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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 kthni ti hsa osihetnmg to od ihwt elyginc d(ue to sit mlsal eszi it cna tif ni ynma psecla erhwe rhtoe mnioa daics acn otn dan cenhe ti rievpdos tctrul“ausr tpsnmsa”ccoe to het a,lnclego e..i ptu a nkki ni teh plaha e)xh.il If cgnilye is cpdilaesm by tmsohegin seel, I ’ndto ikthn lpoolcreagn- cna mfro sti crtcroe anyscedor ecrttusur.

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jotajota94  urT!e sl,ao gcyinel si 31/ of elolgcna afal hci,nas os it ekmsa seesn atth itosnubsttiu tiwh inlaaen chhiw( is cuhm g)rgebi dulwo elda ot rdoinstupi in eht alpha ehlix roomnfait. +2
jotajota94  ru!Te a,slo clingey is /13 fo lencolag aalf a,hnsci so ti ksame esnse ttah sbiuustottni thiw aeainnl (hicwh si much )igbreg wdluo eadl ot isoprundit ni het hlaap ielhx maonrtoi.f +
thepacksurvives  yiGcenl is amlsl adn ,ebdyn ihhcw olsalw ti ot fmro teh ibslrif fro teh tepirl ehlix +
brasel  lsoA in eaglren (FA 2081 gp )05 IO si mofr esplborm nmrfgio teh pieltr hxlei iwchh si csanredyo trrteusu.c toal,yuFrtne yeht eavg us mhisgetno to saenro hiwt ni eth otequins l(ay&;tAGg)-l +3
amy  Cna mooseen phel me teundrasdn hyw A si cioernrtc? 02F20A gepa 05: Tpiler xlhie fo 3 oagcllne a hcnasi is rdmeof from elorganpclo iav ordnyheg nad sdlueifdi bodn. sI hsti rvey mrisila ot hatw A is Acibrde i?n.g aredsceDe e-grndnbyodho oftmoinar wtenebe cglaenlo lcmosuele. +
umpalumpa  Teh ntlaonipaxe gvein by asllrabweaita loucd wkor fi the isueqotn wlodu yas lygl-AG-a&t; oanmuitt. vrHwe,eo teh qeuoitns stteas that heert is na l;GAlat&g--y iuan.totm +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I uerigdf, -YyngeliXc- si hletailcync rdidoneecs a iyrp“rma noima daci rtceusrut of a itn”rpeo inecs teh eiitoindfn of a yaiPrrm truesrutc fo a eiorntp is a“ ainrle cnhia of amoin ds.ac”i If yuo ssme whti eth Prmyari tecusru,rt sa in hte snoeiqut ,semt yuo ntnaco mrof hte rycnoaeSd urusrctet of the piotrne, cwihh si iremendtde by het gnnendgro-hbyiod hwhic rscuco eeewtbn teh tepepid obabncek, tenipdendne of the R gus.pro I epho isht made esns.e

mFro apiwidiek: “noSrcdeay cttsrureu si rlmfyola ededinf yb hte apttenr of egdohryn nsbod neteebw the maion negryodh dan loracyxb oexygn amsto ni teh etdppei obcnekba”. sme(apshi im)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)


 +4  upvote downvote
submitted by usmle11a(102)
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ko yugs adn i oqute mofr -tmttn.o/tei1sieo.eid/pe2:gw0t/prrccewhhuwalfacssoostrt/sopism4b/ele

"%90 ehva an dlabeitenifi ceeignt unttomai C LO 11A nda COL A12
uc essa oalrbnma gollnace -ssoilnnkrgci vai a gnciley tutinbtiouss ni teh oelnalgpocr leuomlce "

hiwch mneas tath OI hsa a niyeclg nuisoutsitbt dan trohrfee tsi ualbne to mrfo a carsdeony cuu.strrute

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 +4  upvote downvote
submitted by hungrybox(1277)
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eDu to gicn'lyes amlls s,zie ti rsceeta kin""sk in teh maoin adci seq.enceu Thsee ksikn era dndeee ot rcrolyetc fomr the onseryadc rrutes.tcu

tOher naew:ssr

  • ekednw"ae tinnercaito bneetew naoglelc dan tlrcageyopo"n - lcleaogn + nyoglaotercp = clare.ilgta hTe nqsieotu smet ntsnoime myan cfetsde in EbON pye(t I onlcela)g ubt on mnontei fo tefdecs ni larTOaelcWg e(pty II gneaclol)
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 +1  upvote downvote
submitted by basic_pathology(25)
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YlyX-G- si oenkacbb rof elclgoan halap niac.h 3 cegnlloa alaph ainshc ilarsp ot ofrm tlrpie lhx.ie nleGcyi has on R g,rupo oallwgni orf yltiixifbel nda imtfoorna fo eirtlp .lhxei oN nlgecyi estevnrp tish cnisonotuu igirpl,nas erptinvgne hte aniomfort of necolgla rodneaysc resutu.crt

lclRea tath chaih-eellpas dan eb-stseehat aer mxlesaep fo nyoesrdac stsutcu.rer isTh cna eb htoguth fo a fntaastnimoei of the hlapa .ielhx

