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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 kntih it hsa ioegmnsth to do wiht yiclgen (ued to its amlls isze it nca tfi in mayn cplaes erwhe horte aiomn idcas nac tno nad ceenh it dsoievpr ltcs“ruatru moce”sctpsan ot the elno,gcal i.e. upt a kikn in teh pahla exh)l.i If niegcyl is aepcidslm by nothseimg sle,e I d’otn thnik gpe-nlacrolo acn fmro its rrectco oeandsyrc rttuu.ecsr

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jotajota94  uT!re ls,oa celyngi si 3/1 of laneolgc flaa sna,ich so ti samek eenss ttah utssutiniotb tiwh anilaen ihwch( si cmuh ig)grbe uwdol adel ot nutriipdos in hte ahlap hxeil afnr.otmoi +2
jotajota94  rTe!u asol, lcnigye si 13/ of acgellon faal hsnaic, so ti esmka nsese ttah bniuissuttot hwti nilaaen wchh(i is cumh gb)geir dlwuo deal to opisindrtu in the lhapa xhile .ortmnofai +
thepacksurvives  nlycieG si amlls dna yde,nb chihw owslla it ot romf hte flbisri ofr het tpelri hielx +
brasel  Aosl ni lanreeg A(F 0281 pg )05 IO is form plerbsmo omnifgr hte trelip exhil hcwhi is nersoacdy crrustte.u etanyultor,F eyht veag su geosinthm to soaenr hwit in eth eqtinous Alay&();-gtGl +3
amy  anC moseneo eplh me rendsntuad hwy A is c?rcorntei F200A2 gape 05: piTrel eihlx of 3 olgcalne a acnhis is emrdof omrf gcnplarooel iav gnehrydo nda diueldfsi dnob. Is htis yerv imlarsi ot waht A si ii ?g.cArnedb erescDaed end-rgynohbdo afinrotmo wenbeet cnagolle soue.ellcm +
umpalumpa  ehT otnenaixalp nevgi yb bsrlwiaaeaatl codlu orkw if the iosqnteu lduow asy aGAt-&-lygl; n.iotautm eeH,owrv the etuoiqns teatss atht trehe si an aGglAt&;-l-y tunaomi.t +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I gerduif, cXg--iYleyn si cithnalcyel cndrdseeoi a ripar“ym anoim cadi stutrcure of a nrepoi”t ecisn hte oinenfdiit of a ryaPmir euctrtsru of a pointer si a“ rnaiel acnhi of noima isad”.c fI uoy ssme hiwt the Pyrrmai utetcsu,rr as ni eht suitenqo mtse, uoy catonn form the ecydaornS usrucettr of eht ti,peorn ihwch si eeddnmeitr yb the bgngohdrye-dionn hwcih ocusrc ewtbene eth edppiet enkbbaco, pndendietne fo teh R gsopr.u I pheo shti eamd e.nses

From daiipiwek: dcS“raynoe errstutuc si ylolarfm eeniddf by the ttnerpa fo oryhgned bsond beetnew eht aomni ynrhgdoe nda byxcrloa eyngox stoma in eth teppeid ebbacokn.” mps(eaish ien)m

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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 sguy dan i uqeto omfr .ttcw/hwpsrutc4eeimiwalsfohor-smot./s/etrs/aepl1tcso2i:dtne/pgeiboe0

%0"9 vahe na enfditeiblia ientegc iamoutnt CLO 1A1 dan LCO 12A
asu cse broalanm onlacegl kgnilcsnsiro- vai a cielygn ntiotusuisbt ni het grocoallnpe locuemel "

hhwci smena hatt IO sha a glciyen tsniuotsbtui dan thrreoef ist ubalne ot mfro a cedsyanor er.uutcrtus

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD to esngylic' lsalm zs,ie ti etreasc "sn"kki in the inmao cida unqse.eec esThe nkisk era nedede ot etoclrryc ofrm het dnscaroye .utrrsecut

eOhrt w:esnrsa

  • keen"wade noititnaerc ebwente aclglneo and t"enoapyrlgoc - claglnoe + otayegpolcrn = ralecal.tgi heT oqiusnet smte moiennst amny efecsdt in bENO ty(pe I )llnaogce tub on toimnne fo stedecf in lOaTgcWarel (ypet II ngclleo)a
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 +1  upvote downvote
submitted by basic_pathology(25)
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lG-XY-y is nebkacob orf eloangcl aaplh i.nhac 3 caleongl ahapl ishacn liprsa to ofmr eprtil hxeil. lneicyG sah no R ,rpguo nliogwal fro iiitelbxlyf adn rfntoioam of erltip exh.li No elncygi tsneepvr ihst sctuoounni pnil,riags ingtrepnev the tnroomaif of ocnagell rsdcoaeny trutrue.cs

clRela taht -aelpicahlehs nda aeebsehtts- era xmeeplas fo deocasnry eu.srtcrtsu hsTi anc eb gutothh of a oatanenisfmit fo eht hapla hexli.

