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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 nhkit it ahs itosmehgn to od tihw cnyglei deu( to tis mllas eisz ti nca itf ni nmay aplesc rwehe ohetr ioanm sdcia acn nto nad neceh ti oisdperv lcarsu“rutt emso”ntsaccp to eth o,nlgalce .ie. utp a kkin ni the alhap i)xle.h If ygcneli is amlpesdci yb snmigoeht le,es I tndo’ khnit r-cgaploolne nac mrfo sti otrrcce edyocarsn rutecsr.tu

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jotajota94  !eTru las,o ingcyle is 1/3 of aolgcenl alfa i,anchs so it ksmea seens htta biousntusitt wtih alienna iw(chh is chmu )riebgg dlwou edla to dinrtpoisu in eth haalp ixlhe oftoinrma. +2
jotajota94  !eTur a,los ylcgnie is 13/ fo geclanol lfaa csa,ihn os ti skmae nesse htta stoutbnstuii with eiananl (hciwh is uhmc bregi)g loduw dael ot oiiprustnd ni teh aplah elxih mtinora.of +
thepacksurvives  nieGcly is lslma and yben,d ihcwh aolwls ti to frmo het iibrfsl orf hte tiprle hexli +
brasel  loAs in rneagle AF( 8102 gp 05) OI si ofrm slomrepb fniomgr eht tlpeir elhix chwhi si enycdorsa crretu.ust lyernaot,utF eyht agve us msinoethg ot senoar thwi in hte tieqsuon )A-tG&lglay;( +3
amy  anC onemoes elph me rauntsdned why A is oierctr?cn 20F02A gpae 0:5 irpeTl hxeil fo 3 galcelon a iasnch si erodfm omfr galeocloprn aiv nrghdyeo nad uidfleisd dbno. Is stih yver rmaiisl ot htaw A is irec?g .dbniA esdDraeec nyednbg-rohdo onfotimar twnebee nelogacl euls.lemoc +
umpalumpa  heT epailannoxt ivneg by aeiaabwlartls locdu kwro fi het tiesnouq ldouw asy Ga-g-Atyl&l; nio.mttua w,vHeoer eht etqnousi ttsaes thta hrtee is na y--;g&lAGlat .uatmntoi +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I fuidrg,e lX-g-icyneY is yltlceicanh nrodeesidc a ipry“amr onima icad eturrucst fo a i”etporn scnei hte tdnnfiiioe of a Pyamrri uercsuttr of a pineotr is a“ ilenar iacnh of noiam ”si.dac fI ouy ssme hitw the yPamirr s,etctrruu as in het einqstuo ,tems uyo nancto mofr eht rcodneyaS rtucsreut fo hte inpte,or iwhch is mnderteide by hte gndnegnir-doohby hhiwc uocsrc tbwneee hte ptepide banebcko, epenednndit fo eth R gurp.os I oeph shit edma seens.

romF akwiiedip: eroSdcnay“ esturctru si mloalrfy eeinfdd by eht rtepatn of gorydenh bnsod nbwetee hte aniom ynegdohr nda ayolbxrc geonxy osamt ni hte peptedi naebokcb.” sphmiesa( neim)

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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 sygu nda i teouq morf lhtgbhes:.lo/-4foeeapio/dcs0iiw2tspwoer.atttmtpicrsm1es/nureecoswt//

"%90 eavh an iibtfnleiead ecgietn inotamut COL A11 and COL A12
esausc arblmano loealngc nrlsicgks-ion vai a iclgnye itubsnstoiut in eth gapoorlelcn emlelouc "

cihwh esnma htat IO sah a ygilecn utsbiotuisnt adn erefthro ist elbnau ot rmfo a rancoseyd cuus.turret

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submitted by hungrybox(1277)
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Deu to cesiynl'g lslma zse,i ti acsetre nk"k"si ni het mnioa dica sen.cueeq These nkski rae eednde ot ltecyrocr mrof het deoynascr tsrtuuc.er

trhOe wnsar:es

  • "aneeedkw icnatnioert neteebw genclaol and lco"agrtpnyoe - oealcnlg + potlngerayco = crlteiag.al eTh oqtuines esmt osmteinn myna dtesfce ni bNEO tey(p I )onllecga btu on netnmoi fo esdcfet in acaWreTOllg eyt(p II agll)ceno
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 +1  upvote downvote
submitted by basic_pathology(25)
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--yYXlG is banboekc orf elnaolcg phaal nc.iah 3 lloecang aalph ansich lsprai ot rfom trleip x.ileh lyecinG ahs on R pgrou, lgnliowa orf efyiblltiix dna ionartmof of plreti lie.xh oN yinclge prevesnt iths uutoicsnon ars,lgiipn nneietrgpv teh oiomanrft fo laclgoen nacdyrseo u.rtceruts

clealR thta chhlpeaeslai- dna te-tashebse aer lpaxmsee of adsencyor trr.scutesu ishT can eb gthotuh of a msetitanifoan fo eth palah x.ilhe

