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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 tknhi it has hstmigeno to do htwi yiegnlc due( to tis lmsla izse it nca tif ni anmy leacsp ewehr hteor mnaio csiad acn not adn nhece it sidveorp a“suucttlrr cpacos”nemts to eth lno,lecga e..i put a kikn in hte phala ie.l)hx fI gylcien si mdspcliea by ogseimnht ,else I tdn’o nhkti ac-gopnlrelo acn fmro sti tercocr rnedsocya uctr.sreut

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jotajota94  uTe!r oal,s eiynlgc is /31 of eogclaln aafl ,ihscan os ti kmsea ssnee ttah tutnoisiubst iwth anianle c(whhi si chmu )gigbre ulwdo leda ot iupnidostr in teh hlapa xihel io.afnmtro +2
jotajota94  rueT! so,la legnyic si 31/ fo eocnlagl faal ,hicasn so ti aemsk esnse atth utsniiusbott thiw nineala wchh(i is uhmc re)gigb odlwu eald ot tisdunoipr ni hte lpaha lxhei rmf.oatnoi +
thepacksurvives  yinGlce is sllma and ne,byd cwhhi solalw ti to ormf het rsbifil ofr het perlti hxiel +
brasel  Also in reangel A(F 0281 pg 0)5 OI si mrfo oprelmsb gfnrimo eth eplrti ilhxe chihw si acoenyrds eutsur.tcr a,treoFulynt ehyt eagv us estmoghin to roasen htiw in eht qeuniost tgG;a()All&y- +3
amy  naC esenomo lhep em ndrtsdeaun wyh A si nicrte?rco F02A20 page :05 pelirT lexih of 3 gcllaneo a icshna is orfmde rfmo plaongeocrl via engryodh nad uifdesild odnb. Is thsi rvye ariilms ot tahw A si dnii.rbgcAe ? desrcDeea o-dyegnhornbd mofratoin beweetn lglnoace lule.mseoc +
umpalumpa  Teh nnxaaolpeit gnvei yb aaislarbwtael ldocu rwok fi eht qtiuneso odlwu sya lglA-&yta-G; omnuti.at rveoe,wH het nuioesqt etssta hatt eehtr is an yg-laA&Gl-t; a.tuonmti +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I gefri,du -gn-iYylXce si ctnicyahell enrdosedic a riy“mrpa aiomn iacd ercttsuru of a ir”tpeno encsi eht fnetnioidi of a airyPrm rstucreut of a rnpotei si a“ aeirln cainh of noima sid”c.a fI you mess hiwt the raiPyrm rtutceus,r sa ni hte qsotieun me,st you tcaonn mrfo the acdyeronS rttuerucs fo teh e,opnrti wcihh is ededtermni yb the nrhybdeg-nndogio chhiw cosrcu ntebwee hte epetdpi oanekbbc, etnnipddene fo eht R rugsp.o I peoh isth maed n.eses

romF kipiwadie: dcreSyao“n urturscet si afylomrl fedneid yb hte patnetr of rhdyogen nbods eeewnbt eth niamo ghdreyon nad lxycoarb oxyegn otmas in the peditep bbnoecka.” isem(saph iem)n

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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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submitted by usmle11a(102)
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ok gsyu adn i toeuq mrof ege/tfi/.oa:w1hutoctmetslcr0opes/ro2odtabthsnte.is/4esm-wer/lipcspwi

"90% eahv an lnibaietedfi necteig atmnituo OL C 11A dan OCL 1A2
u sacse abomalrn llegnaco ilkningcrss-o aiv a nglyeic buitstutiosn ni het nepglolocar mcleloue "

wihch nasme that OI ash a igynelc tnibiottussu adn otefhrre sit ublean ot rofm a snredyaco eusrtru.tuc

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submitted by hungrybox(1277)
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eDu ot gnslc'eiy mlsla isez, ti ertecas skik"n" ni teh onima idac ceqnseeu. esheT ikskn era ededne ot clotrcrey fmro eth sanerdocy eustrut.rc

ehtrO :aresnsw

  • "kdweenea itnaonctrei teweben olecalgn dan g"tnaoorecpyl - nllecoga + ongoleratcpy = .laeliracgt hTe soitqneu estm meitnnso anym tcdfees ni bNOE t(ype I nalcgeol) tbu no nteiomn fo eceftds in WeagaTclrOl (ypet II acl)ngeol
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 +1  upvote downvote
submitted by basic_pathology(25)
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l-GY-Xy is kobenbca rof galcelno alaph acnhi. 3 cnaolegl aahlp cinsah siarlp to orfm rpietl i.elhx Gnicyel has on R rguo,p lanoigwl for lieyxtlifib nda tmoanrfio of eprtil ie.lhx No iylcneg senpvtre thsi ousnocnuit slair,ingp nnegpevrti teh otioramfn fo lleangco drncayeos .urertstuc

cRaell ttha -haehslaiclpe adn t-saheteebs era esxepalm of csaneryod r.rtstscueu ishT cna be houtthg fo a nmsefaoiniatt of het halpa eh.lxi

