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!
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 tikhn it sha hnteismog ot od whti niegcly e(du ot tis llasm eszi ti nac tif ni amyn lpeacs rheew thero iaomn sdaci acn otn dan enceh it vrdoespi lu“rastruct cssetcnpom”a to eth egalcln,o e.i. tpu a kkin in eht halpa .xleh)i fI lyecgni is slpedacmi by ohgntemsi ,sele I n’odt tinkh copoega-lrln acn fmro ist rtercoc dcaerynso c.ruusrtet

unscramble the site ⋅ become a member$279$49
jotajota94  !Treu ,lsoa gecnlyi si 31/ of lcnaloge aalf shcn,ia so ti ekams sesne ahtt situunobttsi twhi nlaaeni hwhi(c si ucmh rbegi)g ulodw dael ot ntpdirsuoi ni eth plaah xilhe naofoitrm. +2
jotajota94  eTu!r soa,l gelncyi is 13/ fo eaongllc fala shnai,c os it skeam esnes tath tstsnobiituu hitw inaealn wchh(i is mchu )rigbeg uodlw ldae ot itdinsupor ni het aahpl lhexi fnmioa.ort +
thepacksurvives  neiGycl is almsl and nb,dye wchhi slowal it ot omrf het ibsirfl ofr het pretli ehilx +
brasel  oAsl in gleenar (AF 8012 gp 05) IO si mfor osmrebpl ongmrfi eht rplite hilxe hciwh is orysacden uctret.usr tela,rnouyFt tehy avge us nhemotsig ot arnoes hitw ni het stuqoein ayA&l)Gltg-;( +3
amy  anC eenmoso leph em utrdsdenan hyw A si rcrneioc?t 022AF0 epag 5:0 ieTrpl ixelh fo 3 alncgeol a hnaics is oefmdr mrof raollcgeonp aiv yogndher dan eslifdidu .bndo Is htsi revy ariilsm to htwa A is ge.id?nbrcA i recesdDae bynrgodneh-do ntafmioro nbtewee aelnclgo .clloesuem +
umpalumpa  The opaxnetanli negiv yb arbwtllaaasei lduco wrko fi het tnqiueso lwuod ysa l-aAtl&-yG;g toatnum.i oeHvrew, eth sueqnoit stetsa tath heter si na tl-g&A;yG-al aoimn.tut +


You must be logged in to vote!
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 ,euidrgf -i-XeygYlnc si itnlhclycae cdsnederio a “rpirmay oanim cdia uetrrcuts of a epr”iont icens eht eioidtinnf of a rPiyarm srrcuuett fo a nrotpei is “a lnraie iacnh fo namio das”i.c fI uoy smse whit teh Prryiam teustucrr, sa ni eth ntouisqe t,mes oyu cnotan ofmr hte enycaoSdr cesutrtru fo het oitpre,n wichh is netdiedrem by the dgbgyiroh-nndnoe cihwh rosccu enebetw teh pediept cbakbeno, ddepiennetn fo teh R opsr.ug I heop isth adme nsese.

roFm dkiepiawi: Sreyn“oadc rurstcetu is floamylr idnfdee by eth eaptnrt fo hegoynrd sndob webetne het noima dhygnroe adn olacrxyb xgneoy maots in eht epeidtp kbcbeano.” (mhepssia nmi)e

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!
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 ugsy and i euqot frmo eesp/lgotrosluhis4/i2obcr-epaeetmcs.sepocwd/iat.hwisrf1teow0tt/mtn:/

%09" vahe na dltiiaeienbf geitcne mtutoina CLO 1A1 adn OCL 21A
cuaes s romaalnb gnaclleo iigsnkn-oslcr via a eyiclng oisustubntit ni eht rlaonoglcpe mcuelelo "

hichw anmes that IO hsa a gniecly soittsuntiub adn oehtferr its ebunal to frmo a cyrsnedoa tucrsu.uter

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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

eDu ot clsnygei' llsam ,eizs it ertsaec "knks"i in teh inoma iacd cequnees. hTese knsik era ndedee ot etrocyclr frmo eht seyarcdno crurse.utt

terOh nss:rwae

  • kwan"edee nntiteocari tewbeen enllocag and ngpetcylar"oo - olelgnca + toepycloagnr = clrgil.aeat Teh neuotsiq mest tinmoens aynm sdctfee ni NbEO ty(pe I )lloenagc tbu no oinetnm fo eefdtsc in gacOaerllTW pt(ye II oaelgcln)
unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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

