ucterustr = ieltmplu nceayrods escutrsrtu raitntinegc hrettgeo pm(ueiltl baet eapltde sheest dcaktse on tpo fo ecah ,eotrh )n reyetaQrutcar usutrerct = orpniet trtesurcu dmfroe ofmr nilfodg fo lla raeryitt rrtsucesut to akem gnbidin eist,s e.ct

ecSni teh aanneil saw tpu in palce fo hte clGy,nei eth rapimyr setcrtruu aws labenu ot orfm an hlapa xileh sienc lapah lheix ttucrsesur nede a rtiraaulpc enusceeq lyg( - x- )y ni order to fmro grodynhe dnosb to eekp het xiehl lat.ebs

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 -1  upvote downvote
submitted by unknown001(9)
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hawt is nalcogel ? a sndryoace eiptnor ercturus.t

nweh uyo vreeom ieglync, eht tosm nnuaatdb onami dcia , rfom eth cuoprersr eoelmulc liwl ouy teg a oeprpr cysoaernd trutuscer ? NO

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unknown001  gorein tish +
drdoom  anc uoy ?laeebtaor atshw' wongr wiht royu ?mmotenc +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG si aorl,p nleinaA si lrooannp dan o.dphhcrbioy siseesMn varvciootnseenn tti.nomau eehTs AAs heva tenerfidf cmilaceh prsretoeip hhciw dlae to trddipseu petnior ofglnid ocnyrads(e sc)er.tutru iirmalS to uGl - lVa tubitiosunst in Slecki Clle saDie.se

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