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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 khint it ash enthgosim ot od ihtw iyenlgc e(ud ot sit amlsl esiz ti can ift in myan csealp ewehr thero aonim caids can not dna ceehn ti oidvsepr rsur“tatulc ”ptsnosceacm to teh lna,goelc i..e utp a iknk in hte alahp .ilhxe) If ngeclyi si decmispal by nghmsotei e,sel I tno’d ihntk -aolclerngpo nac rfmo sit ctcrreo sconadyer rturectu.s

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jotajota94  !reuT aos,l ligynce is /31 fo celnogla alfa s,nihca os ti skame neess tath nittubtssoiu thiw aneinla hicwh( si uchm )brgieg ulowd adle to iopduirnst in the lhaap xeihl roiftmn.ao +2
jotajota94  Te!ru alo,s lciygne si /13 fo clagolne afal nch,isa so ti eakms esesn htta bsnuoitsittu wiht lennaia (wihhc si mchu rg)ebgi wudol adel ot sipdonuitr in teh pahla xhiel otoniraf.m +
thepacksurvives  neGlciy si asllm adn edyn,b ihchw olslwa ti ot rfmo eht lisrfib fro het rptiel hxlei +
brasel  olAs in reegnal FA( 2108 pg 0)5 OI si morf spemlrob gfnmori eth ietlpr ilhxe hiwhc is aeyrndcso tcsreutu.r Flr,yaeunott ethy agev su nesthoigm to asenro hiwt ni hte osueitnq tg-;&G(Al)lya +3
amy  naC mensoeo pehl me nurtnsadde hyw A is rncre?tcoi 02A2F0 eapg :50 rielpT lxeih of 3 nalceolg a canshi is roefdm ofmr lnoprlcoega vai eyrohndg nda ieddisluf dbon. sI hsti eryv almrisi to twah A si iid .ngcrb?Ae racDedese dgyrbnnh-oeod fiotnmaor ebeewnt elcolang oulels.emc +
umpalumpa  eTh aepxailonnt gniev by aawbslreiaatl colud kwor fi the nesqoiut duwlo ays Ay-&g-;tllGa imu.tntao rvewo,He eth stqneuoi ttsase ttha ehetr is an Glt-ayl-&;Ag ut.oinatm +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I irfegd,u nXic-el-ygY is clatnlyihce sieonrcdde a pmryir“a oanmi cdia teusrcurt of a prneoi”t iecsn the nifditoeni fo a riyrmaP truteursc fo a iprnoet si a“ lrneia cahni of amoin dsi.a”c fI uoy ssem wiht teh yirmPra ,ertusturc sa in het qsitnuoe sm,et oyu noctan rfom eth rSoydcnae rtuusecrt fo het pie,ront whihc si nededrtime yb the bohgg-ennioyddrn whhic crosuc tnebwee eth eippted bkbcneoa, tnidenedepn of the R upo.rgs I oeph ihst amed snsee.

ormF wipikdeia: ydcaeor“Sn erusrtcut si faomyllr deinfde by hte aretptn fo hyrnegod bonds eeebwtn the nomia nyorgdhe and lacxoyrb gnexyo staom ni het eptedip kecboabn”. meiahsps( )enmi

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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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ko ugys dna i tuqoe rfom rsewel0wp14oancotupsileegsrbttmtt.rhidcet/.ctosf2i/owp-/sei/m:aose/h

9%"0 vahe na aetfiilidben cneegit uoatintm CLO 11A dna LOC A21
s csaue maolabnr acelonlg lnciksis-nrgo aiv a geclyin tusbinotsuti ni hte lglraopenco lleoecum "

cihhw esnma taht OI has a ilcgyen ttsitoniuubs dan hfroteer ist neulba ot rofm a sndeycora ucrustutr.e

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submitted by hungrybox(1277)
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uDe ot 'yncglsie lamls i,sez it ectreas kk"nsi" ni eht moian dcia .seeqecnu eeThs knisk ear enedde to etorcycrl rmfo eht nyroeascd cte.usurrt

etrOh nwass:er

  • ewnda"eke neainrotcit wneteeb ncllegao dan neogcolaytrp" - llegoacn + eagnctoproyl = cal.ltergia The nesuotqi mtse motennsi nmay deftesc in ObNE y(etp I l)ecoalng tbu on emnotin fo esectfd in crTllgaOeWa t(eyp II a)glocenl
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 +1  upvote downvote
submitted by basic_pathology(25)
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lXYG-y- is cboabnke rfo oaclnleg plaha chian. 3 lcogaeln lhpaa ishanc laispr to orfm erptli il.xhe iGylcne has no R pug,ro lowignal ofr eliiyxbitlf adn onirfoatm of litepr h.iexl No lcnyieg seernvpt isht uotoniunsc gsrial,inp grnveptine eht tanfmrooi of eoganllc dcsaneory ttus.rercu

acllRe taht -iaseahllhpce and sbse-teehat aer lsepaxem fo eanycodrs .uusestcrtr shTi cna be uoghtht fo a aasmnotitifne of eht lahap ilh.xe

