need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
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

 Login (or register) to see more


 +16  upvote downvote
submitted by wasabilateral(47)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I hitnk it hsa ntmeigsho ot do ihwt nygicle ude( to sti almsl izse ti nac tif ni aymn slepca rheew teorh naomi cadis anc ont dan ehcne ti viepdsor tcrtlsa“uru tss”epmancco to hte nloaegcl, ..ie put a kikn ni the plaha )xheli. If iycnlge si pmdcslaei by mnostghie lsee, I d’not knhti -relogalpocn nca frmo tis rccorte decrnysao trtusce.ru

unscramble the site ⋅ become a member$279$49
jotajota94  !ruTe soa,l ngyiecl si 3/1 fo celgnoal alfa scnha,i os it keasm neses thta tstousntiubi ithw lnaaeni chihw( si mhcu gireb)g olduw elda to opiusdinrt ni teh ahapl ilexh oio.nrmaft +2
jotajota94  !rTue ,oals lniegyc si 3/1 fo nleglcao lafa shia,cn so ti aeksm ssnee htat iiotubtnusts wthi nanilae h(hcwi si ucmh girge)b wolud ldea to iionutdprs ni hte hapal hlexi inofotr.ma +
thepacksurvives  ynGcile si aslml dna bdne,y hwich lsaowl it ot mrof the iifslrb rfo the tlprei ihexl +
brasel  Aols in ngaerel F(A 2180 gp )50 OI si frmo porblsme riomgfn eth ielptr xeihl hchiw is anoescdyr t.curuster tluo,yFteanr hyte gvae us hseitognm ot seoarn thwi ni teh ouniqets gl;&ayGA)lt(- +3
amy  naC snmeoeo hple em dsunedtnar hwy A is n?octercri 00A22F pgea :50 preTli lehix fo 3 elcnalog a hicnas si mfredo orfm erloopgnacl iva ygdneohr and luseidifd .odbn sI this rvey mriiasl to athw A si Ancr? ge.dbii aesdcDree rboyhgednodn- fnirmoato ewbteen egacllon .celmuleos +
umpalumpa  heT lnntpxaoeai negiv yb astelrwaaaibl lduco krow if het intosqeu lwdou say gly;at-AG&l- intt.aoum oHvw,ere het etsnuioq tteass atht rhete si na t-lygGlAa-;& .otaiuntm +


You must be logged in to vote!

 +13  upvote downvote
submitted by cellgamesgojan(43)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I ,rfiedgu X--ncYegily si litceylcanh rideoncesd a priamy“r ainmo dcai turrceust of a inpe”otr inesc eth indtefioni fo a arimyrP cruuerstt of a noirtep is “a earnli hacni fo amoni as.ic”d fI yuo msse thiw teh arryimP trce,ruuts sa ni teh qnusieot stm,e you cnanto form eht draeSncoy tetruscur fo the eto,pnir chwhi si menrteeidd by teh ghedgonnybdo-rin ihhcw uocscr beweten the deieppt ebboncak, endeedintnp of eht R opgur.s I ohep isth dema en.ses

Frmo iikdpeawi: oanSdy“rec utrrcuste is raolmlyf nedidef yb eth eatrpnt fo yodhrneg obnsd tweebne hte oamin yrondhge and yaoblcxr xnygoe smoat in the petepdi bbekaocn.” sipmsh(ae nme)i

unscramble the site ⋅ become a member$279$49

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)

You must be logged in to vote!

 +4  upvote downvote
submitted by usmle11a(102)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

ko sguy adn i otequ rmof enhptp2b.wa.sif1tees/uecotpeh4agsid/iowotrc/ttr://l0weootemmsssl-rci

9%0" avhe an tfieenidliab ncetgei ttonaumi LO C 1A1 dan COL A21
ssacue omnrabla lncaeogl lor-nnkcsgsii aiv a cngeyli usiuibotnstt ni hte lroolnapceg coleemul "

iwchh sneam ahtt OI sha a yngicle siubtttoisnu dna orfhrtee its ablnue to orfm a yrasdeonc rttsueucur.

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +4  upvote downvote
submitted by hungrybox(1277)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

euD ot csyieln'g smlal s,zei it teraesc nkk"i"s in hte nmoia cida ees.qncue seThe iknsk aer edndee to lcrycerot ormf the eodrnaysc rceutts.ru

eOtrh ssnewra:

  • kene"awed antnroictei weteebn oglelnac dna oacyeotrgln"p - gllcoena + ygoptnaolcre = ltlrac.eiag heT osiequnt mste oismennt mnay csedfet in ONbE (etpy I lc)aelnog utb on mitnoen fo tsdceef in recWaglTlOa pye(t II gln)aoecl
unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +1  upvote downvote
submitted by basic_pathology(25)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

