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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 hintk ti ahs mhnoitegs to do wiht ycingle due( to tsi llmas szie ti anc ift ni nmay pcelsa eehrw rohte mioan casdi cna otn dan ehcen it ispvdroe tr“tuslrauc ecnsmoaspt”c to eth negolca,l .e.i put a ikkn in het ahpal eilx.h) fI lyeicgn is adescilmp yb igetmhnso eesl, I dn’to hnitk co-onrglplae nca mfor tsi crctero dnyosacre sreut.cutr

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jotajota94  e!urT l,aso ngeciyl si 3/1 of leognalc lafa cinsa,h os ti smake esens ttah iutbusionstt with ilaenna (ihcwh si mchu reggib) dlwou ldae to dsoiuitrpn in het aplha lxhei ornfa.imto +2
jotajota94  !erTu s,aol lnigeyc si /31 fo agcnolle lfaa cah,nsi os it smeak seesn hatt tuoitubtsins htiw anienal hi(cwh si umch ibggr)e wloud aeld ot ndpuisrito ni teh phaal xelih fimrt.ooan +
thepacksurvives  iGylenc si mlasl dan ,dybne iwhhc wlolas it ot rofm eth ibislrf fro teh leiptr xleih +
brasel  sAol in renglea F(A 0812 gp 0)5 OI si ofmr prselmob frnmgio teh eriptl xelhi chhwi is oydcasrne usttru.rec nurtlatyFe,o they gvae su sehgiomnt ot rsneao thiw in eth unqteiso (ll)AagGyt;-& +3
amy  Can emnoeos lphe em neddnastur hyw A si ?cotcnreir 2F2A00 apge 50: leipTr lhiex fo 3 encaogll a ciansh si rfmdeo rfmo clgonoplrae aiv hdonegry and felddiusi obdn. Is hits yerv islmria ot hwta A is n.gieAd?rbci craDeseed yehdondgnrb-o oatfminro webntee gloalenc mulesole.c +
umpalumpa  eTh lianeontapx gvnie yb earbliaaawstl cduol rokw fi het nteuosiq owldu yas -a&-lltGgy;A iamt.nout evoweHr, eth nqueosti ettsas hatt erthe si an &l-Gy-tgAla; oui.amttn +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I ,feigudr -n-cyleXigY si eanlhcltcyi eddnercios a pa“rimry monai idca tesurrcut fo a ”reptnoi ecnsi eth odiiietnfn of a Pyrmiar retucsurt of a nitpeor si a“ anleri hanic fo iomna dsca.i” fI you essm thwi eth Prmrayi uutrrets,c as in the unqtoesi met,s ouy natonc ofmr het eonySracd stucrtuer of het ,tonierp whchi si ieetreddnm yb the rbgenygodihdn-on chiwh orsccu nbewtee the eptpied cokbnbea, dneeipdtnne of the R rspo.ug I phoe htsi adem nses.e

ormF aiidpiekw: dyrc“enoaS ctteusrur is larylmof nideefd yb eth arepntt fo yrgheond bsndo enweebt the monia ohgyedrn and xoclrbya xgeyno amots in het dppitee bobnckae.” ihem(pass )niem

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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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ok gsuy dan i uqote fmor lmh/wt-ecogisopd0s/etotam.eci/ts:1lebwarrtse/oent2fi/4eocpshtpurwsi.

"09% ehva na ifeadtnilieb cetgein oanmttui LC O A11 nad LOC A12
scaeu s nolbrmaa nglcleao inlskirocg-ns vai a gicnely osbsittniuut ni hte plragcoolne clomeeul "

wchih nemsa that OI hsa a eigcnyl sbtinisututo adn orehreft sti lubane ot ofrm a acyerdnos c.eturtuusr

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD to siygncle' lalsm ,zeis ti ecersat kik"ns" ni hte niaom aicd encsq.eue sTeeh ksnki are neeedd to crryltceo omfr hte sndeorcay rrt.tcusue

htrOe rnasew:s

  • w"eanekde treotcninai wteeenb eallgcon and tglonrpyoe"ac - nloclgea + elotoaypnrgc = t.lalraecgi The itueqosn tmse timsnnoe anmy scdtefe in bNOE (ytep I cg)oenall ubt on noenmti fo teecdfs ni ragalOlceWT eypt( II oel)lgnca
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 +1  upvote downvote
submitted by basic_pathology(25)
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-lGXY-y si ebokbanc rof oglencla plaah ain.hc 3 loancegl aaplh hasnci lisarp to rfom rtilep xhe.il ilGycne sah on R ruo,gp naogliwl for iyfitelblix nad fonmtiora fo tieplr elih.x No cegnily rtevesnp htsi tioucsunno p,gnirlais tgvieerpnn eht nfotoimra fo oleglnca dsonrycea turestur.c

Ralelc htat ahlsch-liaeep dna sb-ateeseht era emsapxel of cesonrady s.cuuttersr ihTs cna eb hhttuog of a ttioimfaesnna of eth laaph eihlx.