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 +0  upvote downvote
submitted by an_improved_me(91)
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oheNtAr way ot gte at ti si via ieliatmn:ion

A. nyrhodge ngnodib dotnwlu yelalr ehcnga ceins nhirtee nainlae nor cinelyg era Blar.op Gly t&g; Aal slndto'uh gahecn owh orelnip si efiidmod I( nema ti DO,UCL fi eetrh aws a sitrce cdnrnheai ro o,ntemgshi ubt otn a rtaeg nseaD w).r tgninho ot aedicnti ahtt olclaeng rgiodeendat si derlate ni eponsesr to an AA i.ussbutontti lsA,o in teh ntexcto fo OI (hihwc is the ienegtrpns nmt)ipcla,o we ldyreaa konw ahtt het bmlorep edots'n aehv nyhnitga to od whit eoddinrtega, mroe with eht aegnch in /crtfnttoircn.es uuEu nlHsyteo tndo' wn.ko

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submitted by drdoom(1206)
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reesH’ one awy to eecrseooil-i-stfanpm adeserce“d ogyrodn-ebndh to”:nfarmoi ’Im not a gbi fan of hsti inel of oai,rsnnge btu caectillynh anielna as a isde pougr sha orme sod*nhgeyr orf pltienato orhndgye dnbnoig anht incgely:

eanialn: C—3H
l:yecing H—

S,o ectnc“halyi,l” nanleai lwuod mripet emro ogbdoynder-hn ,ofmraiotn hwhic gimht woall uyo ot ntemielia that eocich.

athT si,ad it seesm smtaol elbspoimis to uerl uto twtui(ho very htecailcn delwnokeg or esom dpveodri nitmeraelxpe adat) ttah hte shyigllt eglrra leaanni dseo otn pamiir ghryedon nndobgi newebet eglonalc eelsclmou via sertic t(asa)pil etr.nreienfce In limsper rm,ets icsne lieanan is egrla,r ouy oduwl nktih ttha ti stum ohwemos efeernrti ihtw teh eighybdnr-noongd atth scocur twhi the pd-yliwte igyncel.

---
*iyrtSclt ksn,peaig ’its nto het rbuenm of heoynrgds tbu soal hte thtsgner fo eth podile htta aitifacsetl heorydng gninod:b a ehyrgdon bodnu to a logsyrnt egeitlonvtcaree uolemcle liek efliroun iwll area”p“p oerm itvoeips and, u,hst ed-hrydnoonbg eomr lnstgyor htwi a nyreba ognyxe mrpedo(ca iwht a ngehyrod cncneodte ot ob,nacr fro epal.e)xm

ureFthr andiegr:

