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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 hntik ti sha iomshegtn ot od wtih yleingc ued( to sti lalsm zesi ti cna itf ni yman clspae erweh hrtoe nomia adcsi acn tno nda ceneh it pesrviod “ttalcrsruu pacso”cments ot teh nglc,ealo .ie. tup a knki ni eht hplaa hxei)l. If ylecnig si paeicslmd by hitesnogm sle,e I ’notd ihtkn lecglapo-nor nac frmo its rtorecc orcyedasn u.crttsuer

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jotajota94  ueTr! l,soa ceinygl is 3/1 fo nllegcoa aafl ai,ncsh so ti ksema enses thta oibtnutitssu twhi nalneai hiwh(c is muhc )rbigeg ulwod leda to drouspinit ni teh aahpl elhix otifma.rno +2
jotajota94  !Treu as,lo ncyielg is /31 of lcgnoael laaf sacn,hi so it semak essen htat tisusiuttobn iwth aennali c(whhi si mhcu b)ggeir owlud ldae to srpiiotdnu ni the aphal iexhl tfnaro.imo +
thepacksurvives  Gynleci si msall dna d,nyeb whchi alwosl ti ot ofmr het slbrfii orf het rilpet xlihe +
brasel  osAl ni lnragee A(F 2801 pg 0)5 IO si rfmo erosmlpb infmrog teh rpteil lhxei wcihh is dnroaeycs us.rtrteuc etuFalryt,no tyeh gvea us homntgsei ot easorn wiht ni hte uqeonsit ;&g(atyGlAl)- +3
amy  nCa nmeeoso plhe em uddsetarnn hwy A si tnceroir?c 2F020A egpa :05 rliTep hixle fo 3 nageolcl a nshica is eomrfd fmro rgolanloecp aiv gdhonyer dan uflidsied nb.od sI this ervy imsrial ot atwh A si nergcb?i.iAd cersaDede deodngbohrn-y nrmiofoat beneetw oalglenc msc.llueoe +
umpalumpa  The ietpnoanalx ivnge by blarawaaeilts odluc krwo if eth nsitoqeu loudw sya G&-t-;ayllAg i.atontmu Hev,erow teh qoeisunt tsaset tath herte is an ;glt&Aa-yl-G tiuomna.t +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I grdufe,i -inXgYecly- is niyhlceclta ernidodesc a rp“mrayi oamni icad urtescrut of a ritopn”e cesni teh fdnntioiei of a Piryram erutuctsr fo a rtenpoi si a“ rleian anhic fo nimoa isad.”c fI uoy emss wthi hte riaPmyr urtscte,ur sa in hte stqiueno ,tsem uyo ntoacn romf eth eordcnSya eturctsur of hte e,noprti wichh is dinemtrdee yb the bnionrd-hygdgoen hchiw socurc beeewnt eth etepidp nabbekoc, dineepnntde of eht R .rouspg I hope stih aedm sees.n

moFr waiedikpi: ancr“Sdeyo tcursretu is fmraoyll ndidefe yb eht trpaten fo hoyrnged odbns bteenwe the noami nhrdyoeg adn yxrclabo yxnoeg soamt in teh edeitpp bbnkcoae.” ha(espsmi i)mne

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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 ugys and i queot form 1b-dmshw0t4/wns:/siea.ofusspmwrhle/ecipeo/le2tsrit.igoetttcooetr/apc

0"%9 ehva na iaitibedlnfe giecnte ttnmiuoa CL O 11A adn CLO A21
uscsae blnroaam calonegl icg-solrnsnki aiv a yneigcl uiitsnstobut in teh anllpecogor omcellue "

chhwi amsen taht OI ash a yelincg onutstutisib dan otrherfe sit anbeul to morf a dascoenyr r.tsuctueru

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD to n'ecyilgs malsl e,isz ti atecsre "kikns" in the nioam caid seqeeunc. hseeT ksnik are denede ot eyrotclcr fmor het necdaryos rcsre.tutu

Oerth wasrsen:

  • kwde"eena enaictntori weenetb ogncllae and nper"tyaoolcg - aocelnlg + oetnolpgarcy = l.aclgertai hTe isenoqut stme onmnteis aymn deseftc ni EbNO (ptye I )ocllaegn but on nmetoin fo tdeecfs in lgelTrcWaOa et(py II gncole)la
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 +1  upvote downvote
submitted by basic_pathology(25)
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--GXYly si bonebkac fro ealnclgo phlaa ianhc. 3 ecgollna hapal sahcin raslip ot romf reitpl .ehlix Gnyeilc ahs no R urpog, gnwilalo fro bfxieilitly nad tfmnrooai fo telrpi i.xlhe oN nlgeciy pntseerv htis tunuicnoos gpn,sliria vgetipnern eht oiftomarn of loclngae yaesocndr rusrt.ceut

lalecR that laaheehlcs-pi nda hstta-eeseb rea apexlems fo orscaedny ctrutessru. hsiT acn eb ghuhott fo a iomnfintasate of the hplaa lei.hx

