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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 kinht ti hsa ntghmoesi to do itwh ceyinlg edu( to ist mllas zsei ti acn fti ni many alecps wehre reoht nomai cidsa acn nto and ehnce it rpvoiesd caltru“tsru smcsepac”ont to the clon,ealg ie.. tpu a knik ni het aahpl .eh)xil fI iycngel is mplscaide yb hnsiemtgo ee,sl I dtno’ ikhtn gelpcrlan-oo acn orfm sit rcreoct aescynodr su.rtutcre

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jotajota94  !uTre o,als cyngile si /13 of lceglona lfaa isnac,h so it kmesa eesns htat ontututsbsii with ilanaen hwic(h si chmu b)iergg udwol adel ot disnturpio ni het lahpa elhxi oaimnort.f +2
jotajota94  uerT! lsoa, ecilnyg is 13/ fo acnlelgo fala asnhi,c so it saemk senes tath btsstiutiuno hwit anailne (hwcih is uhmc r)begig oudwl ldae ot trospdniui ni eth haalp exhil timfoan.ro +
thepacksurvives  lncGyei is llsma nda eydn,b whhci llaswo ti ot from the lsfibri for the rpltie ixlhe +
brasel  olsA in elernga AF( 1280 pg )05 IO is mofr pombrels rnogimf hte rltpei eixlh wichh si nydorcesa tresucr.ut atorneylutF, ehty aegv su entomhigs to orasen thiw ni eht ietusqon ;aA-)>yGl(l +3
amy  anC onmosee pelh em tnnurdsade hwy A si eicrrtno?c F20A02 aegp 50: ripelT lxihe of 3 lanelogc a nicsah si omfrde ormf lpgoacnelor iva dgyheonr adn efdusliid b.don sI hsit rvey riaimsl ot awht A si igbn?edi.Arc aesdcreDe nnh-begdyoodr fotionarm nbeewet ecnaogll ec.smeoull +
umpalumpa  The xoepintlana ngvie by albliawaesrat lcudo kowr fi teh otisuneq wuldo sya lAla;yg&t-G- aunomti.t evor,weH eht tqsneoiu taetss ttha heret is an &-;ytlAGgal- onut.mati +


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submitted by cellgamesgojan(43)
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I rgeifud, Y-gnlc-Xeyi si ciyalcelhnt inerodcsed a myriar“p omani cdia utrctersu fo a ine”ortp insec hte iindeotinf fo a yirramP teurrcuts of a neptrio si “a eralin nchia of nmaio c”d.sai If oyu sesm wiht the mayirPr ,usutrcrte as ni teh sntoiqeu ,stem ouy actonn frmo the Syceanodr uurttrces fo the npti,ero hchiw si rtmeeinded by het idhggyonendno-rb iwchh sccrou ewteenb hte ptdeiep nkebcboa, ienndedpnet of eht R g.rspuo I hpoe sthi aedm sesen.

From kpwdiiaei: edcaSo“nyr eusurtrtc si mlyaofrl nfdieed by teh tpnaert of ydorgehn nsobd ebenwet eth aoimn enrydgho dna yxlabrco nxgoey amsto ni hte idptpee baebknco.” shai(emsp m)nie

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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 ysgu dna i toeuq rofm mnl.eioriupfot4/pede/ht-ewht2trie1i:smt/e.toassclspwcro/coge/sb0sawt

"0%9 eahv an ieenfitlaibd gcnetie notituam L CO 1A1 adn COL 21A
uaessc mroalban lglnecoa k-nssiolirngc vai a gycinel tttsiusibuon in teh oopaclnelrg eolelucm "

hwhci anems htta IO hsa a incgeyl tssnoubuiitt nad hrtfoeer sit ebluan to fmor a syonrdcea tutrr.uucse

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submitted by hungrybox(1277)
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Due to lsgyc'nei lmsla es,zi ti acteser ikn""sk in the monia caid cenus.eqe Tsehe kinsk era eednde ot lrtyeocrc mrfo teh yeadoncsr retrcuu.st

Oterh sne:wsar

  • "deknaeew antiointrce benwete olcnagel and nyarltogceop" - ngolceal + ctngypeaolro = ilrcae.lgta eTh osuteinq tems insnmote naym ecedfts ni NOEb (pety I )enlaolcg but on tnonmei of cfdeets in rgeTlOWacla eypt( II ae)goclln
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 +1  upvote downvote
submitted by basic_pathology(25)
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X-lYGy- is bbknecoa ofr ceoalngl alaph cnhai. 3 agnleocl haalp saichn iplras ot omrf erplit hil.xe nGeicyl ahs on R ,pgruo nagliowl ofr yilbtfixlei nad orfamotni fo itrpel e.lihx No inyglce pnrvetse tsih inotsuucno gilp,sanir irgnpnteev the roamtifon of llenaocg ndsaycoer sctrt.euru

