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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 has ienmosght to od iwth enicylg e(ud ot ist mllsa ezsi it nca ift in ynam espcal ehwre rteoh amnio isadc nac ont adn eench ti pesviord csarutu“tlr csmcs”peoant ot eth ncglel,ao ..ie utp a inkk in het aplah ).xleih If glcneiy is iamlecsdp yb nsmtghoie ,eels I ’odnt inhkt nglaec-rloop cna ofmr sit ctecrro ansedcoyr tcturseru.

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jotajota94  erT!u lo,as ynigelc is 13/ of ellcagno aalf sh,cnia so ti maesk nsees that itnsiuttbsou twhi nanalie wc(ihh si mchu rie)ggb ouldw laed ot tsioidnrup ni teh lahap ilhxe naifor.tmo +2
jotajota94  reu!T osa,l neiyclg is 31/ of lclaoegn flaa i,sanhc os ti mskea sesen htat otustntbsuii twih laaenni whc(ih is mchu i)bgegr owldu eadl ot tidoprunsi ni the aphla hixel iomtf.oarn +
thepacksurvives  lGicney is sllam and bdn,ey whchi loswal ti ot morf eht frislbi orf teh etrpli ihlxe +
brasel  oAls in engrael AF( 2180 gp 5)0 IO is fmro srlbpome nrmgfoi eht irtepl lehxi chwih is sndaeyocr c.seuutrrt ytronlaeuFt, ehty vaeg su gihteomsn to noraes with ni eht iqounest -tl(;lyaG&A)g +3
amy  anC meseoon lehp me arsddtnnue wyh A is nrcecorit? AF2200 peag 5:0 lrpTei hxeil of 3 ncollaeg a icnhsa is eorfdm fmro golapenocrl iav hogrenyd adn dledfusii ndbo. Is htis vrye sirmial to wtah A is b?n. ecidAgir eDaercsde bg-enohdrdony rmofinato eewtneb cgnlleoa lcl.seemou +
umpalumpa  eTh iopxntnelaa iengv by ilswleaabarta uocdl orwk fi het qituoens owldu sya ;-l-yGgA&lat nmotuta.i eH,wvreo eth sqenoiut tsaset atth ehret is na -;-tgay&lAlG umt.ioant +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I dei,rugf Yyel-Xni-gc is ytcleinlahc eedrcnsoid a rp“aiymr onami acdi curturtse fo a ”tpnrioe ceins het onitdfinie of a yrmPria tuserruct of a peitron si a“ ilaenr inhac of niamo .”idacs fI uyo smse twhi hte ymrraPi tsceur,utr sa ni the niqseuot es,tm you ntocan ofrm eth cSroeadyn cretrtuus of hte r,tnpeio ichhw si ntidemerde by hte eh-dbongnrgiydon wichh rscuco etbewen teh epiepdt bnackboe, eidtednnpne of het R rpogus. I hpeo hits mdae e.enss

Fmor dwiaipiek: edc“onrySa uruscrtet si yolmalfr ifdeend by hte rpnttae fo ngyeorhd bsnod teewbne teh omina egnorhdy and loxabycr yxeogn otsam ni hte ietdpep knebobac.” iamseph(s i)emn

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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 guys nad i outqe ofmr ila.e:imtre/hosrapsifttnhw.c/c4-estgswbuld/stc0eieo2tretp1s/e/ooowmp

"0%9 veha an eblniidfetai nigecet titaunom C OL 1A1 dan COL 1A2
acses u rlbnaoam eglocanl igkninlcsrs-o vai a icnyelg uitsobiuntts in hte llorpaoceng ocemleul "

whchi naems atth IO has a egcyiln isuttunobtsi and etofrreh sti leuban ot mrof a nerayodsc cu.esruuttr

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 +4  upvote downvote
submitted by hungrybox(1277)
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uDe ot cneigys'l alslm zse,i ti asteecr i"ks"nk in teh imnoa cdai ueee.scnq seTeh ikksn aer ededne ot letcoryrc fmor the reoncdsya st.utcerru

hOert eswas:nr

  • kwdeeae"n tinaerotnic ewneebt llcognae adn yaontcrlg"eop - nacleglo + prtnyloeaocg = gaatrcelil. eTh eitqonsu esmt sntiomne nmay esdctef ni ONEb e(ytp I llngaoc)e btu no moinnte of ecftdse ni laTcegraOlW ept(y II ngleoc)al
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 +1  upvote downvote
submitted by basic_pathology(25)
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y--lXYG si eoakbcbn rfo llegnaco ahlap ciah.n 3 glcaenlo phlaa ianhsc praisl ot rmfo tprlie x.lehi clneyGi has on R gu,por ilwlngoa fro itxyillfebi and ontoafmri fo lepitr hle.xi oN ncyelgi etsvrpen tihs otnnouucsi irngisapl, rennevtipg teh irfnooamt of caoglnel ydasencor cs.ertruut

ealRlc tath ihalepecl-ash nad tateb-esshe era lxpseame of oecnardsy r.usucsetrt ishT anc eb tgtuohh of a aastenitmifon of hte palah e.hlix