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submitted by an_improved_me(91)
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NorethA yaw to etg at ti is iav iinonmal:tie

A. ehrodgyn ngiobnd dnwoult aellyr cgenha cnise hrnetie anlneia orn cinlgye aer rop.Ba l yGl ;t&g Ala ldouhs'nt hnegac woh opielnr si deodmifi (I maen it OD,UCL fi teerh aws a citers dehnarnci or ometis,gnh utb not a eragt anrDws ).e ngtohni ot enicitda htta alneocgl odenieragtd si tlreade ni eorepnss ot an AA nt.isutustoib sA,lo in het notxect fo IO hhcwi( is hte pgntrnseie caoplni,)mt ew eyaalrd konw tath teh lmberop es'dton aevh nnhygita ot do whti ,eroadteingd moer hwit hte acegnh in uccoifrsneunt/.rt utE oyeHsnlt ndto' .wnok

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submitted by drdoom(1206)
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e’erHs one ywa ot e-cmlpt-isoefiresaon eedrcad“se hnengr-yooddb nat:m”oorif mI’ otn a big fna of sith leni fo ,noersnagi tub ienlhylccta aenailn as a dise urgpo ahs oerm n*grhsdeyo fro aeilotnpt hodengry gbiondn hnta lyingce:

nlina:ae —HC3
leic:yng —H

,oS li”eccayhln,“t iannael wdoul ritemp mreo ohdnneyrdg-ob irft,nomoa cihhw itmgh olwla oyu to tialenmei atht oi.cehc

ahtT adsi, it esesm mltaos ilimboesps to eurl out u(wttiho evry tinclceah negkeowld ro soem pddiervo aprneexletmi ata)d thta teh sytllgih gaerlr innleaa oesd tno prmiia roghndye odninbg betwnee glaelcno oemclleus vai eictsr pai)(tsal eterrfeicnne. nI impselr ,smert cseni linaean is ,aerrlg yuo olduw knhti ttah ti tsmu hemoosw frenrteie wtih teh r-bgoyenninohgdd ttah sccoru whti the eyltd-wip eigylnc.

---
rytt*cliS isnpgkea, ti’s ont hte bernmu fo gnsohdrey but losa eht tnsrhgte of eht lepido atht taacifsitle ndeyghor bnndg:io a noeyhrdg unobd to a ogstnrly teeeoacgrtevnli ulecmeol liek lnrfioue llwi paarep”“ mreo epvitsoi ,nad thus, hbygedoodnr-n omre ylsnogrt ihwt a byeran yneoxg pco(emadr ihwt a gnrhydoe cdoencnet ot orc,ban rof )lemp.xea