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 +0  upvote downvote
submitted by an_improved_me(91)
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ehAtNor ayw to teg ta ti is vai itinlanio:em

.A ognerhyd bngdion tlowndu ylrela hcgnea since etinhre enanila nro cgelyin rea .pBr lao Gly &g;t alA hd'slnuto cehnag woh niporle si dimediof I( mnea it UCOL,D if erhte swa a rteics rdneicahn or t,isoenmgh tbu ton a gerta s).aw Denr ongihtn ot neaitcid that oellcnag degtreonaid si tdeaerl ni psrnoese ot an AA .isitstbnoutu Als,o in hte tnecoxt of IO hcw(ih si het respnetgni ia)ptmc,nol ew ayldear wnko ttha eht poelrbm 'sdenot veha tnyianhg ot od twih oidrgedant,e omre wthi het hncgea ni su.tcerr/oE uiunttcnf lnsoetyH dton' nk.ow

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 +0  upvote downvote
submitted by drdoom(1206)
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’erHse noe wya ot crolaoepesfsiin-mte- ec“redasde -odngyeobrhnd moift”n:rao I’m ont a ibg anf of sith ienl of n,nrgoiase utb hecnycaillt niaalne as a seid porug sha mero ygoehsrd*n rfo ittlopane ghydoren gondbni hnta igcneyl:

niaa:nle H3C—
c:igleyn H—

S,o ic”lyn“tahe,cl nniaeal lduow tmreip omer ooden-rbngdyh mntoafroi, hwcih higmt laolw yuo ot nmetlieia that .coechi

thTa sadi, it smsee tmosla ispbseiolm ot urel otu uw(tohit eyvr cahectlin koldnweeg or omes vodeprid xemteealrinp dt)aa ttha het siyhlglt elrrga iaanlne edos ton mraiip dnorehyg nobdgni etnbwee ogacenll elcleousm iva crseit la(tpsai) ertefcerne.in nI lrepism s,emtr ensci aneianl si r,arleg uoy wodul hntki that ti mstu oewsmho nrrefieet hwit eth oeognyndhngbdi-r thta sccour hitw eth id-lyeptw cgeynil.

---
tStric*yl ,kesapngi t’si tno hte burenm of nysodrehg tbu losa eht tengrhts of eth dlpoie tath attifacelis gdyhreon dgnnbio: a oenygdrh undbo ot a tgrlsony itetorecglenvea ucloemle ilek loenurif wlil pr“a”pae moer iviteosp ,and ht,us hdn-gobnoyerd reom tlsgroyn ihtw a enyarb neyxog rpeod(acm twhi a grdhynoe dnccteeon ot cranob, for x.)peeaml

