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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 kinth ti has onmgihtes to do htwi gceilny (deu to its mlsal siez ti anc tif in nyma peacls eewrh rtoeh imano dsaic cna ont nda ecnhe it irpesovd s“ructualtr pssm”cceaont ot eht agclnol,e .e.i utp a nkki in hte lpaha il)xh.e If yegnlci is lcpmiaeds yb stmneiohg ,lese I dont’ ithnk logroecnap-l anc rfom sti rreocct ceosarnyd eu.utrrtcs

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jotajota94  T!eur lsa,o glinecy is 1/3 of coagelln aafl ncahs,i os ti aemsk essen thta itsuosuitbnt whit lanneai (ihwch is uchm ggi)ebr olduw dlae to ntdsiioupr in the hapla xeihl tiornofma. +2
jotajota94  ueT!r ,lsoa giylnec is 13/ fo lclgeoan alaf ,sacihn so it makse senes atth uiostntusbit itwh aaelnin (ihwch is uhmc )rbgige wolud lade ot srniodputi in the hapla xhlei a.tionrmfo +
thepacksurvives  nicleGy si mllsa adn be,dny whcih lsoalw ti to from teh iilbsrf rof het terlip lehxi +
brasel  oAls in eanlreg F(A 2810 pg 0)5 IO is frmo osemlrpb giornmf eht ltrpei lihex hichw si cyedoasnr reu.utrsct rtlFo,etuyna yhte aegv su gsmnoehti to ranoes thiw ni hte nitseouq l;(GA&y-tl)ag +3
amy  nCa eooesmn hepl me dnntaedurs why A si rt?oneicrc 020AF2 eagp 0:5 iTpelr helxi fo 3 geclalno a acsihn si drmoef orfm oplngaercol via hdrgnoey adn elfidudis nd.ob sI isth eyrv siriaml ot waht A is rAigd ?.becin dDreeseac -nhedgydorbon oftonmria bewtene collgane eullesocm. +
umpalumpa  hTe talxnnpaieo inveg by irabetasalawl could work if eth usotqnei duolw asy g;l-yl&Gat-A taontmi.u rovwHee, teh noitsequ aestts ahtt ereth is na -g&yalAGl-;t mntt.uioa +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I e,rduigf --eYlcniXyg is lnileycacth oernsicdde a prr“aiym oainm iacd tterscuur of a p”neoitr escin eth fiiendtoin fo a yarmPri ttscreruu of a toenrip si “a rnalei nicha of iaomn csai.”d If uyo sesm htiw het rmPiary tt,ueursrc sa ni eht squineto es,tm oyu noncta from the yeScarnod rtscrtueu fo the iope,trn hcwih si rtdeiemend by teh deng-dgonbioyrnh chwhi rucocs weeenbt teh ptiedpe bcnkbeao, pnddeenniet fo het R .sogpru I hepo shit dema esns.e

mrFo adpkeiwii: “aocdrSeny rrtestcuu is aymofrll ednfdie by eht epntrta of eyrgdnho dsbon eebwetn eth manio deonrhgy and xcryboal ygxeon tosam ni teh epepdit aokbnebc.” saihmpes( 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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ok suyg adn i tuoqe mofr ushhpr.g:/0/rso/wleoemaec2tiirttpm1lwosesta/foe-decscbinwep4.totits/

09%" vahe an idlnfeiabtei etigcne tuatnimo OCL 11A adn OCL A12
asecu s nraaobml anglolec nsioslrcng-ki vai a ilcenyg sottsiuubitn ni teh ooelnlgrpac eelolucm "

which esnma atht OI ahs a ligceny oiitustnutsb dan ofrether sti leaunb to mfro a yranseocd uects.urutr

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 +4  upvote downvote
submitted by hungrybox(1277)
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ueD to 'lecysgin llmsa se,zi it eesartc ksnik"" ni eth onmai idac eceqe.usn eehTs kikns rae eededn to ltycrcore fmro teh ydeanoscr rstutre.uc

htOer :sawrens

  • keenea"wd ciainetntor tbnewee ecolgnla adn otpoglec"arny - lnecgloa + artolcponegy = lcgaerti.al The tsoinueq tmse osnitenm naym stcedfe ni OENb y(pet I lnlc)aoeg but on mitnneo of ftceesd in lreTOcaaWgl p(ety II l)ngcaeol
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 +1  upvote downvote
submitted by basic_pathology(25)
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X--YGly si ocanbbke rof noagllce lpaha cai.nh 3 eocnllag haapl achsni alprsi to rfom lpetri xih.el clnyGie sha on R g,ropu awgnloli rfo bflexiliyit nad oftaomrin fo trlpei hxlie. oN ginclye pntrvsee thsi stnuocunoi iai,pnsrlg ngpnrvieet het irofntoma fo celogaln eocdasynr rrucett.us

laRcel hatt h-epehilaacsl dna tt-haeesebs aer pexeasml fo yaodscrne cttuerssu.r ihsT nac be houhgtt of a easiintofatnm fo eht aahpl hil.xe

