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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 thnik ti ash gsithonem to do tihw lneycig e(ud ot sit lmlsa zise ti cna tfi ni many lecpsa ewrhe eotrh imona isdca nac nto and ehcne ti rievpsdo c“turltarsu onps”saeccmt to hte g,ocenall ..ei put a kkni ni the haapl hiel).x If gyeicln si ieslcdmap yb tehnmgios ,sele I d’not htikn alpnrlgce-oo nca fmro its rctcroe edsnyaocr ts.urcteru

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jotajota94  rTeu! ,lsoa ncigley si 1/3 of alglocen afal ,haisnc os ti maesk seesn atth bissutoutint itwh enaalin whci(h si mchu irg)ebg woudl elda ot iiodntprsu in het aaplh hlexi mnitoo.fra +2
jotajota94  eTu!r soa,l iencgly si 1/3 of nalgoecl flaa icsn,ah os ti eskam ssnee atht ttoussubinti wthi nleaani (whcih is cumh egr)big loduw edla ot oniudrtpsi ni hte alahp lxehi ornti.ofam +
thepacksurvives  cinyGel si lsmla dna ,nybed chihw lwsoal it to rofm the bfrlisi fro hte riplte hleix +
brasel  sloA ni alngeer (FA 1280 pg 5)0 OI is rofm lpsmbroe omrfing eth ertpli lxieh cihwh si ynseaocrd tr.rctseuu nlFeuay,ttor hyte aevg us snghmoite to eaonsr hiwt in eht eosqniut gtGA-a(;)y&ll +3
amy  anC ooeensm hepl me arsenunddt yhw A si tionc?ercr 0AF220 gepa :50 irTelp xehli fo 3 loengcal a hnsica si moedrf mfro laoolcpgenr iva orhegydn dan deudlsifi bd.no sI sith yrev mliairs ot wath A si ndrii.Aebg c? dserDecea ondegbyrdno-h mnirofato eewnbte lgacneol ucel.losem +
umpalumpa  Teh oxanetainlp vigen by ilatarabaslew cdulo korw fi het tieqnous wludo sya A;&al-g-ytGl mtnt.oiau er,wHveo eth iqutsone saetst that heert si an ;y-Gt-g&lAla iu.aottnm +


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submitted by cellgamesgojan(43)
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I ,difurge g-Yylin-Xec si claylihtecn secidderon a rpa“yrmi aiomn icda csututerr of a eon”itpr iencs the nidfointei of a imyPrra utetrrcsu of a rpeitno is a“ reinal chnia fo ainmo is.”acd fI ouy esms iwht hte aiPrmyr etrsu,rcut sa ni the snuetiqo t,ems uyo taocnn rfom teh ocdyarnSe ctsteurur fo eth rotpine, hcihw si tnddeeiemr by eth -nbynorighedngdo cwhih cocrus nbetwee eht ieedppt obcbeakn, npnedtdneei of teh R rousg.p I ehop iths eamd nsese.

Frmo kdewipiia: Scyaron“ed rtuuesctr is yrofallm deinefd by hte tnatpre of ynehrgdo nsobd nwbetee eth imano drhogeyn dna loxyarcb egynxo osmat in eth etipedp cnbabeok”. ise(mhspa imne)

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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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submitted by usmle11a(102)
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ok gsyu dan i uoqet ofrm s/rlhpfiwge.et/lau01sowsciip4:ohstwsooret/tte.-atbm/2meepcscdotr/nie

9"%0 evha an bitiaedeilnf ignteec tauointm LC O A11 and OCL 12A
eas cus braoamnl cganlole ncrn-liksgosi aiv a igcelyn uiubsntistto ni teh oapnolgcelr coleelmu "

whihc esamn ttah OI hsa a ilcegny suiottibusnt nad rreethof ist leuban to omrf a yeondcasr c.uutetusrr

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu ot lns'cgiye lmals ze,si ti tseacre "knkis" ni het moani cdai .esncqeeu heeTs nkkis are endede to ycltrroce mfor the dosacrney rte.urutcs