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 +0  upvote downvote
submitted by an_improved_me(91)
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AeNotrh way to egt ta it is aiv o:ailnnetimi

A. ynoeghdr bnodnig utdnowl aellry hgneac nesic heitnre aanlien ron cienlgy rae pa.l roB yGl ;t&g lAa 'tdohlnsu ehgnca ohw neploir is fieioddm I( nmae ti LCUDO, fi tereh saw a scetir hrndineac or mt,hoseign utb nto a rgtea w.es )nDar tihnngo to ecitanid atth lngocela dentoergdai is rdtaele ni sepenosr ot an AA tstboiituuns. Alos, in teh cttneox of OI (wcihh si the tnrsipegen )om,nlcitpa ew elyarad wonk atht the elompbr sntode' ehav yignnhta to od hwit gto,endediar emor wthi the hcgaen ni tfnu rc/teus.nruoEitc tsnoelyH ton'd o.nkw

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 +0  upvote downvote
submitted by drdoom(1206)
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see’rH one ywa ot sifmrceneilepoa-t-os erdesec“da debgd-yoonrnh anmf”i:otor mI’ not a bgi fan of thsi inel fo na,sognire utb ylteinalhcc inaelna sa a esdi gropu ash mero rg*eysnhdo fro oetnlpiat gnhodyre odbnngi ntah lncyieg:

nalien:a H—3C
nliygec: —H

,So lynal“tcch,i”e leaiann udwlo mptrie orem nrhydoeog-dnb onamitofr, whhci imthg waoll yuo to imlteaein atht ic.heoc

Ttah ,dasi ti esmes maslot biipsomsel ot elur tuo ot(ithwu yevr iecltcnha ldeeowgnk ro smoe pvdriode eatirnmpelex )data tath eht lhtlgsyi gaerrl nenalai oesd otn iaprim eghronyd nbgnoid etewebn lnlgoeca sclulmeeo vai irtesc )aasptl(i e.etfnecrenri nI pseirlm rsem,t escin laaienn is ,gerlar oyu lduow khitn htta ti tsum omwohse rfinetree htiw het o-hndryngigbdneo atht ucrocs ithw eht dle-wpyti ynlegci.

---
*ttryilSc kpeg,aisn ’ist ton eht berumn fo ednsogryh tbu olas the trnegsth of teh iloepd htat iafacseltti yregodhn bi:ongnd a ynrgohde obudn to a tlogsnyr ioeegaetrecnltv lucemoel ikel fneiulro wlli epap“r”a rome vepiotsi na,d st,hu hrdgny-odneob mreo ylrsotgn hitw a erbyna nxogye (ocmaedrp thiw a ehdoyrgn ectdnnoce ot nc,obra rof .aeple)mx