  1. cspueulh/t.d.gmles/utddrww/mietqpduhnbhl.c/wohe:/i.hp
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hungrybox  ecAerpptia teh fofret tub sith si arf too long to be u.sfelu +30
drachenx  xruygobhn is a neiagfkr rteha +
drdoom  cadeh@nrx ,hhaa an,h mcnigo cabk to hits i aeeilrz i was loabybpr er-gogivnkee llo +1
blueberrymuffinbabey  nst'i eth ygorhnde gdnoinb dpteenend no the rxhydtodyeal rlponie nda ise?lny so thta uw'ltond ylealr be teh esisu here sicen ohets a'ntre eht saa nibge deear?lt +
drdoom  err@bbulye icncAgdor ot tbrA’lse MCBo (ees naTtnsge ta )itrh,g oylysheydrxin and odyxnohlirpyer ecrobiutnt rohgndey nsobd ahtt romf neewbte teh haicns a(hin“e”tcr,ni as pdosoep to a-hr;acitnin het ncaish, fo coe,usr are tarepsea plpedseypio;t thta i,s asrptaee laeonclg oenrtpis; adn iotnesairntc ebetewn esetrpaa hisacn rtpee[aas yoeppldite]sp si hatw we lcal enr“yartauq urc”etutr;s ese gntTena baveo.) nAd ni iths c,sea as uyo topin o,tu eht stme escsdierb a &;atlgy-AlG sitsitobt.unu ahtT semse to mean wot g:thisn ()1 hte rteeh artseape gaolnelc iydposeelppt iwll ont k“apc a[s] g”tlihyt to form eth elpitr ihelx taer(ryqanu= urtt)screu we lal ownk nad ovel adn 2)( ienlpor rgins will flia to yeral eutqi sa s,gulny griisnmpoomc hte ealhlic ioctranmonof tath sefndie na hpaal cahni r(de=yansoc urcuet;srt eth hsspea htta morf wihtni a gselin t.yd)poppleie +
tadki38097  also uoy ntca' H dnob itwh acb,nor s'ti ton rlpoa hunoeg +
amy  2AF200 5P0 eatst: tomrnafoi of (leiwachonhlrpcgo si the tilpre helxi trsetru)uc via ngodehyr adn .uifilsedd oS A si ertconcir bc hrete aer no ceallngo luoeeclms ety 2dn( retscurut pnsaehp at gcnarepooll )vlele +
drdoom  @amy ipelrt lxieh is a trynraeqau urttcusre iec(sn ptelir lihex is a ahesp ttah srfmo NETEEBW sapetrae ro uldt“”a lneearagollocnoc/-lgp eped.ti)ps ryPma,ri coeydsarn nad atetyirr usrttersuc rae oiicdnrspets of a gnsiel oie.eydtlppp cnOe uyo aevh 2 ro omer ypleseiptpod ectrintngai ihtw cahe tohre g,..(e oegbimolHn loumclee) uyo ahve ryarnuetqa rstrc.euut +

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 tgmhi be nkgonhireivt ti t,ub H onbd ftimoaron fo aas' kasme the sencodyra ertsucurt of eht rintoep oaelncgl( in stih )aces. ehT yGl to aAl tubisitunots sdeo rslute ni sels H dobn oafi,mtonr utb of nididuvali 'asa ont wenbtee lngaecol eesomullc (tath itmhg eb eorm for uyreaqartn tcestu)rur

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lpp06  I tknhi the kye si ni eth sraewn sig,nprha eht erwans ennomnigit Hdbnos- ysas suo"pDiitnr of nbHso-d teeebwn glnoleca hhAelcueo lmsutolg" loeacgln seod rungdoe bio-nndgH ot rposutp eth piertl xhiel, iths is doen ihnwit the msae ncoglael ueLck.n meoiilnlg fienefrtd eaclgonl mlsleeuco cosruc iva eth synile - sehyyloixndyr slink eodn in eht CEM +1
kevin  iths is hte one nmmotec that nflaily hdeelp em rdnunstaed hyw ahtt wsa onerc.ctri hatkn oyu +


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submitted by j123(16)
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rraPiym ctsurretu = oanmi idac nsaurdq yecnceeoSe urrtucste = etrurtusc mdreof hwti a neligs noima daci sueeqecn eb(at eptlaed ,etesh phala ,lxeih eyr aic)eTttr ecrtutrus = leumitpl ernycdaos sttucrersu rtianitngce gothrtee pimulte(l abte tadeelp estshe skadcet on pot fo ehac hoetr, eerya trrc)tQuan sueucrrtt = tpniore ettcrusur mfdero rfom ilfndog of lla tearyitr rrteustscu ot eakm ginidbn setsi, .tce

Secin the elinana aws utp in plaec fo eth ilc,ynGe het yirparm tucurrtse swa ebuanl to mfor an aahlp hliex nices hpala xleih urstsceurt ened a tclrpiuraa qeunesce y(gl - -x )y in reord to fmro eyndrohg bonsd ot kepe hte lehix s.etbla

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 -1  upvote downvote
submitted by unknown001(9)
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htwa si nglolace ? a aecyrosdn opeirtn .esurtrctu

wenh oyu mvreoe ,ylegicn eht smto tubdnaan aoimn diac , omfr het scrreurop elolumec lwli uyo teg a prrepo oarcydnes ututcrsre ? NO

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unknown001  iogrne tshi +
drdoom  anc you trleboa?ea swt'ah nrgow tiwh ouyr cmtmone? +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl is p,ralo lAnniae si nropaonl nad hy.rbdchooip ssniMsee ensvonctaoreinv nttimuoa. hseTe AsA ahve eftfedrni hecimlca rrppteiose hwihc leda to upedsrdti penitor ngfliod eds(raynco .sert)utcur liarSim to lGu - laV sinuitsbtotu in Seilkc ellC Daes.sie

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