Otehr se:srwan

  • "daekewen eiatrtinnoc webnete aecolnlg dna anltc"gyeproo - cleognla + ygnaeptolcor = l.iecgaatrl The esiqoutn stem imsennto many edstfec in ONbE eyt(p I l)cnagole but no tmneoin fo cfedste ni gacllOrTWea ep(yt II lce)nlgao
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 +1  upvote downvote
submitted by basic_pathology(25)
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X-GY-yl si baeocknb for nllcgeao lapah a.ihnc 3 llanegco phala ahcnis psialr ot rmfo eltirp elix.h leyicGn hsa on R ,pogru lilwgnao rof txbiiyleilf adn tioorfnma fo rielpt lexi.h oN ylgecni eevrspnt shit ntisuucnoo ri,naslpig eiprentngv hte orntiafmo fo laglecno radyecson cesrutur.t

celaRl ahtt ilh-eeapashcl dna tetehsbsae- aer splaeemx of roneadysc turssur.tce ihTs nac eb utohgth of a aatnmitfeosni fo the palha x.hiel

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submitted by an_improved_me(91)
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eAhtNor awy ot etg ta it is iav omtiiielann:

A. nyderohg dginnob wtulnod ryalel gcenah scine rhetnie anilnea orn gicyenl rea rpola .B Gyl tg&; Ala tnus'dohl ghacne ohw plreoin si efmioddi (I anme ti LC,DOU if treeh swa a restic danrcnhei ro m,sntgoihe tub ton a garte nasD ew.)r tonginh ot aicdenti taht clengloa aredigedotn si raeldet in rseeposn ot na AA onsbi.ttuutsi olA,s in teh ctxeton fo OI ci(whh is het engnrtpies ,atomlp)nci we adayrle wonk hatt the emobrlp nt'sode veha itanyghn ot do htwi rdgntedeia,o rmoe htiw the cganhe in ue.tcEutrn ioufcrts/n onetyslH nodt' kwno.

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submitted by drdoom(1206)
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eHe’rs one way to li-spetaoco-renmisfe ardecs“dee bdonenrgh-yod r”mfon:oait mI’ otn a gbi fna of sith inle of nrg,eoinas ubt cehnylailtc anilnea as a ieds uporg sah eomr hgeros*dny for aneotiltp ehorygnd niognbd hnat gecnliy:

:lnneiaa —3CH
g:eincly —H

oS, ylnihaelct,”c“ aelnnia duowl repimt omre yenonrd-gbodh riotao,nfm chwih ighmt owall oyu to ntamieeli htta ccie.oh

thaT dasi, ti esems omlats miobilseps ot uelr tuo t(htwoiu eryv ihnccetla ewdleokgn or emso ridpvode eraeietpxmnl aat)d ahtt eth hitlylgs reargl ieaannl dose tno prmaii yoendgrh boinngd tbeewen enolclag louclseem iav rtcesi til(p)asa ntenec.reirfe nI mspirel ,terms escin aelnnia si ,alrerg ouy ludow kitnh ttha it sumt ohswoem ifreenret tiwh hte gbenoniddyr-hgon tath csuocr hwti teh -dtewpyli glincye.

---
itlScr*ty ,aegikpns s’it nto eth mrbuen fo rdhoynesg ubt aslo eht esntrhtg of eht eipdlo htat acealifstit ohedgnyr :nnbidog a groynehd bdnou ot a tlsonryg ceertevegoitlan leloemuc ilke finreuol illw pearp”a“ oemr pivtesio ad,n hsut, oh-ygebnnrdod meor ostyrlng with a rnaeyb yxnoge ocpear(md hwti a ohngyder cneedoctn to ocbrna, fro p)exaem.l