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 +0  upvote downvote
submitted by an_improved_me(91)
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eAortNh yaw ot gte at it is vai tioienna:lmi

.A ehygrnod dbgnoni woduntl yerlla ecngah secin trneieh aalenin orn lcyiegn aer oplr.a B ylG gt&; laA 'duhnotsl ncgahe hwo ielnpro is eimfidod (I mnea ti DCOUL, if htere aws a trscie naihdencr ro eishnt,gmo utb ont a raget aw)e rDns. hgionnt ot dictniea atht elnogacl neideatordg si rdteeal in nrpseeos to an AA n.uiusiosttbt Aosl, in het ntecxot fo IO icwh(h is the girptnnese aml)otpi,cn we aaredyl onwk ttah eth rlobmep tdse'no vahe ihngtany ot do wthi ergt,deiadno eorm iwht the echnga ni n ctutioEe/rufucts.nr eonysltH do'tn own.k

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submitted by drdoom(1206)
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esHr’e oen way ot -sn-ateofsiclieoepmr eraedcse“d oyo-drnghnedb :aonmr”iotf ’Im not a igb naf fo htsi eiln fo iannsger,o ubt ichelaclnyt aialnen sa a sedi porug sah erom *rdygsohne rfo oletptina ygornhed gdnnibo hant lyneicg:

i:lnaean H—3C
:ieynlgc H—

oS, “ahillytcen,c” naalien owlud mitper rome ynbrdgdne-ooh imatnfro,o whchi gimht aolwl ouy to leieamitn thta cc.hioe

thTa a,dsi ti esems stlamo pimbilseso ot lreu uot wouit(th evry tncheical okewgnedl or osem ddprvieo erxnteeialmp a)adt ttah eth tglshyil raelrg alinane sdeo nto arpmii rhogenyd onigbnd betenwe olngelac ulmeclose iva reitcs tal(si)ap eeitre.cnrnfe In pmilrse tem,rs icens ianlnae si e,rlrga you lodwu thkin ttah it muts wosemho rineretfe itwh the gebryon-ghnioddn hatt crsocu with eth t-lyidwep ceilgyn.

---
tyiSrtcl* enskagp,i ’tsi otn eht rubnem fo rnheodygs but oals eht htsrgnte fo teh eilopd ttah efliiattacs dgnehyor g:bdnoin a oenrdghy ubdno to a glynsort neogartteiclvee lmueeloc ekil noierluf lilw epara”p“ omre otipeisv nad, tuh,s egn-yrdhonobd reom ntyglosr hitw a eyanrb gxoyne pod(cream itwh a rnogydeh etdccnnoe ot arcnbo, ofr epea.xlm)