YX-lGy- si bkeaobnc fro cgneloal alhpa .hcnia 3 nolelagc ahlpa isncha larisp ot form etirlp ihe.xl Gcielny ash no R rpg,uo niolwgal for xleibiilfty nad atfimoonr of itlerp xhie.l No ceiglyn tveeprsn tihs nnoiotusuc ap,girnlis ipevtrnneg eth firmaotno fo oanlecgl sdyecoarn escurr.ttu

lelacR atth pllaishaehe-c adn tee-heatsbs are lseamxep of nodescray .ruusrcstte shTi anc be httoguh fo a sntnfatioeami of het palha hl.ixe

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by an_improved_me(91)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

oAeNhtr ayw ot egt ta it is aiv nitimoane:li

.A dhygenro gobnidn wtludon ellyar ceahng enisc ntrieeh leiaann nro cylnieg aer . aopBlr Gyl ;t&g lAa snulht'od encgha owh pinrleo si fidoedmi I( aemn ti OU,LDC fi ehter asw a tecrsi hcenadrin or en,gostmhi ubt otn a ategr rDw.)sn ae inghton ot cdieitna hatt lnogeacl dnoeeitadrg si etdlrea ni eeosnsrp to na AA .unsotiubsitt ,oslA in eth otxnect fo IO wcih(h is teh pitngsrnee )lpntamoi,c we ardleay kown htta het moerlbp 'otneds eavh nhgaityn ot od htwi reo,dgaeindt moer ithw het ehcnag in neoEnfructcu/r .isutt lnostHey 'tnod kno.w

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by drdoom(1206)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

ese’Hr eon wya to r-iomespi-ecnfsetaol asrd“eedec -nyhdeogdnrbo oi:artof”mn I’m not a bgi naf fo sthi inel of roneas,gin but chtcailleyn nliaean as a ised guopr sah mero ngyrdhes*o rof olneittap hngordye ndgbino ahnt gyielcn:

n:laiena —H3C
lyg:cein H—

,oS ,tl“cliahcnye” neianal wodlu iprtem omre dnbed-ohogynr iftnro,oam ichhw itmgh wlola uyo to itianemle ttha chcoe.i

htaT ,sadi ti sseme sotmal ombeipilss to elru uto h(iutwto rvey hniceactl gowklndee ro mseo poirddev iemnpeatxlre adt)a tath teh gllhstiy elrarg anlinae esod nto miprai nogehdyr noignbd nbtewee ocagleln olueseclm via tricse s)tapi(la teei.nercnefr In rimspel ,rstem nscei nilaean si ,lgerra yuo odlwu think ahtt it stmu swmoohe ieernfert ihwt the ebrn-onygddognih htat corcus iwht the epdwlyi-t ygncile.

---
tctrlSiy* a,gsnkpei sti’ tno eht nebmur fo sygdrenho btu laos eth nghertst of the epliod ttha ilacifteats oghryedn nidb:gon a ydhrgneo obnud to a lnstgryo iegtlevaoecertn ulleomce ekli uonirlef wlli er”appa“ rmeo tsvoepii ad,n u,hts dgenboydnh-ro orme rgylsotn itwh a yrenab nyxego maprdeoc( ihwt a dgynhroe eccontden ot ,nabcro rfo )pxm.alee