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 +0  upvote downvote
submitted by an_improved_me(91)
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NAorhte way ot teg at ti si avi imientianl:o

A. hyroendg donnbig uwnltod ellayr anhecg necis itenhre iennala rno eyngicl era lparoB . ylG t&;g laA lnt'dhous ncegha how eprnilo si ofimided I( eamn ti ,OLDCU if terhe saw a irscte idehacrnn or nimgt,eosh tub not a regta nw.Das )re ntinohg ot itndieac ahtt aclolgne idneotderga si traeedl in nresesop to an AA uuttssobin.ti ,olAs in eht ottcenx fo OI ch(hwi si het ntsrepegin l),mcopnait ew delayra nowk tath het bleprmo snode't ahev ihnagytn to od ithw otrd,gineade moer whti the agechn in ciuur./tufen totrsEcn ltHensoy ton'd nw.ok

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 +0  upvote downvote
submitted by drdoom(1206)
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sHe’re eno ayw ot splin--soaeeirmefcto ca“deeesrd ygobedornndh- raointf:om” ’Im ton a bgi anf of thsi nlie fo genainors, ubt italyclchne naaenil sa a ides urgpo ash erom sr*ygehdon for ttelipona hgyrendo indobng naht lgeycin:

:enlaian C3—H
nce:igly H—

,So ”hnct,“ciaylel nelaina uwlod mirept eorm ohbgrdeyo-ndn onrimfa,to hhwci hmigt olalw ouy ot tenielaim atth ciehc.o

athT ds,ia ti sesme oamslt seolpsbiim ot uerl tou uwtohi(t very naclthiec dwolkeneg or oems vperdido exmranipeetl dt)aa thta hte shltygli glrera lnaaine osed not aimipr gnedrhyo bnodgni etnbwee lgaconel esluoemlc iva escrti as(lp)ati necrietfene.r nI merlpis mest,r iscne niaanle si aleg,rr ouy dlwuo thnki hatt ti tsum hmsoweo fieetrner iwht teh rnbiohonngddyg-e ttha crsocu thiw eht ie-pytwdl ceynigl.

---
c*tyiltSr aigeksn,p tis’ nto hte eubnmr fo dyoesghnr but olas hte testrhgn of teh diepol ttah alfctiietsa yhognerd ndo:gnib a ynhrdego udonb to a oystgrln egeteclirvenota lmuloeec lkei eoiufnlr illw prp”a“ae oemr eivpstio and, ,usht ydonrdghnobe- erom rngtlsyo tihw a erynab gnyexo adomecp(r hitw a yngohrde nndcectoe to rbcano, ofr xeae).lpm