etruFrh di:ernag

  1. :ucs.udsmtue.duimwgltrechl/hli/o/nd/h.p./wbthewdhqppe
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hungrybox  tipaecrepA teh ffotre tbu thsi si far oto lgno to be ufsue.l +30
drachenx  oyghrxunb is a gfainkre etrha +
drdoom  acrhedxn@ ahha, a,nh imocng bcka to sthi i eazlrei i swa rlbypboa erekgeivgno- oll +1
blueberrymuffinbabey  sn'ti hte dyhnroeg gdnbino ndtneeedp no eht thrdeyayldxo plrenio nda n?yiesl os htta lw'otndu laylre be teh eusis reeh snice sehto t'enar het saa gbeni le?drate +
drdoom  bu@yrelreb cAgdrinoc to be’lstAr CMoB ees( aTtnnseg ta rig,)ht rndehoisxlyyy dna rodyypolenxrhi uttbircnoe droynhge snobd tath form eenetbw hte asnchi itneha”(,irnc“ sa eopospd to hntirnic-aa; het iachs,n fo e,rcosu rea tpesreaa eteippyodl;sp hatt ,si aseparet nlolcage petino;sr dna atsnronciiet ewebten peaersat cnhais rs[eptaea ]ltspopiedpey si awht we acll “naauqretyr tersuc”rtu; ees gentnaT vaboe). dAn ni isth ,aecs as yuo npoti ,out eth etms dbicsesre a -lyg&lGtAa; snbtituusiot. htaT semse ot maen otw hgtsn:i )1( the hrtee psaetrae lnclogae epesipytlpod ilwl ton apkc“ []sa y”ihtgtl to mfro the etilrp ehlxi qnauet(=ryra tc)sruuret we all onwk nad leov nad 2() eoilnrp gnsir lliw ifal to elyra itueq as ,lyugsn ipncmoimgsro teh chlliae oaocnromftin tath fdeines na ahapl ihanc =oasdrc(eny utcsrtr;eu het hpases tath omfr winiht a esnilg yp)piet.edolp +
tadki38097  alos uyo ntc'a H bndo tiwh abcron, 'tis ton aprol enough +
amy  0202AF 0P5 t:aset mntrooifa of grchoa(ecinlhlowp is eth eiprlt hiexl t)cuursetr vai hdenyrgo dan .diliesufd oS A si roritcnec cb rteeh rae on aloclegn ellscomue tey (nd2 urrcsteut ahpepns ta areclgopnol elv)el +
drdoom  ay@m terpli elixh si a anytqruare custruret (cisen tpirle xileh si a aesph that mrsof BWETENE ataserpe ro uldt”a“ llapeol-angcolcoe/rgn id.ppe)tes aPi,mryr reydonsca and rtraiety rteturscsu rea icsosneridtp of a sgeinl yptpei.opdle Ocne yuo hvae 2 or rmeo oiepdlypestp ietanigncrt twhi ache hreto (,.e.g obmlHgoein elemul)co yuo hvae tryqaenuar utu.trcsre +

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)


 +0  upvote downvote
submitted by nmb29(0)
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I gthim be vkirioetnhng ti ,ubt H nobd ifmtnaoro of saa' emask teh neacorysd etstruucr of het inerotp gnela(clo in shit ce.a)s Teh lGy to Ala suttubniiots does uelsrt ni lsse H bodn omafintr,o utb fo lidnivuida 'asa ont ewtnbee olleagnc uoelmlces (atth mithg eb moer rof yqaanrteru uectsrrtu)

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lpp06  I kithn hte key is ni the awensr phir,snga teh easnwr nonienmtgi b-noHds assy utnprDsoi"i fo doHn-bs webeent nlgoacle ellgtuuo"sAheochl m nlgecola odse ourdeng iognHndb- to psportu teh prietl ,eilhx tihs is odne ntihwi het emsa ceonlagl lug .oLmeclnienki rteffnedi cenllago uomclslee ocrscu vai eht lsneyi - eriynsdyxolhy lniks onde ni eth CME +1
kevin  ihts is the oen omtnmce atht lilfayn dehepl me uenasrddtn ywh htat swa eticorcnr. khant oyu +



 +0  upvote downvote
submitted by j123(16)
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riaPmry ttescurru = aoinm daci sc Suyoenedcernqea utsucertr = uutcrtsre mdfroe wiht a neigsl oanim daic ceuseqne ab(et deetpal es,eht aalhp he,ixl )cartr eiyeTt turtesruc = tmillpue ryodsanec usrrcuetst tirntneicag rtgtheoe i(mpullet teab aletdep seesth dkcteas no opt of chae toe,rh yetar cQaurert)n trtsruuce = inotper eurttusrc fmeord orfm niflogd of lal trtreaiy rucuertsst to eakm bdignni ,eitss cte.

nieSc the alianen was utp ni pcela fo teh nc,eGiyl the ypairmr stcrrtuue swa unleba to mfor an hlaap ixlhe inces lahap ixleh rurtuecsts eden a rriutlapca equeecsn (ygl - -x )y ni rrdoe to form onyegrhd odbns to peek het ielxh teblas.

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 -1  upvote downvote
submitted by unknown001(9)
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thwa si cagonell ? a ndrsecyoa pternio .rteucturs

ehnw ouy mevoer y,nilgce teh tsmo daantbun moain iacd , rofm eth rcrropuse elmleuco will uoy gte a rpeorp scydreaon ttrrcesuu ? ON

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unknown001  ogrein thsi +
drdoom  cna ouy leetr?aoab shaw't norwg tiwh uyor n?mcotem +



 -4  upvote downvote
submitted by lilmonkey(63)
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lGy si la,orp ilaenAn si plaoonrn and pirodbo.chhy ienMsses oocnvavietrnesn aui.mottn Tehse sAA aveh edtnieffr aiceclhm irperptoes ihwch dela to diesudrpt repinot fdonlig csy(eoadrn uc)r.surtet amrilSi to Gul - laV ibstutiutnos ni icSlek elCl ssai.eDe

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