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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 kinth it sha tgoemnshi ot od thiw gnyilce e(du ot ist amsll siez ti anc fit ni namy acsple wreeh other iaomn idacs anc nto nad hneec it dpsievro trcurtausl“ enscmapo”tcs ot teh cn,loelag .i.e ptu a nkik ni the ahlap .hxie)l fI ngelciy si amcelidps yb tsghoeimn s,lee I dot’n khint allceog-nrpo nac from ist tecrcro caeodysrn .tsruertcu

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jotajota94  rTe!u sa,lo egyclin si 3/1 fo glceoanl afal chns,ai so it kmeas nesse atht nstsiuubitto twhi nanalei (hcwih is hucm eigbrg) luwdo aled to sopnditiru ni eht ahalp hxile mo.fnartio +2
jotajota94  !Tuer so,al inyelcg si 13/ fo gelaolnc lafa ,icanhs so it aksme eesns that usittnsbiuot thiw aiealnn hwich( is mhuc grgb)ie dowlu dela to tdrniopisu ni hte plaah xihel .aoorntmif +
thepacksurvives  Gelycni si lsalm adn ydne,b wihch wloals it ot fmor eht fibirls for eht replit exhil +
brasel  lAos ni lgnaeer (FA 0812 pg 05) OI is from rmosblpe grfoinm teh itlper xilhe ichwh si ersydaonc crusuet.tr aetr,nFlyuot ehyt vega su thoenimgs to noaser iwht ni eht qtoseiun )l&lat(-;ygGA +3
amy  nCa mesneoo lpeh me ndasuertdn hwy A is crit?recon A2020F gaep 0:5 rlpieT elxih fo 3 ceallong a iacnsh is ofmder omrf gonerallcop iav rdnoehyg and iesifddul db.no sI isht vyre misilra ot htaw A si .eAgnic idbr? raDdseeec -gdenobhydonr notfaomri tbenewe lgcelona usoceemll. +
umpalumpa  heT iepxaantlon gievn by llswiaeaatarb cdulo krow fi the stiouenq douwl asy gyaG&tl;-l-A .mauottin e,rvoHew the quieotsn tsates ttha rhtee si an ;tg&aGll-A-y tainutm.o +


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submitted by cellgamesgojan(43)
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I fd,rgieu gely-cYi-Xn is ncycllaieht cdesnriode a ry“ipmar inoam ciad ttusurcre fo a oienrpt” nices hte itiidfneno of a yaiPmrr rucuetsrt of a onptrei is “a ranlei hcnia of miano .adic”s If uoy ssem ihwt eht yrrPmai trt,uusrce as ni teh ntoiqeus emst, uoy ntonca omrf eht erSdyncao eutturrcs of hte oreip,nt chhiw is edretnmeid yb the gd-oorndnbignhey whcih scucor wteeneb hte tdippee bbncaoke, enedndeptin of het R psug.ro I poeh ihts edma eesns.

mFor ikpaeiiwd: neScraoyd“ rctturseu si alrmyofl dndfeei by eht neprtta of enoyhdrg odnbs wbeteen teh monia ornydegh nad bxyraolc egnxoy matos ni teh peitdep kceabbon.” hiamssp(e )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)

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 +4  upvote downvote
submitted by usmle11a(102)
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ok uysg dan i etqou rmfo i0/forsobe/1.nacleprt2s4pwdseahittthsrs-pwt/eotsio/lg:utmmeci/ceeo.w

"90% heva an efliaitendbi egcneti umanoitt OLC 1A1 nad OCL 2A1
cseusa noaamlbr ogelancl nig-srklincos vai a lnicgey tnitiuuobtss ni the nrcaoglloep eoemlluc "

hicwh naems atth IO sah a iycegln utonssttbiui and heeofrrt ist baeuln to romf a yoreadncs etusturrc.u

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submitted by hungrybox(1277)
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euD to ie'cgylsn malls s,eiz it ecasetr sk"k"in in eth omani dica euese.qnc sTehe knsik ear ddeene to orcreclyt frmo hte cyaenorsd eurrutsct.

hrOte wrss:ena

  • wnkde"eae arititnoecn wetnbee eolaclgn adn rcoypel"antog - olglcena + peayorogcntl = ai.relcgtla Teh snqotieu etsm tnesnoim yanm ftcdees ni EbNO ptey( I elgacnlo) ubt no enomint of dcteefs in crgTllaOWea (etyp II nel)alcgo
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 +1  upvote downvote
submitted by basic_pathology(25)
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-GY-ylX si ebkoanbc ofr lcoglane ahpal hiac.n 3 ceolangl alhap snicah apilrs ot form tlripe i.xelh ylnecGi sah no R po,gur oaglnlwi rof xllibiiytef nad ortnfiamo fo ltierp hi.exl No gneyicl repnsvte ihst uctusnioon g,sariplin pertgnvine het otaimornf fo cgaoleln eydrcsnao seuutrtrc.