rFheurt nr:adieg

  1. uphqwupddwtu/pgdh/demrshoisi:c.tne/cw.hbl./lut.lm/hee
unscramble the site ⋅ become a member$279$49
hungrybox  eapepcriAt teh teofrf tbu ihst si raf too logn to be feul.su +30
drachenx  xnuogybrh is a rfkeniga haret +
drdoom  hxcndae@r haa,h ,ahn incogm ackb ot this i zaeierl i saw obpyrlab eng-gevireok lol +1
blueberrymuffinbabey  ni'st hte dngoreyh nnobidg endtpeedn no eht hayotyexlrdd eroipnl dna sni?ley so atht nol'twdu ayrlle eb eth iusse erhe scnei teohs n'etar eth aas gbine ?eldtare +
drdoom  byl@ebrure corAdgnic to se’ltArb oBCM es(e agntseTn ta hi,)tgr dyioyxhlesynr dna ieloxyphrodnyr ueibcotrtn eyhrgond sobdn ttha mrof nteebew eth csahni i”c“,nrtaie(hn sa epsoodp ot -nihrn;itaac eht sn,aich fo o,ecrsu rae eetpasra ;yptppdioesle ttha ,is reapetas nelcalog rnop;tsie adn ncetosantiir entebwe astepaer nshaic teaes[par dltepospp]eiy si waht we call qauryrntea“ ”etu;urrtsc see aneTntg ebavo). nAd ni hist case, as uyo toipn ,otu the tems rcesdbsie a aG;gllA-ty& tui.tssnutoib ahtT emses to aemn owt tg:shin (1) eth trehe preaetsa anglceol yoppptdelsie illw tno “apkc ]sa[ tltg”yih ot mofr eth erlitp xhlei ea(nuyrrtq=a )urtrsecut ew lal wnok dna olve dna )2( poilern ingsr lwil iafl ot yealr ietqu sa nyl,usg msopigrnimoc het haclile rftancoonmoi ttah fiesnde an lapah hanic drycoa(nse= custteur;r the paeshs taht morf nihitw a nsigle dypeilppoe.t) +
tadki38097  osal ouy 'actn H ndob htwi boarc,n i'st not oaprl ougehn +
amy  F20A20 05P :setta natiomofr of paeiroc(chlwlghno is the irletp ilehx seru)tcrut iav yndhgreo adn die.ilsduf So A si iorneccrt bc teerh era no lncloage clesmuoel yte (d2n rrusceutt nphepsa at nlgpcloeroa leel)v +
drdoom  y@am ietrpl hielx si a rnyqeaarut uctrsuret sei(nc reiltp lhixe is a phesa htat rosfm TWNEEEB seeratpa or “altdu” aaol/l-ecegolnngpolrc ee.i)dpstp ya,mPrir aosndcery adn eyirtatr usrrsutetc rae tdciironspse of a liseng eyoelptdpip. cneO yuo vhae 2 or reom ppodtseiylep gaeiitntcrn wtih echa eorht e.(,g. Hbolgmenio muee)ollc uoy hvea qutarnreay rstuu.cter +

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)

You must be logged in to vote!

 +0  upvote downvote
submitted by nmb29(0)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I ihmtg eb nvrgkhtineoi it b,ut H dobn oorafnitm of aa's easmk eht oyrcedasn eurtrsuct fo the otnriep lle(acngo in shit a.e)sc ehT lGy ot lAa bssunottiuit dsoe teuslr in lsse H nodb maint,froo tub of ndiludavii a'sa nto weenetb egolancl umcllseeo tha(t hgtim be oerm for yranrqeuta cers)turtu

unscramble the site ⋅ become a member$279$49
lpp06  I hkint the yke si ni het arwnes gnia,sphr het wenars nntnegiomi -bsondH ayss tin"oupDsir of ob-sHnd teebenw gallcone ht"mo lhecoeglsuuAl eogllanc odse ngroedu gni-nodbH ot tppousr eth reitlp xehil, this si endo hiwnti hte aems cgelalno lumkecnLiein ol.g frndeftie olcaglne ocmelelus surcoc iav hte nilsye - xlornihyydsye ksinl neod in the ECM +1
kevin  iths si eht eno eomctnm ttah llnaiyf phdele em traduednsn yhw htta wsa cto.ecrirn ahnkt oyu +


You must be logged in to vote!

 +0  upvote downvote
submitted by j123(16)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

yraimrP ruterctsu = aniom icad oryecnndqsc eSeaeu uttrurces = esutrrutc mroedf with a egsnli miano dcia enuceseq abe(t pdaelte htsee, lphaa leix,h )eyaiterrtcT utsrtucer = luliptem dcsnearyo rcrssueutt tnetirigcan thoetreg lu(implte baet ldteepa ethess sdckate no tpo of each tor,he r)cayrtanueQ tre euttsrurc = pnotier rtsrucute omrfde mrof ldfnigo of lla yartrtei rrsscuteut ot maek ibingdn s,tsie e.ct

Sneci hte ianelan asw tup in eclpa fo eth Gceiln,y hte rpmariy uterrcstu swa lbnaeu to omrf an lhapa ehlix csine palha xhlei sttsrcuure nede a acirtaulpr qenueesc l(gy - -x )y ni rrdoe ot form ngordyhe obdns to peek eht lixhe bsl.aet

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -1  upvote downvote
submitted by unknown001(9)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

hawt si lnlaogce ? a yacsdoner ipoetnr ut.rtcuser

whne ouy oemrev n,giceyl hte smot baatnund amoin diac , fmor eht ourrsecpr uocemlel ilwl yuo get a ropepr earcdnyos urturstec ? ON

unscramble the site ⋅ become a member$279$49
unknown001  negiro hsit +
drdoom  nac uyo lebotara?e thas'w wongr with oruy c?nmmeot +


You must be logged in to vote!

 -4  upvote downvote
submitted by lilmonkey(63)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

lyG is olarp, ielannA is rpolnnoa adn .yobdhpocirh sMesesin vsrnconntaievoe .aounttim hTsee AsA veha irtfenfed laimchec persepoitr cwhih lead to tdsdureip ipeonrt gldonif y(ecsdoanr cu.es)rttur irmiSal ot Gul - laV stiutosutibn ni liekcS eCll esei.Dsa

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3− transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!