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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 hinkt ti hsa ohegntmsi ot do ihwt gcleniy (due to ist amsll sezi it can fit ni nyam claeps whree tohre omnai ascdi anc tno and cehne ti eoprdvis “tltuucrars maotsnsc”cpe ot teh gcnoelal, ..ei put a nikk ni eth lpaah .)xheli fI cnieylg si idecalmsp by msenthgoi se,el I dton’ nhtik lonageo-lpcr nac rmof ist ctrcore oysadcnre creuu.tstr

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jotajota94  rTe!u oasl, ylneigc si /13 of loaecngl faal ihasn,c so ti eaksm sseen atht utssobtuiint whit ealnina ihw(ch si uchm )ibregg olduw dale ot utoniprids ni hte hapla hilex aotnrofim. +2
jotajota94  ure!T ,aosl iyeclng si /13 of ncglolae fala ihsanc, so ti ekmas neess thta itutobtuisns ihwt linaane hhi(wc is uhcm girb)ge odlwu edla to sdrutiinop ni hte palah lhixe .ftimronoa +
thepacksurvives  neyciGl si malls dna yb,nde hcihw lsolaw it ot mrof the ribfsli orf teh eltrpi eixhl +
brasel  olAs ni rneagle (FA 2180 gp 5)0 OI is rmfo ombsrlpe ngmoirf hte ptlrie lxhei icwhh is eadorscyn reucsrtt.u aFtoltnruye, thye vgae us osimtehgn ot ornesa with ni het iounestq )Aa(&-;Gllytg +3
amy  Can eeosnom plhe em nsdutdanre ywh A is ciconrter? 2A0F20 agep 05: erpilT xhiel fo 3 ocgaelln a sihnca si ofdrem orfm ecnllaoopgr aiv oydhrgne dna ildisedfu nd.ob Is ihst ryve laimsri ot wath A is ricbi negd?.A easDecder rnbenodogdyh- rimnaotof eebtenw encglloa lleouem.cs +
umpalumpa  hTe ntnloapexia given yb ltarawlbesiaa lcodu rkwo if eht iotquesn wdluo ysa alt-Al-Gg&y; tt.unioam orHevwe, hte tnieuoqs ttssae atth treeh is an lAyG-t;l-a&g tamitnu.o +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I dgrfe,iu iXyeg-l-Ync si lalnehccyit sdonceerdi a ampryi“r manoi icad ctertsuru of a e”rinpot ncesi eth fnneiitiod of a airPymr cutsruret fo a onerpti si a“ raenil icahn of amino d.”cisa If ouy msse twhi het Piymarr custuterr, as ni hte esutoqni ,mste uyo contna morf eht nSacdryeo rsurectut of teh pr,ointe whchi is rmetdieden yb het dngdogbny-oerinh hwihc csoruc ewteebn teh pidepte bocbnkae, detndnnpiee of eht R spruo.g I epoh itsh mdae nes.se

Form dkiwpeiia: arcSnode“y errsttcuu is lryamlfo eidfedn by the apretnt fo ordhygen sonbd ebentwe het ioman rhyoendg nda ycxbloar yxegon amsto ni eht edptipe obbkacne.” measi(phs mni)e

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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 gusy dan i qteuo fmor f/rs0pa:sreletei/os/4et.dtmp/centchgaer1siim/te.2osuibhottowsco-wlwp

90%" eavh an ibeileidnfat ctenieg imttaonu C LO 1A1 nda OLC 2A1
ssuaec nmaraobl llcgnoea nngcssr-koili via a geycnil nsbusuotttii ni hte algleoorncp oleulmce "

hihcw asnem taht OI hsa a gcneliy biuttsntsoui nad ehtrofre its nabelu ot romf a noaserydc erucut.rtsu

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 +4  upvote downvote
submitted by hungrybox(1277)
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uDe ot gsy'cienl amsll s,iez it esactre k"n"iks in hte mioan iadc cn.squeee hseeT snikk rea ndedee ot rtrcloeyc rfom eht nseydcaro .usrtctreu

hrteO sersn:aw

  • ekwnedae" tnenoatriic enbweet leaongcl nda onaop"clytreg - oleagnlc + aynrgoloptec = it.rageallc The otnuqise tsem monsetni namy fedects ni EbNO tpye( I nacoel)lg tbu no mnntoie of ectfesd ni rWaTglOeacl (peyt II lca)gonle
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 +1  upvote downvote
submitted by basic_pathology(25)
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Yly--XG is naebckbo rfo elnlogca lhapa can.ih 3 ncgollae alahp nshaic rilspa ot form lrietp .hxile lGneyci has on R ,opgru aloliwng ofr lyxitbfiiel dna oairmontf fo ilpter li.exh No iyelgnc ntevpser htsi ontnuoicsu aigpr,snli eneipgrntv eth amnofitor of lelcoagn soceandry uutres.crt

eclRla thta elhp-iaclseha dan stee-estbah ear lexspaem fo dcnreyosa rsrsctt.uue ihTs cna be gtouhth of a antnaitfoeism of eht paalh .elihx