Fteruhr :anregid

  1. /sluwi/tdpiergu/.:lldeq.wsott/upcduhhh.wmncdehmpb.h/e
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hungrybox  eacreippAt the eforft tbu isth si fra oto nglo to eb sf.eulu +30
drachenx  hyuxnrogb is a efiagrkn tareh +
drdoom  @anxredhc hah,a hn,a gcnimo ckab ot this i eiarlze i swa olbrpbya gekr-evgieno llo +1
blueberrymuffinbabey  'tsin eth oheryndg innbdog ntdedpeen no eth dlyrxdheoayt liropne nda ?ilyesn so htta 'tduwlno yellar be eth seisu rehe enisc htoes t'aenr hte aas ienbg etrael?d +
drdoom  rubyeerl@b ndgoAircc ot tAbesl’r MCBo se(e Tnasegnt ta r),ihtg yohdisnxeylyr dan hxilrypoydoern tintcerbou ogedhnry bsond htat mrfo eenbwte teh cinsah in“r”tn(icahe, as pdoesop to ;arcnnit-iah eht ac,nshi fo ueos,cr are tsaaerpe eo;pptdlisyep htat is, sratapee lncoelga ;etpnisor nda nioasricettn eeenbwt repstaea cisanh srea[atpe t]dpeleppiyos is wtha ew clla aqut“anrrey u”tuc;tesrr see gnaTten bavoe). Adn ni shti ,aces as yuo otpin ut,o teh setm cerdibses a ;tl&g-yAlGa butsot.iutsin htaT eesms to nmea wto hig:stn 1() eth erhet sreaetap elgncalo steoyppdipel lilw ont “akpc as[] lh”gitty ot rmof the tlreip xehil yqar=aentu(r s)tucruetr ew lla wnko dna eovl adn 2() iroenpl rinsg iwll afli to eraly eqiut sa n,lsygu crgsipmiomon het hlaclie inonfmtrocoa ahtt eeisfnd an hpala ichna (=orsdyncae ;tuursrtec het ehsasp ttha rofm nthiwi a ilgens )eoplptiey.pd +
tadki38097  saol oyu an'tc H ondb htwi obn,car si't tno rpola heognu +
amy  0F2A02 P05 :attes rmotianof fo hop(hlorwagnlccei is the rliept liexh u)rrtesctu iav ergohdyn dan fdisd.ieul oS A si roncitrce cb rehte era no glleanco elumoecsl tey dn2( ttucrsure hanepsp ta enpglcroloa v)elel +
drdoom  y@am rpteil hexli si a aurtrnaeqy reuttcrsu s(cine rilpte elhxi is a aseph that ofmrs WEBENTE aertpeas or “t”ldau -/pcoelglcoornanaegll .i)dpetsep ir,amPyr senycrdao nad rtatreiy ueursstrtc rea pitsiodescrn fo a esigln iptyoepdlep. eOnc oyu haev 2 or orem elpsoyepdpti ianiregtcnt iwht caeh heort e,.(.g olgimbHeno emcuoll)e ouy veha yrnqaueart etrtsucr.u +

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 ghmti be ongehvrintik ti b,tu H dnob ioanmtfro of as'a sekam hte edsycraon rutcsuert of het enrtpio (lagonlec ni tsih a)esc. The lGy to aAl butountissit oeds tlsure ni sles H nodb rtafno,imo but fo lundivdiia 'asa tno ebneewt llcgenao oslucmlee (that mhigt eb oemr rfo enaqutyrar rtec)rsutu

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lpp06  I tiknh eht eky is ni eth wnaers pagrsni,h hte wreans ningointem on-bsHd ssay rui"tponiDs fo nb-osHd bewteen nogallce elhhmglu"eclou tsoA lneloacg sdeo neougrd nnoi-dgHb to surptpo the rpeilt ,elxih hsit is enod iiwthn teh aesm elcaonlg nmk.oiL gcleliuen ftidrefen lncgaloe leoscmlue cosurc avi hte ynsile - rsyenoyxhlydi lksni dnoe ni eth EMC +1
kevin  this is het neo mteoncm ahtt yalifnl pdelhe em aunnrtedds hyw taht asw tirncc.ero ahknt yuo +



 +0  upvote downvote
submitted by j123(16)
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rPamyir cerrtuust = nmioa idac dyneescqaroee ncuS usurcetrt = rteruutsc omderf hwti a sngeli aomin adic eqesnecu eatb( patdeel eh,ste hplaa eix,lh ei) tacertrTy uuersrtct = pitllemu ynacdesor sseurutcrt eitcinrnagt getthoer lemtip(lu eatb ldpeaet teshse easctkd on opt of hcea r,heto eyQanurt)et arrc tuutrresc = eioprtn rerstuuct reodfm mofr dgilonf of all reryttia tuctursesr to maek nndbgii iet,ss e.ct

neSic eht nlinaea was put ni ecalp of the ,inceGly teh amirpry cturreust asw ebluna to ofmr an apalh elhxi iencs aalph eihxl resusttcru need a cilrtparau sceeeuqn (lgy - x- )y ni rrdoe ot mrfo dgyneohr dbosn ot kepe hte xehil atlb.es

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 -1  upvote downvote
submitted by unknown001(9)
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ahwt si gceoalln ? a casoydrne pniorte trcut.uers

hnwe yuo vrmeeo ielyg,nc the most badntuan omian cdai , rfom eth scerrpuor ellcmoue illw yuo etg a pepror nardecsyo etrtcuusr ? NO

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unknown001  rieong htsi +
drdoom  anc uyo ater?bloea tashw' nrgwo iwth rouy t?cmoemn +



 -4  upvote downvote
submitted by lilmonkey(63)
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Gyl si olpr,a Aanelni si onprolan adn odyo.bpchrih eesisnsM vnsoeorantncevi imton.atu eTshe sAA evah rfneedfit elmcachi rpetiorpse hiwch eadl ot rdispduet eoiptnr lofnigd yr(cedsnao e.r)curtust malirSi ot lGu - laV oitusnstiubt in eSlkic lCel ies.seDa

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