uFerhrt ngadei:r

  1. hh.rducwsc/l.dhtenpdgdo/ute:hpe/wll/.u/tmpimesbqhuiw.
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hungrybox  Aiaerpecpt het ertfof tub iths is fra too glon ot be el.fsuu +30
drachenx  yrhnobgux is a geranfki ethar +
drdoom  @nachrxde ahh,a a,nh ingcmo bcak to thsi i alierze i was ablboyrp ek-erivgonge llo +1
blueberrymuffinbabey  'snti het odegrhny ionbndg entednpde no hte rtdylxhedyao ploirne dna ien?syl os htat do'tuwnl lleyra be the usies ereh ncise estoh arnet' eht asa ngeib lterd?ae +
drdoom  bueelrry@b rodAcigcn ot t’sAebrl BoMC (ese senTangt at hr)i,gt nsyreydxlohyi dna yxoipeorrhyndl nitretubco ndyohger osndb atth rfmo bweeetn the nhiacs ncin“e,hitar(” as sodppeo to inhcni-ta;ra the nh,csai fo src,oue aer apsretea te;sepioyldpp htta s,i etapeasr ecgolaln poitrne;s adn enistaonicrt eteebwn apetaers ascinh [arepeast elostpppdyei] is thaw we alcl rayuaqtenr“ turre”cuts; ese gnteTan ovaeb). ndA in hist eacs, as yuo optin ot,u het mets bersdseic a yt&G-A;lalg osuttintsi.ub aTht semse to amen tow nihgst: )1( het rethe paaseetr lgelncoa sleeppoipytd liwl nto ca“pk as[] tlyihgt” ot rmfo the iprlet ilhxe a(aqunyr=ert recsttu)ru we all wonk and velo nda 2)( rpeonil srgin ilwl afli ot alrye eitqu as ynuls,g ocigsrmimpon teh lcaleih anticonorfmo taht feidsne na ahalp hacni aeon(d=scyr trute;crus the phseas ahtt rmfo tihnwi a sinegl yoldi)pepe.pt +
tadki38097  lsao uyo cnat' H nbdo wiht oranb,c its' tno lpora gnuhoe +
amy  2F0A02 P50 :steta tfaniorom of iwheaco(clhognprl si het rltepi liehx cst)rretuu avi yedgonhr nad ilsdd.uefi So A si ocertrcin cb eerht rea on calegonl moulsecel tye d(n2 ruetcrsut hpaneps ta agoocplenlr ele)vl +
drdoom  a@my leript ihlxe si a quetnryaar uuctserrt nie(cs ptreli xelhi is a hepas ahtt srmof WTENEEB atpresae ro “”dtula aglec/pnc-rlngoloolae dsip).etep iaryr,mP escnroayd dan yatrtire strueuctrs rae dcsrsptiieon of a enlisg eypiptedopl. ncOe oyu ahve 2 or meor yedpsioptpel nteiarcnitg htwi caeh ohert e.(,g. ooblenmigH )leluemco ouy eahv naayrqteur esurctutr. +

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 gniokhrnetvi ti ,tbu H dbno oonfaitrm of as'a emaks eht caryednso urctuesrt fo eht irpoetn oe(gallcn ni siht as)e.c Teh yGl to Ala iittsnsuuobt oeds trelus in sles H dnbo arfot,iomn tbu of avlindidiu aa's nto teenbwe gcelonal eueomllcs tath( gtihm be moer rof tayraqeunr rrtse)cuut

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lpp06  I ihnkt het yke si in teh enwras rsngihp,a the aewnsr nimngetion bnHdos- ayss siDpuir"tno of bndH-so wenebet geolnlac ohu lugletAosc"mhel alolgcne osde edonurg inbgn-doH to psorput hte ltreip xhi,le tish is dneo nhiwti het saem nalceogl kg.lnonulLieei mc niedtrffe llcangeo lelmsuoce croucs vai eht lesniy - doyhxyslinyre slnik neod in hte CEM +1
kevin  itsh is teh one cntmoem htta nfalily pehedl me tuadenrnsd hyw taht swa rtiencorc. tnakh uoy +


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submitted by j123(16)
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iaPrrym etcrtrusu = imano dcai ede qaynuceecsnrSo rruectstu = cserrtuut foemdr htiw a sigenl aonmi aicd eucensqe aebt( leeaptd e,etsh ahapl elx,ih yicatrertT) e ruttscuer = ptluemli odesnrcay ustsrucert trngeitainc ehrttoeg eitmllpu( abet paetdle hetess ecstadk no pot fo chea ther,o y carQt)reaunert ecruutrst = oieptnr rttusecur fordem from lfdgion fo lal rettiray ssruurtetc ot mkae indbgni est,is tce.

Senic the aennlia asw tpu in alpce of eth Gecn,liy eth ampyrri esrrutcut swa eualnb to frmo an lhpaa ihelx cnesi phaal hlxei usrtetrscu nede a iurptcraal uqesecen (ylg - x- y) ni order to fmor ehrodngy bnsdo ot ekep eht iehxl bealts.

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 -1  upvote downvote
submitted by unknown001(9)
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waht si aneglclo ? a serdonyac itrneop sr.ucrutte

when uyo evrmoe eclnyg,i hte stmo dntnbaau amoni caid , form het urrcpores eclmelou llwi oyu tge a eprorp racosdeny rutsructe ? ON

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unknown001  erigon ihst +
drdoom  nca uoy atebaol?er twa'sh grown whit yruo oem?mtcn +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG is ap,rol ienalnA is aopnrlon and opihobchr.dy esMniess screntnvoenvaoi ti.uomnta Thsee AAs aevh erietffdn alhccime ieeprrspot ichwh elda ot ideupdtrs inptore gofndil nrcde(asyo euc)s.rttur rliiaSm to uGl - aVl uosbtnisiutt in cSelki Clel aesDse.i

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