Rclael tath ehspcaielah-l and tat-sshebee era aeexslmp fo roancedys uturrs.estc iTsh anc be ththogu fo a iosiatnamtefn fo eht ahlpa hlxei.

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submitted by an_improved_me(91)
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ehAotNr awy ot etg ta it si iav imelionntai:

A. nrgoyehd odginnb wotuldn yaellr egcnha necsi itenehr aanenil onr lcngeyi rae o Blp.ar Gyl t;g& lAa 'tsuoldhn cngaeh ohw leponri si iidoefdm I( eman ti ULCO,D fi eethr wsa a isrcet nhacnerid or ntsmigheo, tbu tno a garte a )ewnrsD. tghnoni ot citidnea ttha gaeolcln ntedegadior is eertald in senpreso ot na AA i.tstuoustibn Aols, ni eth ncxtoet fo IO hwc(ih si hte niprsnetge pto),icamln we dreyaal onwk htat hte poblrem oedtn's vaeh aihngytn to od thwi nao,deirgted rmoe iwth hte acghne ni trouE.te/ucf rinusctn lyseoHtn dnot' .nokw

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submitted by drdoom(1206)
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seHe’r noe way ot m-efe-esoplsicrtonai rsdeea“cde ddhgoynreb-on fa”irtm:oon m’I tno a gib fan fo isth neli fo gor,einnas but tnhcaclyiel nilaean as a ised gupro hsa meor ngho*dyrse rfo etltnoipa erhoyndg dbgnoin htan gniceyl:

n:nlaeai C—3H
lineygc: H—

S,o il“cecytl,hna” ainelan ouwld etmpir oemr yedb-gnorohdn nfarooit,m hwcih hgitm woall ouy to ieateimnl htta ceohci.

Ttha s,aid it smsee asomlt iiospebsml ot urle otu othiuwt( vrey liceactnh lgewdenok or esom pioderdv etanmlxipree td)aa hatt eth sillhgty arlreg nanaeli osde ont imrpai nehogyrd gdnoibn ebetwen lloencag oecmuelsl iav icsert la(satpi) rrneetienc.ef In lipsrem ,mrets ecsni aanlnei is arl,reg yuo luodw nkthi htta it mtsu moshewo trnfeeire hwti hte hnygoe-brdgodinn ttha ccosru hwit het ie-pwdylt enigcly.

---
itSl*rtcy isgp,nkea sti’ tno teh bnrmeu fo oedsrgynh but laso hte rtstnheg fo the eoipdl atth leisfaicatt nrohdgey i:dnngob a rneygdoh doubn to a srgyltno oceatteengeivrl elmuceol ikel lonrfuie wlil rpap“ea” oemr iisvoept n,da hts,u nboedoyhdnr-g mroe ryntogsl htiw a beyran ngyexo p(cedoram htiw a gondrehy etceconnd to ancro,b rfo .elmx)pea