Ralcel htat lpelsaahci-he nad aeshesb-tet rea exlsmaep fo acnyoedrs s.etrsturcu sThi anc be tohtghu fo a nfoatnsatemii of het apalh .hxiel

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submitted by an_improved_me(91)
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rNohAte ayw ot get ta it si via onetiin:aiml

.A oreygdnh gbidonn notudwl lleayr gnceah cnies nritehe nnaaeli nor yilgecn are op. rBla ylG t&g; Aal 'tnsohlud ghance owh lnropei is ifemddoi I( nmea it DCLOU, fi ehtre asw a tcseri hdnearcni or sotnmihge, btu ton a rgate a).D wrens gohnint to aitdcnei ttha glnoleca rgeiddetano si aetedlr in opssreen ot na AA suiustboti.nt lso,A in eht xceontt fo IO (hwchi si eth nitsgnpree tlaonic),mp we yreadal wkon atth teh morpbel 'neotsd veah anghitny ot od whit ortndaedegi, mroe hwti hte change ni cctuure nsir/E.tfuotn nyoetslH ndo't ow.kn

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submitted by drdoom(1206)
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er’sHe neo yaw ot ailfoeesprco-ntesm-i c“seareded bndgrhynood-e ”oimafton:r I’m otn a igb anf fo stih nlie of eri,gnsoan ubt ncalctyhlei ileanan as a esid grpuo ahs eorm osgne*dhyr orf poetlnati eogndhyr inogndb hnat yngielc:

:naelain H3C—
:ielcgny H—

,oS t,ie”lhnc“ylac lnnieaa loduw iprtem reom oodb-hndgyenr iao,fnrmto iwchh himtg llowa yuo ot metaelini htat ecicoh.

Tath as,di it essme tsmlao esopliimbs to uelr otu hitwou(t eyvr acnelhict egnwodelk ro emso redvdoip inrlepetxaem tada) hatt the yglhtisl gaelrr ilanean dseo ont mpiari enyodrgh onbnigd wetnebe eolcngla oleumelsc vai retcsi ()slptaai .rneteenecifr In lspeimr terms, eicns nienlaa si glra,er uoy lodwu nithk tath ti tsum eomshow ietfrerne iwth het onnndybe-igrhgdo tath crsuco htwi teh dlypiwt-e cginyel.

---
*cltSrtyi p,gsnieak ist’ nto eth rnubem of gyhsrdoen tbu also the nhtertsg of hte oidlpe ahtt escalitiatf gyordhne gdobn:in a nyghedor oudbn ot a otrygsln releaevgiectton leoceulm liek ioluefrn will par”pe“a mreo spoietvi d,na hs,ut dneonr-oybgdh moer srntoylg whit a raneby gxneyo erap(cdom ihwt a eyrnghdo deetnncco to car,bno orf mp)xal.ee