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 +0  upvote downvote
submitted by an_improved_me(91)
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rNAhteo ayw to teg ta it is aiv iaiinotn:eml

.A yoenhrgd dinngbo dlnwuto lyaerl nagceh csnei erhiten nnielaa ron iegyncl rea Bl pr.ao Gly t&g; lAa olsutndh' gcaenh who ineplro si dodmfiei I( aenm ti UOCLD, if heret swa a ctseir icnanderh or ihgtso,mne ubt ont a etrga )ra swn.De tihngno to iitceand hatt lncaeglo aogndeietrd si edatrel ni esoprens ot na AA .itstobtiusun osl,A in eth xetntco fo IO h(cwhi is hte tnsiegpner ,pma)tilcno ew ylraead kown taht eht blpeorm so'ntde evah nntaiyhg ot do hitw endaoie,dtrg rmeo thwi teh aecghn ni i/f.crotes Eutncnrutu oHstelyn 'dtno okw.n

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 +0  upvote downvote
submitted by drdoom(1206)
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reHe’s eon yaw ot conlis-seerfo-mpatei ecddra“see oh-nbdegydrno rt”fi:oanom ’mI tno a igb anf fo hist neil of e,oasrnngi tub lncleaicyht ilnaane sa a desi uropg hsa mroe sneoydghr* fro eaotnpilt oyrdengh dnbgnio tnah cginley:

nai:eanl —3HC
nge:ylic H—

So, la,“tecliyc”hn inalena luodw mritpe emor ohgnebrdn-ody ,arnomtoif hihwc hgimt oalwl uyo ot amieelint ttha c.ehico

taTh das,i ti smees asoltm opsbismile to lure uto (thoiwut yerv nclaihcet eldoekwgn ro semo eorpvdid eliexaretpnm data) that eht tsyigllh alergr aleainn edso ton ipairm yodnehgr nbngido eenbwet ncogella somlcluee aiv stcire pis)aatl( ince.eerfrent nI epmrlis r,esmt iescn neniaal si ealrgr, ouy lwudo nhitk hatt ti mtsu moowhse fetnreier iwth hte -ginhodgnneoyrdb atht cosrcu htiw hte pi-tdylew nligcey.

---
iltyctS*r ,eisgkapn ’sit nto eht bmneru fo gosyndrhe tub asol teh hgetsnrt fo eht plodie ahtt isfciattael odhynrge obin:gnd a eyrdhong budon to a snortygl oeeagtclnireetv euloemcl liek lfiunore lliw pp“”reaa orme vpiotsie nda, tuh,s odryon-gdhbne reom rsgonytl hwti a ebryna oxegny peaom(rdc twih a ohgyrdne cnocetend ot obnr,ac orf ea.lpemx)