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 +0  upvote downvote
submitted by an_improved_me(91)
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ANtoher ayw to egt at it si via tneinlioaim:

A. odgenhyr gidonnb dlotunw yraell neacgh nices eihtrne inalean orn ceiygln rea opa.lr B Gly &g;t lAa 'dolhusnt ncaheg woh nepiorl is eoimddif (I anme it ,LUDOC if rtehe wsa a restci ncdinreha or sg,htmeion tub nto a etgra n)sa e.wDr ghtnnio to daieictn ttha gancello enragdidtoe is rdtelea ni sonperes to na AA uuns.ostbttii osA,l ni eth ocexttn of OI hichw( is the epnniergst pa,oimnt)cl we aydrale knwo that the oelpbrm tosen'd hvea nniaghyt ot do itwh dr,iagonetde rmeo ihwt hte hacneg ni c/no.ntEsrc ufeiuurtt esolynHt tdn'o wkno.

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submitted by drdoom(1206)
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Hre’es neo wya to mpoise-rect-aloienfs e“esarecdd eyoogn-nbdrhd ”a:mtifonro Im’ ont a big fna fo sthi ieln fo na,rnisoeg but yhcnalitecl ailnnea as a ides pgruo hsa remo nrsdo*ghey rfo altpionet nohgryde bndingo hnat ygcnlie:

iaanlne: C—3H
cnlg:yie —H

oS, y”ethinclc,l“a aelinna dulow ermitp oemr grhbdooeynd-n niftoom,ar hicwh tmigh oawll uyo to neemliita atht ce.icoh

athT sid,a it smees taloms imlssiebop ot ulre tou uo(iwtht vrey aehtnclci dwoekngle or soem pddervoi rpxemtneliae )atda that the hiygllst elrgra ennaial odes nto mpiiar ndhoeygr ngiodbn etwenbe loclneag oumelselc iva ertisc s)al(tiap e.icenrenretf nI smeplri mstr,e since liaenna is alegr,r oyu owlud ntkhi tath ti smut hoomsew neirrfete with teh nnyndbeghi-rdogo ttha orcucs wiht het etwypidl- neylicg.

---
rttSliyc* sknpige,a ’its ton hte ebrmnu of yehogdrsn but laso the hetgsntr fo eht ledoip ttha csfaaittlie oyhdreng ibon:dgn a ngeyhdro dobnu ot a oyrlngst noeeilrtvecateg lemcleou leki iofuernl wlil rap”epa“ omer itpovies adn, u,hts nydgoored-bhn rmoe tlysnorg with a ybrean oygxen moad(cper whit a nodyhegr ctdcneeon ot boa,crn rfo xelep)am.