Frhtuer rngaed:i

  1. leqhldeh/pucwnoustdri//wdpwl:d.sphbtim.gm.e/cte/hhuu.
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hungrybox  eAraeitpcp teh fetfro ubt iths si raf too nolg ot eb flu.sue +30
drachenx  nyugboxrh si a rkafigen thare +
drdoom  dxec@hnra ah,ah a,nh igncmo ckba ot stih i arieezl i was ybraolpb ognirev-eekg oll +1
blueberrymuffinbabey  st'ni teh ndgyoerh nbdnogi tenpneded on hte dodyarytxelh lieonrp adn ysile?n so atht n'wtodul ylearl eb teh uisse heer ensic hoets tnaer' eht asa egibn teelad?r +
drdoom  @blyeruber grcAiocdn to reAs’tlb BoCM se(e nnastegT ta gt)hri, nisdxryeyoylh nad pnroyrlhyioexd bitreuontc ohredngy obnds atht omfr enebewt teh hicnsa raentci(”inh“, as oppdeos to ;iitahrn-nac eht n,icsha fo ,croues ear earpsate pitp;lodeysep that i,s etrsaape caloelgn tisn;oerp and snoctrniteia weneebt erpaaset aichsn reestaa[p yopplidteep]s si atwh we lcla uryrnqa“eta re”rttuscu; ees naegtnT oeabv). ndA in sith sc,ae as oyu tipon ,tou eht mset eercsdibs a &t-Ggl;yaAl ustsitntuoi.b hTat eesms ot eamn otw tgsnh:i )1( hte ehrte spreatae alogecnl ipeytpdopels iwll nto akpc“ sa][ ti”ghtyl to omrf eht pelirt lxehi ruqntyar(=ae rus)tcture we lla wnok dna eovl nad 2)( onlierp rgnis lilw liaf ot lyrea iuetq sa ,slyugn onpciosgrmim eth cellhia tiofmranoonc ttah eesidnf an halap anhci =en(dcsayro estcr;urtu the pasesh thta mofr iinhtw a nsigle p)oilydp.etep +
tadki38097  slao uyo a'tnc H onbd tihw ,rcnaob t'si not raplo hnuoeg +
amy  0F0A22 05P st:eat oiamnfotr of cl(glprownahiecho is eth eilprt xihle re)rucsttu iav hegrdnoy dan .diiseldfu So A is rctnoeirc cb erthe aer on lgloacen slemcuelo yet 2d(n ctruuerst penphsa ta llnegaoprco lvee)l +
drdoom  @mya tprlei xielh is a autnyearrq rectsrutu e(isnc riplte leihx si a epash htta sform EWEENTB rasptaee or ”at“uld -o/llgacepconanleolgr dseit)p.pe Piya,rrm osdrcaney nad rtyetari ustursertc rae ipdterisnosc of a nlesgi eytiolpepd.p Ocne ouy eavh 2 ro moer stpyoleepipd enigcttnira with hace rtoeh g.e(,. nbileHgmoo omluc)lee oyu heav quryenatar c.uuetsrtr +

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 thgmi eb oieknhgnvrti it t,ub H nodb tmoranfio of a'as amske eht cnyodsrea uutresrtc of eth etinrpo leagn(lco ni tsih e.asc) Teh lyG to Ala iibtosunttsu esod terslu ni sels H bndo i,ooamnrtf utb of uiadilivdn sa'a ont eeenbwt oallnceg uolmceles aht(t tihgm eb erom ofr yquarteanr cte)rutsru

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lpp06  I inkth het yek is in teh sewnar shrgaip,n hte enwrsa toimnginne s-bnHod yass Dpsotn"riiu of osHb-nd enwtbee oenacllg e"hhtsuoclllogmA ue laenoglc soed gnudroe bi-nHodng to soptpur het perilt xli,eh this is edno itnhiw eth esma lnagoelc g. icemniklnluLoe ifendfret gcnoalle eelsulmco sccuor vai hte nyilse - isylxnyrdeoyh slnki doen ni teh CME +1
kevin  isth is the eno tocmnem tath nalfliy lheepd me dsreantdnu why hatt swa tn.rrcicoe nkath ouy +


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submitted by j123(16)
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arimryP ruercttsu = mnioa daic oreqceSenu enyasdc ucerusttr = ecrutustr eomdfr itwh a gnsiel oainm iadc eeeunsqc t(aeb aetdpel hee,ts hpala xei,hl yetTra r)cite ttresruuc = ipletmul esnraoydc urtscsetru ctiignnaret ettregho ulemlpi(t baet adtelep esshte setadck on tpo fo aceh hre,to na)erttuarQec yr ttueurrcs = ntrieop erttuusrc rfodem morf ndigfol fo lla riyretat estucrrsut to keam bdngnii ,isste e.tc

ncSei teh aienlan aws ptu in pcela fo teh ,cGelyin teh iyarrmp rettscuur aws neubla to ofrm na pahal hxlie ecins lahpa iehxl ctsserrutu deen a alcaurptir cquesene lg(y - x- )y in edrro ot omfr ohgndrye odnsb ot ekpe the helxi et.slab

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 -1  upvote downvote
submitted by unknown001(9)
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ahtw is nlegocla ? a srycoedna ipenrto uerrtust.c

wehn yuo emorev ncylegi, eth mots dbuntana manio adic , rfom teh reourpscr luelmoce lwli yuo teg a rropep sayoencrd strceuurt ? NO

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unknown001  eoinrg tish +
drdoom  nca you o?braaeetl ht'wsa gnrwo thiw ryou ?ceomntm +


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submitted by lilmonkey(63)
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lGy is prlao, eiAnanl is opolnnra nad b.cpodrhiyho insMeses veancoinrvesotn anoiut.tm eeshT AAs haev eetifdnfr ehcilmca speporeitr cihwh lead to dtisdepru eoitpnr nofdgli nyac(oedrs curt.s)urte laiSrim ot ulG - Vla sttuutbiinso ni lkeicS llCe Dae.seis

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