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 +0  upvote downvote
submitted by an_improved_me(91)
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othArNe wya ot teg at ti si iva ii:leotinman

A. erhgydon gdonbni tondluw alryel hecgan senic itnheer anlneai onr cigynel rea rpal .oB Gyl ;> Aal dnot'ushl cgnahe owh lpienro si ifiemdod (I anme ti ULOC,D if etehr saw a risetc ndcnrheai or msieognh,t utb ont a aetrg aD w.rn)se thgnion to tneaiidc hatt enclalgo aedgeoirdtn is aeldert ni oeenpssr to na AA tsiist.ounutb ,sloA ni het etntoxc fo IO wc(ihh is eth snrepeting il)omn,tpac we ryedlaa wkon htta teh lmreobp sneot'd hvea hniynatg ot do twhi deetgnadoi,r meor ihtw eht hecnga in ur/Esnteftu cnc.utroi eynHotls d'ton .knwo

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submitted by drdoom(1206)
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’eesHr one ayw to -miilesent-aoeofpcrs ecaddrese“ brnnydhodgoe- roi”onmtf:a ’mI ton a big fan fo hsit nlie of snai,goenr btu ilatenlhcyc nialena sa a ieds purog sah mreo nrhs*eyogd ofr inoatplet dgnryohe ndbgino nath nygliec:

nil:eaan H3—C
gceiny:l —H

,So n“,hyialecl”tc neanila wlodu mirept moer dndn-yhoebrgo ,iotmoranf iwchh imhgt woall uoy ot maleetiin tath ceic.oh

htaT ds,ai it sesme saltmo imsspeolbi to lrue tuo uht(itow yrve atclnheic wgnelkode ro soem odervipd nipxtemleear dt)aa atth the lygilsth erarlg ainalne does otn aiprmi rdnogyeh dgbnoin tenwebe aelongcl ecslemoul iav strcie tspai)l(a eertenr.nfeci In lsriemp trsme, ecnis eaiannl is ,erlagr oyu ludwo ntihk hatt ti smut ohswmoe rrfnetiee iwth het grnyhnieboodgnd- atht rusocc twih eth tidey-wlp ncligey.

---
tcS*yrtil g,ekpnasi it’s not eth numerb of endhoysrg but osla hte ttgenrsh fo eht peiodl hatt ilsefitcaat grhneydo g:bidonn a ghdreyno doubn to a ntlyrosg liageenertvcote ceoluelm ekil fenriulo lwil aep“apr” moer positevi d,na ,shut ohdynoegbdrn- omre lgoyntrs hiwt a ryenba ongexy r(pcmeoad wtih a rdonyghe noncdctee ot an,obcr rfo eem.)laxp

rthreuF aeidrng:

  1. wie.oupwgdhwdh/tele/.psctln/up/hmlh:bqm/h.uiudtdsc.er
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hungrybox  ireeppAtac the ftfeor ubt tsih is arf oot olgn ot eb .luuefs +30
drachenx  ronghyubx si a gkrinafe areht +
drdoom  erahnx@dc ,hhaa ,nha ignocm cabk to this i alreezi i was ryaopblb keg-ngoeirve lol +1
blueberrymuffinbabey  'ints hte dyenrhog gnidonb tnpdnedee no the dedyhlytaxor epnolir adn enilsy? os ttah untlowd' rylael be het esisu ehre iencs sthoe tran'e eht asa gneib tea?derl +
drdoom  eurybl@erb rincodAgc ot ’lsrtbeA CMBo (ese egnntaTs ta ghr)ti, xynyyirdlohse nda eyxloyrnhirodp tecntruboi nyreodgh sdnbo htta ofmr eebtenw het hcansi c”eath“,ir(nin as psopdeo ot nihnrt;caai- hte n,isahc of c,eusro rea rspaetae popsedetpi;yl that ,is sptaaree oleancgl ;riensotp dan inctnotaresi etebwen apaesrte ihcsan ase[aertp tdpsolpiye]pe si ahwt we llac ayn“aeqrurt t”strueurc; see Tgntnea ebvoa). nAd in thsi ,esac as ouy pinto ,tou het smet dsrceibes a -aAltyGg;l& tuottni.suibs taTh eessm to anme wot ih:gstn ()1 teh erthe seaparte caolgenl todiypsepple wlli ton akp“c ][as ttlygi”h to fmro the eitrlp xlhie euar(tqrnya= t)urecturs we lla nowk nad oelv dan )(2 irlneop gsnri lwli lifa ot lyaer iquet as lgs,uyn simocpriognm the cahllei fnooaiocrnmt that eindsfe na aahlp chnai adns=re(oyc ruturs;cet eht saphes hatt fmro ihnwit a isnegl p)plepyd.etoi +
tadki38097  oals oyu acnt' H odnb thwi ,arcnob 'tsi ton aporl ougneh +
amy  A020F2 05P tsae:t toomarnfi fo gwonlhhoecl(cirpa is the eplrti hilxe tetcruur)s vai nyheodgr dna fiilsuded. So A is ccteornri cb rtehe rea on lenocgal esolmceul tey nd2( ursttruce esphpan at oarpnloegcl )evell +
drdoom  mya@ ireptl hlixe is a untarqaeyr seurtuctr seci(n iplrte xhiel si a eshpa hatt ofrms WEETNEB taeraeps ro ”“tdalu galnelcl/lopnc-geaoro se.dtiep)p Payrim,r dcanyrseo dan eryatitr ucretrssut aer isopsietrcdn of a lnegsi leo.ypptepid ecnO oyu eavh 2 ro mreo oepptyseipld nintegtrica wthi heca hetor (,.g.e eobiomHlng ellceuom) oyu vaeh artnqyuaer uttre.crus +

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 gmthi be ovienghrtnki it ,tbu H nbdo taofnmoir fo 'asa kmeas het edsoranyc rsutreutc of eth irepotn a(cgellno in ihst .case) eTh Gly ot lAa ntuibiottuss sdoe utlrse ni ssel H dobn fto,ionram tbu of liavudidni aa's tno ewebent gecnolal eomclslue ha(tt mhgit eb oemr rfo uearyanrtq rs)trutuce

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lpp06  I ihktn teh eyk is ni eht rawsen gaih,nspr het wnersa onennigmti ndHo-sb yass "uiDostrpni of sdHbon- eenbetw agllocne e su"Amhughltloocel lgoelacn osde oerdnug ibong-Hnd ot tosppur teh etlirp eixh,l tshi si deno nwhiti hte smea leacolng cmilL ig.oeunnekl netfrfdei lgloecna msucleeol cucsor avi eht neslyi - ylhoxdynyiesr sinkl oend in eth MEC +1
kevin  shti is eth eon eomtcnm htat lyaifnl edlpeh me trndudnaes why that aws ciorecrt.n tankh oyu +


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submitted by j123(16)
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yrPmari treucrtus = naoim aicd sa ucycnoeenreSdeq rrctteuus = sucrtuter demrof thiw a nisleg onmai cida enqcseue bt(ae aeeptld te,she alhpa hixl,e ry )trieTaetc etutucrrs = ellmtpiu dcneasyro tctsruersu gtincternai ethertgo (imultple ateb pdleaet eshset acsedkt no opt of hcea ,hoert yucnaratQt)rr ee eurtrutsc = oiepntr turtescur morfed rofm iodglfn of lla ttriraye etuutsrrcs ot meak igbndni ets,si cte.

iScen the aanelin aws upt ni lpcae of eth ilyn,cGe eht impyrar crtruteus was aunebl ot rfom na phala lxhei esicn ahpal lxihe sutustcrer ndee a ictrrapalu euesncqe (lyg - x- y) in dreor ot mofr hgyeondr sondb to ekpe het lheix atlse.b

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 -1  upvote downvote
submitted by unknown001(9)
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hwta is geanlolc ? a ecynoasrd rnpoiet stceuurt.r

whne you remoev cngiye,l hte tsom nbdtnaau aoimn idac , fomr het rreopcsur eoumclle llwi oyu teg a rpeopr nesdacyro crteuurst ? NO

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unknown001  oering siht +
drdoom  nac uyo blaeeor?ta awst'h wgnro hiwt uory ncte?omm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG is p,loar inAaeln is nparnool nda hphocio.rybd niMessse coainotensnrevv tuoi.ntma esTeh AsA aveh eteidfnfr chimalce tpoesriepr hciwh aled to prtuidsed retopni dnilogf (syecodran )rurtet.csu miialSr ot lGu - Vla tsibiuunstot ni lcSike leCl eaDs.sie

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