rFeuhtr rea:dngi

  1. euqtsusdlhhrp/dod.c//mplnw..thtiguep.hclhwei:wmeu/bd/
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hungrybox  etpaiAcerp eth ertffo btu sith si afr too glno to eb lsfuu.e +30
drachenx  xuoybgrnh is a niagerkf ehrat +
drdoom  x@hnrcead ,haah ,ahn inmcgo kabc ot hsit i rlaieez i swa balyoprb -kgeeeionrgv oll +1
blueberrymuffinbabey  nti's teh gyenhord nogbdni eenedndtp on het yeadlrydhxto olprnie and li?ensy os ttha ondu'tlw lylera be het essiu ereh icsen hotes retan' het saa bgien trdel?ae +
drdoom  bry@erbeul cgAonrdic to ebl’rAts BCMo (see Tsanngte at rt)g,hi hydsoyrynixel and yoioxprhndrlye curitbteno oghndrey osdbn hatt romf tenebwe hte sncaih ctn”er,n(i“iha sa oopdesp ot catihnr-ina; het hniac,s fo ourecs, are psrteaae tleppdy;opise that s,i rapestae cageloln otsiepn;r nad srtontcieani eebnewt parastee acnihs pteaae[sr plseetopd]yip is what we clal nrryqateu“a ctsr”ruu;te ees aengntT eabvo.) dnA in isth ceas, as you tponi ou,t teh etms rceesbdis a &laA;G-lygt btnu.soititus hTat meses to nema tow si:tnhg )1( hte tehre aepraets oalcenlg ppdestyliepo illw otn ck“ap a[]s ”gittyhl ot mrof het ltripe exilh ayuen=trqr(a tru)utrsec we all nkwo dna oevl adn )(2 nroilpe gnisr wlil ailf ot elary eiqtu sa nsgy,lu pmcgrmoiisno teh ahlceil rmnoanitocof atth efdiesn na aphal nihac yoedars=(nc rcste;utru the shspea htta fmro nwihti a gelsin ppli.epyte)od +
tadki38097  sola uyo 'tanc H nbod htiw r,obcan 'its not alpor guheon +
amy  020F2A P50 et:tsa tminoofra fo riwl(hcphnogaeolc is teh rlipte elhix r)stuceutr via nogdyreh nad dufsli.die oS A si neoctrric cb htere rea no llagoenc scoelmuel yet d2n( rtcsueurt nppashe ta cnlaorpeolg elel)v +
drdoom  ya@m pertli xeihl si a yrtueaqarn etctrrsuu inces( retlip iexlh is a aehsp thta rmfso WENEETB aatprsee or ”dalt“u nnaecoag/clgoo-pelrll .eetdpi)sp rPr,myia cosynerda dna territay rtcsueruts era insocedirtps fo a ilgnes epeloip.ptdy cneO yuo vahe 2 ro oemr leedpyitposp nctitnirage with heca tehor e(g,.. ngmeHibloo )cleemulo yuo hvae yqanrtraue ucttue.rsr +

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 higmt eb girkovnhtien ti u,tb H ondb faotnirmo of a'as kmsae het ndyrescao rturuestc of het nprtieo gal(cenlo in hist .)sace hTe ylG ot alA oiissutbuttn seod slretu in sles H obnd roaiofnmt, ubt of iailuvdind as'a ton nbteeew nelgocla oluclmese (atth himgt be rmoe fro qetnuraray returcstu)

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lpp06  I nkiht eth eyk is ni het erasnw hspigna,r the nersaw gnitieonnm obnHs-d ssya "purisDinto of -sonHdb tnewebe gnclaleo huot"loglu ecAhslem aclnloeg seod doegnru ingdnHob- to opsutpr eht ritple xlhi,e sthi is edno winhit hte esam ngllceoa inueLkgml.lineoc erdefnitf aglenloc coulselme crsocu iav het elnisy - lrsxiyyoedhyn niksl edno in eht MCE +1
kevin  ihts si hte eon nomtmec htat inlylfa lheedp me nddeanrsut wyh hatt asw .rrntcecio haktn uyo +


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submitted by j123(16)
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yrraimP tsurertuc = aoimn iacd yu eeSanrconqcesed tscuruert = utrscetur morefd thwi a igsnel miona adic cuqneese (eatb delapet t,seeh aphla l,ehxi rietcTeryta) ucttresur = metpillu doacysnre setrrtcusu iagtnncriet ettgoehr eptll(imu eabt eptadle tseesh ckstdea no tpo of chae r,htoe te)Quryecarr tna urcestutr = eptnroi tetucurrs foedrm fomr nilfodg of lla trtyerai reusttcurs to aemk diignbn tises, .ect

Since teh lnianae swa put in aecpl fo hte cn,lGiey teh mrpariy rsrutuect wsa nalube to fmro an aphal hlxie nisec lhapa exlhi tcsreuutsr dnee a raciptaulr ceesnueq gyl( - -x y) ni oerdr ot fmor odynherg nbdos ot epke hte exhli a.tblse

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 -1  upvote downvote
submitted by unknown001(9)
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wath si naoelcgl ? a oersncday ronteip .uttcuersr

hwne you meoerv glcen,iy hte smot atnndaub amoin idac , ofmr hte pcruresro celomeul illw yuo etg a reropp odesrnacy secuurtrt ? ON

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unknown001  inrego ihts +
drdoom  nac yuo a?treaelob h'atws gworn twhi yuro ecmtn?om +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl is raplo, eAaninl is lnnoorpa dna p.oycibohrdh ssseinMe iscnoreonavntve ua.ntiomt seTeh AsA aehv rfeitefnd claemihc petporrsei whihc eald ot pseitdudr tponier odgnfli snoyacdr(e t)esrruct.u mlSaiir ot ulG - Vla sstitubtunoi ni ciSkle lleC sai.Dese

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