theurrF nriaed:g

  1. bl:/nuuougeseh./sd.//tlctphh/ictmd.iwphluh.eqemwprwdd
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hungrybox  paptireAec eth rtfofe btu iths is afr oto olgn to eb efu.slu +30
drachenx  uynxbghro is a fkangire htrea +
drdoom  ranchxd@e ah,ha a,nh moicgn akcb ot tihs i arezlei i wsa brpaboly ekrvggoeen-i oll +1
blueberrymuffinbabey  'ints the ynredohg gdonnbi dnedntepe on the dtoxyledayhr ielporn nda slnei?y so ahtt dnouwtl' lryale eb eth suesi reeh ncies sheot net'ra het aas neibg drele?ta +
drdoom  urree@bbly oAcirdgnc to ’seAtlbr BoCM ee(s gtnanTes ta ,rihg)t yhnysydoierxl nda leprrhxyoidnoy icnetutrob gynerdoh nosbd atht ormf ntweebe eht ahiscn nin,r“aiceh”(t sa oospedp ot htiaai-;cnrn eth n,cahsi fo cousr,e rea areetasp eoytlpsie;ppd taht si, ersteaap lancoleg o;entpsir and trociasntine ebeetnw rpsaatee cisnah era[pseta yedoptlpi]eps si atwh we lcla “ruyaaqrnte ut;ceurrst” ese gaTennt aoebv). dnA in shit ase,c sa uoy iopnt ,tuo the etms dseirsbec a AglyalGt;&- .ntsitoutbsui hatT esems ot aemn wto ght:sin (1) eht htere earepsat olcnglae plodsptpeeiy liwl ont ka“pc as][ ity”hgtl to mfor eth irletp ilxeh uyqaatnrer(= rs)ureuttc we lla knwo nad lvoe dan 2)( lnrpoie ngris lliw laif to earyl tuqei as ,glusyn mnosrgciiopm het licahle crnooinmfota tath sdnfeei na lhaap nihca (srcny=eado ster;rucut eth hepass that rofm nhwiti a lgiesn p.eyoielpdpt) +
tadki38097  oasl uyo nac't H bdno with c,bnaro 'sit tno prola heognu +
amy  2F020A 0P5 :tsaet oifmotran of (owricnapehhlcgol si eht ptlier ehilx tut)usecrr iva dghnryeo dna iiu.lfddes So A si cntcroier cb three are no lnloaecg mcoeellus ety n(2d usecttrru sppnhea ta lloncogpear vll)ee +
drdoom  @yma teiprl heixl si a auraneyrqt scutrreut cnis(e elptir lxeih si a pehas atth sfrom ENWBTEE erpaetsa ro tu“”adl lngocer-ncgoaolpella/ iespt)de.p yP,imrar oeadncsyr dan iartyret trersuscut aer rssincdoietp of a selnig ppelyit.oped nOce uoy hvae 2 or moer sdplypeoipte ntrctgieani with hcae heotr .g,.(e mgilboeHno m)leucloe ouy ehav aqranuryte struu.crte +

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 igthm eb khveiigrotnn ti btu, H dnob otomirnfa of 'saa esmak het noysardec rettuusrc of the riotpne gec(lolan in shti esa.c) Teh Gly to lAa tutbtnsiiuso oesd sutlre in elss H obdn aitofomn,r btu fo liiudvnaid saa' not enebtwe llocgaen oleesuclm (htta gmhti eb oemr fro trryaqenua ur)ttsecur

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lpp06  I hiktn hte eyk is in eth waenrs nihasg,rp het asrnew einnigmont bn-odHs assy iisnr"Dtpou of -Hosdnb betenew glnecoal scohmeouAlll g"hute lenlgoac dose goenrud -ginbHndo to tpupors eth iltepr h,elxi tshi si eodn iiwhnt eth sema elnogcla ocel negmn.Luikil iterfdfne olecngal leseomlcu orsccu avi the lisnye - nydsoxyhlriye lniks ndoe ni hte CME +1
kevin  isth si eht eno temnmco ahtt ylfinla elhedp em drtdnsuena wyh ahtt saw iccorentr. tahnk ouy +



 +0  upvote downvote
submitted by j123(16)
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mrryiaP uusctrret = amino aidc ocryns enqueeaecdS urtrucest = uturcsert roefdm thiw a geslni imano dcia eesqnuec (beat dltpeae tsh,ee pahal xhiel, trri)eytcTea crersuutt = ltpleumi andrsyeco uttuecssrr rinctategin egerotth l(iplumte eatb edapelt sehtes stcaedk no tpo of echa ,throe ct aaQryn)rertue trtcurseu = nprtoei rtuerstcu oemdfr fomr oglfdin fo lal treiyart esrruttscu ot make nidingb siste, t.ec

nicSe hte leanian aws tpu ni leacp fo the nli,yceG het mirrapy rcttruuse saw uablne to fomr na hlpaa ehlxi esnci lapah xheli ueustrcrts eedn a caaptrirul ucqesnee gly( - -x y) in oedrr ot fmor nogdyerh dnbos ot eekp het lxieh slbte.a

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 -1  upvote downvote
submitted by unknown001(9)
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twah is gallncoe ? a nsyeacord oinpret utcurtesr.

enhw yuo omevre n,lyegci eth msot natnbuad imnoa idac , from eth rceprrsou uoellmce llwi ouy get a poeprr ydcranseo tcsuruetr ? ON

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unknown001  niroeg sith +
drdoom  nac oyu reealboa?t at'swh rgown whti yuro ?eocmnmt +



 -4  upvote downvote
submitted by lilmonkey(63)
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lGy is aop,rl nlniAae si olnpanro nda hydoibhpo.rc eMsnesis osaitnrovnevcen matiu.ont eeThs AAs vhea dfferient cliemcha sreppreoit ihwhc edla to drtdsiepu noetrip odlgnif aocnres(dy ctet)rsu.ur Smaiilr to lGu - aVl osttitusinbu in liScke lCel aDs.iees

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