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 +0  upvote downvote
submitted by an_improved_me(91)
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rthANoe ayw ot get ta it is aiv :annitomiiel

.A ynedrgho bignndo tundowl elryal chgena esnci tineerh ainaeln nro cilgyne rae orl.paB ylG gt&; laA nusd'hlto cahneg how lnireop si oimefddi I( enam ti CUL,DO fi ether asw a itrsce enncihadr or omtg,ehnis ubt ton a rteag wre.a Ds)n nogtinh to etadcnii htat eloclnga edonedtgrai si detelar in erpsneso ot an AA stttib.unsoiu Ao,ls in eth ttcenox fo OI whh(ci is het nnesrtgpie ,nm)pcliota we aaldrey nokw atth the rempobl odetn's aevh ianyghnt to od whit tr,dodneiage emro whti teh enahgc ni rttc/ns efnEi.uuocrut nltoesyH 'ntdo kn.ow

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 +0  upvote downvote
submitted by drdoom(1206)
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sH’ere oen awy to s-ilerofpcetmens-oai crsdeaeed“ -rehngodbndyo n:am”oiotfr mI’ otn a big fan of ihts niel fo ,aoignrnes tub yaichelcltn alnaien as a idse ropug sah mero onr*yshgde fro ilontptea drynhgeo gibondn naht yceilgn:

n:nealai H3—C
egny:lci —H

,So nch”“iallecy,t inaenla wdoul itmrpe orme rndnegobd-oyh rootafmni, hcihw hgimt aowll oyu to ieaelitnm htta .ihcceo

tTah d,isa ti emsse omltas slbipmesoi ot erlu tou i(ttwouh rvye cahliecnt kdeognwle ro msoe ioddrvep pialetxrmnee aadt) ahtt eht ghlilyst elagrr nanelia sdoe ont irpiam egodnhyr odinbgn nbwteee anegollc emlluceos via ctrsie pila()ats enfn.reeeicrt nI rpelsmi restm, siecn inenala is ,rlager uoy udwol nhkit htta it tsmu oehswmo inreteerf ihwt het edngon-idhrbogny ttah cscuro tihw eht wildeyt-p ygencli.

---
c*ylrtiSt ,spiangke s’it ont het rumben fo ohdesngyr ubt alos teh tnehstrg fo teh loiedp that ateiictalfs doynhrge ng:ondib a reghnyod oundb ot a rgnsyolt eatirevlotgncee mecelulo iekl firnelou iwll rpap“”ea oerm tpoviesi and, ust,h oeghrbodnnd-y ermo ngrtloys itwh a eabyrn ygonex od(cparme hwit a hdrogeyn ecdcenton ot brocna, orf e)pxlma.e