reFruht ngiead:r

  1. h.lwphsue./:./bdllewuhcup.tmgudrtsomd/d/qeh/cihwntpei
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hungrybox  tcAeaperpi hte otffer btu hits si afr oot lgno to be ueu.fls +30
drachenx  nuohxrgyb is a gfaenrik etarh +
drdoom  ncdxarh@e haa,h ha,n nigmco kbca to tish i laireez i was bpylarbo koeeenirgg-v lol +1
blueberrymuffinbabey  tin's teh herdoyng ginbdno etdnpedne no hte dhydyoarxetl epinolr dna nis?ley so tath wnultod' lrlaye be eth sesiu ehre ecnis sheto tren'a eht aas ibgne deeta?lr +
drdoom  leberu@yrb rAgocndci ot sbAltr’e BoMC see( tagTensn ta rth)ig, oidlyyxhrysen nad yxoelropdnyihr tetonrbuic dgnehory sdnob ahtt omrf teenweb eht nishca at,hi(nenr“ic” sa pdspoeo ot iiant;r-chna teh ,nhisac of uoers,c ear apraeets tlpydpepio;es tath ,is arapetes caogelnl etposrn;i dna eittoniasnrc etewebn teaespar nhiasc e[seartap oitse]pplpedy is atwh ew llca rquretya“an sctuturr”;e see nTtgean vaboe.) dAn in hsit cse,a as uyo oitnp ,tuo hte emts rsebiscde a tlgGA-y;&al ssit.tuibnout aTth emsse to aenm wot :gtnihs 1)( eht ehrte rpeteasa agllonce eopedtipypls wlil ont “kapc as][ thtilyg” to form hte eltrip xlihe uqrn(a=ratye srcetut)ru ew lla wkon and olev nda 2)( nreilpo rngis wlil afli ot elyar uqite sa l,ysgnu icipoornsmgm eht icellah mfonnticaroo taht sdeiefn na aalph inahc eansdy=r(co rtuse;turc the sshpae tath fmor inihwt a lsgeni opy.lped)ipet +
tadki38097  aosl oyu nt'ca H onbd htwi bcorn,a st'i not lapro hegnuo +
amy  A020F2 P05 :setta atofnormi fo oh(howaiplgcnelcr is eht tpeirl lixeh uurrcsett) vai deynohgr dan sdiuflde.i oS A si icnerrotc cb rheet aer no conllaeg mulelseoc tey (nd2 tcsetruur ehanspp ta ogpnoallecr )elelv +
drdoom  m@ya ielrpt hliex si a ueqrtyrnaa tsucrerut ncesi( perilt lhixe si a ahpes atht fsmor ENWBETE etsaprea ro d”atul“ eao-rpallncoloegncg/l pipee)s.td ,rmyPrai ayerondcs dan riareytt rrsscttuue are ioicrsptdnse of a igelsn iepyelptpod. ecnO yuo vaeh 2 or erom pltpoeiesydp acirnitgnet ithw heca hrteo ,e(.g. oebmonHgli euol)emlc ouy aveh ryrunatqae rstecur.tu +

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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 +0  upvote downvote
submitted by nmb29(0)
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I htmgi eb ognrtiikvenh it but, H nobd iomaortfn of aa's maeks het adrenyocs strctureu fo the eptonir calngleo( ni iths a.c)se ehT Gly to aAl nubttisuisto deos elurst in slse H bnod tofra,omin utb fo ivnliiuadd 'asa tno beewten celognla cueloemsl at(th tghim eb mreo for yunareqrat r)eutrcust

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lpp06  I thikn hte eky si ni eht sarenw rgia,npsh eht wesanr nmionniteg bsH-ond ysas "tDpiisruon of nbodHs- twbneee eollncag t"mlueoclhAseug olh ngecolla dseo dgrenou bgondi-Hn to prpotsu hte ierptl ,ehlxi hsti is odne iwnhit teh smae gcaleoln .Loulen nimigelkc erinedtff elloagnc ocleuemls scuorc via hte lneyis - lonrxidysyhye klisn eond ni eht ECM +1
kevin  ihts si eht one metcmon ttah inllayf eldphe em aedtnsdunr yhw ttha aws rnceocrt.i atkhn uoy +


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 +0  upvote downvote
submitted by j123(16)
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yraiPmr esuctturr = miaon caid aqenc nudoSryeseec urtretusc = trsutcreu deform thwi a nilgse oanim idca ecesequn etab( petlead te,she hlaap helxi, trteTcyiera ) trtcesuru = uipmletl sodarncey rrttsusuec terganntici erethogt ltpliuem( aetb ldeapet esseht stdkeca no pot fo aehc heo,tr uectnrrt eayQr)a rrscutute = pnreito ertuctrus odefmr from oldgnif of lal teryriat esrttcuusr to aekm bngnidi ,isset e.tc

Since het nnielaa swa upt in lcape of het Glcniye, the ayrrpmi retcrustu wsa ealbun to omrf an halap xihle ensic palah xelih tcrsueutsr ende a alarrputci euecqsen gyl( - -x y) in drroe ot from rohgeydn snobd to ekpe eht xielh eabl.st

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 -1  upvote downvote
submitted by unknown001(9)
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tawh is lnaolgec ? a dcenyoras ropient rc.etusrtu

whne oyu reomve l,icynge eth somt natndabu anmoi cadi , rofm the oscrrepur lcomeelu wlil uyo egt a repopr dscayonre tuetrsrcu ? ON

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unknown001  oiergn isth +
drdoom  can you aatrelob?e sa'wth wngro itwh ruyo teo?cmmn +


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 -4  upvote downvote
submitted by lilmonkey(63)
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ylG si rp,alo Aileann si nopnarlo adn dhphibo.oryc einsesMs toicnnearvonves tam.niotu hTese AAs haev edfitnfer mecilhac eeistorprp hihwc ldea to ipsdrdteu ornteip figdnlo ocdsrean(y )ucerrttu.s rmiliSa ot Glu - Vla tutnsisoitbu in keiSlc ellC a.seeisD

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