etrrFhu edin:gra

  1. /uwhp/.dehuqmllccldh/rbgpdditetwsu/em/uipn.wesoh:..th
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hungrybox  ceAppetari het feftro tbu isht is afr oto onlg ot be f.suleu +30
drachenx  nyxbrhugo si a ingkearf areht +
drdoom  nexdrcah@ aahh, ,ahn ogmcin bkca ot tihs i leeizar i saw abyolpbr ovekner-ggie lol +1
blueberrymuffinbabey  ti'sn the ogryhdne bndogin enednpedt no teh ydlxraytdeoh ionerlp nda nsey?li os atth nltwou'd laelyr be eth isesu rehe esinc hetso 'rntae teh saa ienbg lderta?e +
drdoom  eeyrbur@bl coirndAgc to b’Aerstl MoCB ese( tTgannes at ith,)rg idnoylyxershy nad leroinpxoyrhdy roetutbnci gndryohe sondb atht frmo neeebtw het icnsah hnit”an“(erci, sa odpeosp ot ;hai-ritannc the ,ncsaih fo coue,rs are erpsaate editepopy;lsp thta si, repsaeat olgaclen topnsr;ei and ocaninitrtse beewent eeprtsaa isacnh [saerpate lpe]yiepptosd si awth we lcla qy“tunrarae es”;tucrurt see genantT aovbe.) nAd in stih a,cse sa uoy ipnto ,tuo het tmes bidrseces a &lyt-l;aAgG iuuin.stosttb Ttha seems to maen wot t:igsnh ()1 teh erhet eraspeta callgnoe tloppdsypiee iwll not a“ckp ]s[a ltitygh” ot ofrm eth pterli hlexi uqyna=etrra( turecrtsu) ew all wonk nda eolv nda (2) pnoelir isgrn wlli laif to lyear qteiu sa y,sngul onoisgcmmpir teh cliealh cafoomtrnoin htta edfinse an hplaa cahni =(oadcnsrye r;cttseuur the ehsaps hatt fmor wnhiti a lnsgei oetppl)ed.iyp +
tadki38097  losa uoy at'cn H ndob thwi onbr,ac 'sit ton loapr ohnueg +
amy  F22A00 P05 tes:at iomtafrno fo wrghoaipolnchlc(e si the erlpit hexil c)rusttrue vai rhnydeog dan u.lfiddeis So A si coeirtrnc bc hetre ear on ceolganl oeesulclm tye (2nd uustrretc hpaneps ta ocprllaoeng )lleve +
drdoom  @aym elrtip heilx si a tqeyaurarn ttueurscr cin(se lertpi helxi si a hpeas that sofrm ENBEETW eesatrap or al”dtu“ relono-p/ncalggcleola piedetp.s) yaimr,rP ndoarcsye nda atrityre rscutrutse ear pstoeciindrs fo a eisgnl ip.tleoppeyd neOc oyu vhae 2 or oerm yspiepeoldpt nnttrigeaci whti each threo e.g,.( iegHlombno lol)uecme ouy evah aqtrnyruea uurttrsce. +

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 itgmh eb gntrnioehivk ti bt,u H obnd mnaoftiro fo a'as keams the rydecaons sctrueutr fo teh iotepnr eclgola(n in hsti cea).s heT lGy to Ala bsuiiuosnttt odes eutrls in less H ndob firnmoao,t but of uadiviinld saa' tno eetenwb clnaeglo emlucselo t(ath htmgi be rmeo for uanrtryaeq rsutrtec)u

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lpp06  I ihtkn teh yek si ni hte nwarse phra,sing eht arnwes tnmgenniio -dHnsob ssay "oDnuirpist fo -bnsdHo nebewet aolcgeln Allhm l"hugocsoteeu calgelon oesd nedrogu onHdnb-ig ot ortpspu eht telipr ,elhix tish si edon whinti the mesa lgoelnca nlgukecm i.ilLnoe edfrtnief lngeocal meeolscul socurc aiv teh silnye - hlyoyineyxrsd iksnl eodn ni eth MEC +1
kevin  htis is eth neo mtemonc hatt lniflay ehdpel em esnnautddr why atht was croietr.nc aknht ouy +


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submitted by j123(16)
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Pyairrm trctsurue = amoni adic noseceSerdqeauc ny reructstu = tstecuurr domefr iwth a eilgns naomi daci eeqncues bt(ae dpeelat ,eeths alhpa ,eihxl rraty ee)Tcit rtutrusec = pmteilul caedsnory ucttrsseru ragiteinnct rgtehtoe e(uimlptl etab tdpleea teshes etkscda no opt of heac etoh,r nrcut)ae Qeryart ctturrsue = irtpneo urtsuectr erdmfo mofr inlgodf fo all eyattrri cstuursetr to kmae dnbingi ,sties ct.e

nicSe the alnaine aws tpu ni claep fo teh ,clneyiG the maipryr utsrceutr saw nlabue to rmof na lphaa lhexi ceisn alhpa lxhei cruersttsu dene a urtlpraica eensuecq gly( - -x )y ni orrde to fmor dehgnory onsdb to pkee eht helxi sae.btl

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 -1  upvote downvote
submitted by unknown001(9)
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what si cenoallg ? a ocdysrnae ntropei c.urtrtseu

whne yuo rmeveo gnlycie, het msto andunatb omian daci , rofm teh opsrcrreu oecemllu will oyu tge a poerpr neaycosrd cruesttur ? NO

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unknown001  igenro sthi +
drdoom  nca ouy are?obtlea 'tswah ngorw itwh yoru mnceotm? +


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submitted by lilmonkey(63)
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ylG si oa,lrp lieAann si lpoornan dan hdooch.rpiyb sseiesnM tisonneonvevcar .utoinmat hseTe AAs haev tifndefer hameiclc terproeisp hihcw ldea to suitepdrd enitorp ldginof aocyrsnd(e ursrtte.)uc Smlriai ot Gul - aVl stsibuotntui ni leSkci leCl .eeasDis

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