rhruFet :geadrin

  1. shcuh:et/ghe.wb/.nepmlrhdeqlpw.u/u.ldpttmoudd/hisw/ic
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hungrybox  rtAepiapce eth foetrf tbu tsih si rfa oot glon to be ueuls.f +30
drachenx  rxyuhbgon si a fgreknai ethra +
drdoom  rx@dcahne aahh, n,ha cgimon cabk to ihts i ariezle i swa obblyarp eneekrgo-gvi oll +1
blueberrymuffinbabey  t'nis teh ngdyoreh diobnng dntenedpe on eht rloyyhedtdxa eolprni dna ilsyen? os that wlntuod' aleryl be teh sseui ereh cinse heots r'aten teh aas iengb aeetlr?d +
drdoom  bl@ruyrbee dncrgicoA ot rAbtlse’ BoCM (ees nsnaTgte at girth,) rxinoyhdsyyle nda ryhpixonryeodl cerottnbui ghndreoy donsb htta mfor twebeen eth hcnasi cnta,rienhi“(” sa osopdpe to -ncirinahat; teh icahsn, fo o,erucs ear teapresa pdosyeepplt;i taht ,is eeaprast lnalcego i;esonrpt dna nsaiieottrcn enbtewe tepraaes nshaic pat[resae spilped]eptyo si tawh we lacl raurq“tenay u;urtset”rc see nTnatge vaboe.) nAd in ihts caes, sa uyo opint tuo, hte mset bsreisedc a &aGltgl;-yA nuuoi.sitttsb haTt eemss ot nema otw gtsni:h 1() eth theer aetasepr aglolnec ppypseteoild ilwl not k“pac sa[] l”ittygh to form teh ipltre hilex ar=qnyute(ar esrcurutt) ew all oknw nda vleo dna 2() roelnpi sring lwil laif to alyre iuqet sa ylu,sng ismirpcmoong teh achllie ntnofrcoioma atht nfeside an aaphl haicn r(n=easycod tster;rcuu teh hpeass ahtt form twnihi a snglei .dip)lppetoey +
tadki38097  soal ouy acn't H dbon htiw nr,cbao 'its not arpol gneouh +
amy  FA2200 P50 eas:tt nftioroam fo el(ccrlnhwgphoiao si eth tripel ehxli teu)rustcr avi gyrnodhe nda diid.ufsel oS A si tcierorcn cb rheet rae no algneloc oscluleme yte dn(2 etrsctruu hnpspea ta olreonpgcal llve)e +
drdoom  ma@y rpleit lhxie si a ertraqnauy eurctturs neisc( pltire xheli is a pesah atth srfmo NETEEWB seeparat ro tdal”“u lcnoaar-eoglnllgc/peo sipte.dpe) ,marPyri dnryesaco dna tertayir ttrucesrsu are nsecdprisoit fo a gsnile edp.etpployi eOcn ouy aveh 2 ro eomr pppseydtolei ritingacnte hitw haec ertho .,(ge. geHimlonbo eemoulc)l uyo avhe yntrqeaaur scrut.ture +

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 tgimh eb gohtiniekvnr ti tb,u H dbon rmiftaono fo a'as meask hte oeycadsrn tresruutc fo the erniopt llane(gco in sith esac.) ehT Gyl ot laA usiuttsonbti dseo leustr ni ssel H nobd rnofto,iam tbu of diiudnvial 'asa tno teweneb gcellano scelluome aht(t thmgi eb mreo fro taeauqyrrn )ucsrtture

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lpp06  I inkht the eyk si in hte snarwe nishgpra, the aesnrw otnnginmie -dsHnob says noiiut"spDr of -odbHns wtenebe elanglco ceulhteluAms"hog lo canloegl dose rnuedog H-ngbdion to tosrupp hte piertl ih,elx hsti is enod hniwti het seam aglcelno i nknigoemc.Lelul ideeftfnr nclalgeo elleuocsm rccsuo avi hte yeinls - idyrnsyxyeolh skiln noed ni eth MCE +1
kevin  tshi si eht eon ntmmceo atht filnaly pdeehl me adntesrndu ywh atht was roritnce.c hnkat oyu +


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submitted by j123(16)
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rmiyaPr ruuttcesr = omani diac ydeec anronqSsueec csrteuutr = cturterus ofmedr thwi a ignesl oianm cdai uecseeqn teb(a deaeplt e,tseh alpha exih,l arcetTet)yir utcruestr = ilmutple eoacrsdny etucssurtr eaicnrttgin gothrete uietplml( teab edletap tesshe edsackt no pto of aehc ,orteh ttrearnQauyr) ec tuuctrres = inoetpr tcuetsurr feromd rmfo idglfno fo lla ryeratti srutscerut to amek gndibni i,tses cte.

enSci het nealina saw upt ni epcla of eht ilenG,cy eth yampirr uurrtetcs aws elnabu ot orfm an laahp iehxl seinc alhpa hexil ecrusutsrt deen a irualtrpca ueenqces lg(y - -x y) in eorrd ot rfom eyrhongd ndbos to eepk the eihxl b.atesl

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 -1  upvote downvote
submitted by unknown001(9)
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whta si olgcanel ? a dyacesrno riotepn u.retrtcus

wnhe ouy ovmeer nceyigl, het mots aunatnbd aomin caid , fomr het cesrourpr lleuomec liwl uoy gte a preopr yoanrscde sttrrcuue ? NO

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unknown001  roigen itsh +
drdoom  nca oyu roal?tabee a'tshw gworn ithw yrou on?ctmme +


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submitted by lilmonkey(63)
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lGy is ar,opl lAnaein si aronnplo adn .obhrcipyhdo essneMsi onivocsvnatneer .numtitoa esheT AsA hvae fnefitdre ceiahmlc eptroeprsi hciwh elda ot pditsrued rtenpio fnidolg sdao(ceyrn tut.)resucr rSmilai ot ulG - laV tibontutissu ni leSkci llCe Da.siees

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