ehrFrtu rdnaig:e

  1. ddlqcemwtmwtwrp/eu..seed.hhiplbnu.sltd//o:huhc//puhgi
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hungrybox  eApcapirte eht tffero btu shit si far too lngo to be .uelusf +30
drachenx  nybhourgx is a knefriag rteha +
drdoom  rhan@ecdx ,hhaa anh, iogncm acbk to shit i lazeeri i wsa yaborpbl -nerikgegoev lol +1
blueberrymuffinbabey  n'its teh orendgyh nnbdoig pdndeeent no hte oyhyxradetdl lpnoeri adn ynsli?e so ttah tlwnd'ou yelral be the eisus here sncie etsho n'etar eth asa nbegi ?ealertd +
drdoom  eue@ybrrbl incrogcdA ot ls’rbetA oCBM (see nTeatgsn at t,)rhgi yosiehyndlxry dna hpyxonieyrrodl ceuobtirnt nhdeyrgo donbs atht rfmo ewntbee the chansi n“inrtih”ec(,a as odeospp to tanihirc;a-n teh iahcsn, of ,oesrcu aer aastrpee ;yepeoltippsd ahtt ,is saarptee ogelcaln e;pntrosi nad eiortnsatinc eewentb eptseaar hsinca te[raapes idolpeeyst]pp si awth ew lacl “uatryaqren eru;c”srtut see Tnatgen beaov). And ni stih ,ecsa sa yuo ipton o,tu hte smet cbsreedsi a lA&tlgG;-ya t.tniouustbis Ttha esesm to anme wot gtnsih: )(1 hte three reepatsa ellgnoca stidppeepylo iwll tno “akcp a[]s lg”hytit ot rofm the ilrtep hxiel en=yatqr(uar rertstuc)u we lla kwno dna elov and (2) pnioelr inrsg lwli fila to rayle tuieq as l,ugysn ipgrmimncoos the echlial anrtomfoonci htta dnfisee na aalph nacih nedorac=sy( cesuurtr;t the sahsep atht ofrm wthiin a esglin .op)pyeielptd +
tadki38097  slao ouy ant'c H dobn ihtw ob,acnr is't otn plroa ngueoh +
amy  A0F220 5P0 tet:sa fnooaitmr fo ciglhlow(hneparco is hte rptlei hlexi trscreuut) vai roehgndy adn difluise.d oS A is tnecrrcoi cb etrhe rae on olcanleg sllmeuoec tey (n2d urtrctues phepnsa at caooernplgl elv)el +
drdoom  @yam ripelt ixelh si a taqnrueary sutrertcu ni(cse retpli hxeil si a aeshp atht sorfm TEEBNEW epeaarts or ”dault“ agaonroelcgclp/ll-oen )e.eppitsd yr,miaPr odnycresa adn etrayitr crrustestu ear tcidesisoprn fo a leigns yppietel.odp enOc ouy avhe 2 or meor espyltopiepd aiintrcgten htiw ache tehor e,.(.g oenglHmobi )lcoeulem uoy eavh aarerutnqy scurer.ttu +

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 gmiht eb nviitgrkohen ti ,but H nbod itomranfo of 'aas meska the radnocsey tsureutrc fo eth roenpit l(noelgca ni tish c.s)ea The lGy ot alA uitstuniobts eods retuls ni sles H nodb ofrmot,nai btu of liinvaduid aas' tno twbenee colganel smlueoecl hta(t ihgtm be moer for yatrruqane ruust)rtce

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lpp06  I knith teh eyk si ni the enrasw r,ngipahs teh arnews nmenitgoin ndHosb- syas oun"iDtspir of Hd-nbos enetwbe cengallo gAcseuomt"h lholleu cnaegllo sedo gonrdeu bH-oidngn to toprups teh lirtpe il,hxe ihst is edon iiwthn the emsa olaclgne i .kucglelnLimneo retfindef anogllec sellmeocu sccruo via eth ieysln - nsehiyoxylryd kslin node ni eth MEC +1
kevin  this si the neo netmocm htat linylaf lehpde me sndtdrnuea hyw atht asw teorri.ncc haktn yuo +


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submitted by j123(16)
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iayrmPr trtcesuur = inmao diac oe Sedunraeqceycsn ertutucrs = urtescrtu dfomer itwh a ilgnes aomin idca encsquee eb(ta eeatdlp hste,e lphaa hi,lex taTe rerytci) rustreuct = llueimtp ocdsyerna urcstruest nittgriance eegothrt mtipe(ull tbea lpatdee ehtess kadcste no top of ecah e,hrot cyraeaQterr un)t ttsuurrce = iotnpre crursetut dofrme mrof nodlfgi of lla yatetrri ucurstetsr ot make ibdingn esi,ts tce.

ceSin eht lneaani swa tpu in clape fo het yil,ecnG eth ymrripa uretutcrs swa ualneb to frmo an lhaap exihl sncei hlpaa hxiel trsutucrse eden a palrctruia seeuneqc (gly - x- y) ni deorr ot rofm eoydrhgn sonbd ot peke het ielxh l.stabe

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 -1  upvote downvote
submitted by unknown001(9)
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wtha si lecagonl ? a yrnseadco nrtepoi sue.rructt

wehn oyu mevoer lnyci,eg the smto badtanun nomai iacd , frmo het urpcroser omelluec lliw ouy egt a rpreop odryaencs rutrtcesu ? NO

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unknown001  grione htsi +
drdoom  cna you bet?alearo tswha' ngrow whti uroy mtoc?enm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl si paorl, lennaAi is roolnapn dna biochdhpy.or sMensesi itavnsneecronov attuom.ni sheeT AsA vhae efieftndr cilceamh reisrotppe hcihw elad to rdiedstpu prteoin lniogdf dearycns(o .sett)cuurr lSmiari ot uGl - lVa itbntouutsis ni kliSce leCl eesaDi.s

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