rtFeruh :ngreiad

  1. mslw/qdd.lluh:hp.h//p./hwueerno.dhgtb/uettpsiwiceudcm
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hungrybox  raicpeeptA hte roffte btu hsti si afr oot lnog to eb lefu.us +30
drachenx  bogyrhnux is a fniegkar tearh +
drdoom  @arxdench ,haha nh,a inmgco abkc ot ihst i ezearli i asw bbaoylpr g-nvrkigoeee oll +1
blueberrymuffinbabey  s'itn eth gdeoyrnh bgndino ednnepdet on hte xleorahydtdy ploeirn dan iey?nsl os htat ud'tlown aellyr eb teh issue ereh escin oesth ean'tr the saa eignb dert?ela +
drdoom  bblreurye@ cringodAc to bl’rAset oCBM (ese ateTnnsg at tgi)rh, nliyyrdsxyhoe adn roioylerpyndhx bctuirneto odhgyenr bodns ahtt rfmo ewbeent eth sanhci (”inean“,cirth sa ppedoso ot h;-iinarnact eth nas,ich fo co,esur rae taesrape seiepdytop;pl ttah ,is raatpsee clloneag potn;srie nda retactnsoini eewetbn eaateprs naihcs etepaa[rs iptsppde]eoyl si hatw ew lalc qrreaty“anu ;st”euturcr ese genatTn veabo). Adn ni tihs aces, as ouy otipn ou,t hte stme briseedsc a G-g&;ltyAal b.tuutnsstioi hTta eesms to emna two hntgi:s 1() eth eehrt taerpeas gcalnole pipdsyelopte wlil nto kpac“ a][s ihttyg”l to fmor eth lripet liexh rr(uataeyn=q turrtc)esu we all owkn dan evlo dan 2() opielnr isgrn lilw afli ot yearl itueq as s,nlyug osrmcimponig eth ilalche tonromfoanic taht esindef an aaplh iachn arsoc(d=yne usc;treutr teh aeshps that rfmo whinit a isegln )ppdiyeel.otp +
tadki38097  soal uoy nct'a H obnd hitw acb,nor ti's tno oaprl hgoune +
amy  0A20F2 05P :asett oniofarmt fo hrcwihp(lleaogcno is the lritpe ixlhe uurtrtce)s avi hynreogd dna .fiedulsdi oS A si netoirrcc bc terhe era on calnelog cmoeslelu tye 2(nd rctrutuse hasnppe at cnegoaorllp ell)ve +
drdoom  amy@ itperl hilxe si a rrnaueaytq rcuetrsut (secin lrtepi ehxil si a speah hatt smfor TENEWBE treseapa ro dlatu”“ nrgaooe-cpleollc/lgan ei.psp)dte Prmyi,ar noerysadc and itrytera ctrsrstueu rea nsctisdeirop fo a lnsige d.ypiolepept cneO uoy vhae 2 or erom tydlosepppie ttcriagnine with eahc eorth ,g.e(. boilHnogme )eomlluec uyo ehav rtuaynqera .ttscrureu +

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 mtghi eb iitovknrnhge ti u,tb H bodn oamrifnto of s'aa eaksm eth raeycdson trcutruse of eth tnoipre ac(gelonl ni itsh .cs)ae eTh lGy to alA intststiuoub odse utsrle ni esls H bnod iafomntr,o but fo idvanliidu aa's ont nwbeeet eglonacl leecsuoml (hatt timgh be eomr rfo ayatnerqru r)uetctrsu

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lpp06  I iktnh the yek is ni the sreanw gshni,par the awrsen eiiontmgnn bsdnH-o says puDi"intosr of bnodHs- enebewt loecglna s"elhegutoAluochml lelacogn sdeo grondeu oi-Hnbdgn ot opurtsp eht tprile elx,ih htsi is deno ihniwt eth smea ellgaonc un ecigkolln.mieL iefftdern gleoanlc lceemsluo ruocsc aiv eth lynsie - yhediylsyrxon klisn oedn ni teh MCE +1
kevin  isth is eht eno tmmnoec atht nyflail pedlhe me adenutdsnr wyh ttah saw rcc.ronite nhkta ouy +


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submitted by j123(16)
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rmyiaPr trueuscrt = niamo aicd Seyeouencnerasc qd etusrtucr = ttrsucrue frdmeo ihtw a sgeiln maion daci ceqseeun eatb( ptldaee ,sheet haalp ehlxi, tceyarTti) re uerutsrtc = liltmuep dyeacorsn uttercussr inttirecang tgterheo uliepmt(l aetb aetledp tsehes tdksace on pto of haec eoth,r eruteQr ctra)yna truutserc = tropein truuctres ferdmo ofrm fldonig of lal aryreitt ersscurtut to aemk gdnibin s,etsi e.ct

cSein eht eninaal was tup ni eplca of eth Ge,cyiln the armpiyr cetusurtr wsa enbula to form na pahal xihel escni plaah hxlei ctetsrsruu edne a ptiualrarc equcnese gly( - -x y) ni drreo to rfom hryodgne nbsdo ot ekep eht ilxeh a.lsebt

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 -1  upvote downvote
submitted by unknown001(9)
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awth si lgnlcoea ? a sdcnraoey ptioern utrrt.escu

newh you vromee clgn,iey the otms danunbat moain idca , frmo the oesrrucpr emulocle liwl uyo etg a peorrp nardcoyse retrtsuuc ? NO

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unknown001  eirong shti +
drdoom  cna uyo obert?alae tahs'w owgnr twih ryou tcmn?moe +


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 -4  upvote downvote
submitted by lilmonkey(63)
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Gly si ,oaplr leAainn si ralnoopn dna yr.hocdopibh sMeesisn ronnntievecvsao natou.mit hTsee AsA haev irdfentfe acemlihc rtpieesrpo cwhhi eald ot seipdrdtu rienpto fdnigol onedyca(sr .utrut)ecrs irliaSm ot lGu - aVl tbstionutisu in Seilck Clel .sseeaDi

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