Yly--GX is ckbbeaon orf golancel lpaah c.naih 3 loglenac ahlpa acisnh prlasi to form ilerpt h.ilxe neciyGl ash on R r,gpou lwonialg orf ifibelxilyt dna mafotiorn of reptil xi.ehl No ngleyci espvrent hsit nioustuonc irpnsi,gla neitgneprv the frnaoitmo of lalnoceg sydocrane rrtc.useut

claeRl hatt haasp-eillhce dna sbeestheta- ear mlepeaxs fo csdanreyo tse.trucsur Tshi nac be othtuhg of a nifmoatistane of eht lhaap hli.xe

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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

reohNAt ywa ot get ta it si via inno:teilami

.A hrygnode dgbnion ondwtul lalyre gcnaeh seicn nethrie enailan onr linecyg aer roap.Bl Gly t;&g laA us'lnhdto nhaceg who pnoreil si dfiemiod I( eamn ti ODULC, if rehet was a ecsrti niardenhc or nmesitho,g but tno a eagtr wre)nsaD. hotnngi to aicntedi tath gceanllo ngeitoaeddr is raedlte ni enpsorse ot an AA ttoinsbusut.i oAl,s ni teh tnoxetc of OI hi(cwh is eht eesginptnr ),milnaocpt ew adearyl owkn atht eth leprbom et'dsno ahev tyghainn to od wtih eirnetgd,doa moer hwit eht heangc ni sttiEnc /ruouerfuc.nt eysoHnlt o'ntd nok.w

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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

eH’rse eno way to snafmisclteo--eeripo rdeacees“d dy-ogrndohneb of:rtom”nai mI’ not a ibg fna of tish lnei of nia,ergosn tub ncicaeylhtl laaienn as a seid gopru ahs emor orehgynsd* for itpotalne rgenoyhd ngibdno ahnt gelciyn:

neia:aln CH3—
iey:nlcg —H

oS, etlcih“alync”, anlnaei oudwl mtierp mero yonbe-ordnhdg ar,oioftnm which ihmtg olwal oyu to nliiaeetm ahtt ho.iecc

htTa sia,d it sesem motsla mlipssiboe ot urle tou tuioh(tw ryev nlcahitec elgokwdne ro mose iodrepvd eaenxerlitpm daat) hatt het slitglyh elrgar nainale dsoe ont mirapi nreoghyd ngibdno tewnebe ocelngla lomceseul via ertisc s)(apliat erenet.cnrife nI ermilsp ,tsmer sceni ilenana si ler,agr you oudlw iknth taht it sumt moeoshw trnfreeie itwh eht d-bonrgignoeyhnd atht ocusrc ihtw eht wdelp-tyi lynecig.

---
tilt*rSyc sep,ikang i’ts ton eht bemurn fo rseygondh but aslo het htgtrnse fo the epidlo ttha cfietasiatl ngeryhod og:dinbn a ngoyherd ounbd to a nrltygso nltvegeoetcirea elulcome klie ulfoenir lliw ”“paerap omer epoivsit ,dna tuhs, ddyngeo-hnrbo ermo lysotnrg iwth a yrebna oyngxe ceapo(rmd htiw a hogernyd ecntnoedc to r,bacno rof .ale)pmex

rFtuerh aigenr:d

  1. bl..cpupuemw/h/egwqt/le.uisomepcdih/d.h:tdrhns/wtluhd
unscramble the site ⋅ become a member$279$49
hungrybox  tiAerpecpa het efrotf tbu iths is far too onlg ot be lf.useu +30
drachenx  buorhxyng is a fiekrgan hrtea +
drdoom  hacr@nexd hh,aa h,na gnocim bcka to sthi i earezli i saw prbyblao eieegrgo-vkn llo +1
blueberrymuffinbabey  it'sn hte edhnrogy ndbonig ennpeetdd on teh hdodrtlyxaey rlnoeip and ei?ynls os taht woldtu'n lareyl eb hte ssuei here nseic otesh nreat' eth saa igebn tarldee? +
drdoom  ulb@reeryb igcoAcndr ot teArl’bs CBMo (ees Tngeatsn ta ,)gtirh xsyoinlydyrhe dna lroepxnrhoydiy ibuorcentt rnhgeoyd obdsn thta omfr enetwbe eth hasnci itnr,”ihe(acn“ as pdeposo ot nica-nih;atr eth cn,hsai fo rsuoce, aer easterap tpespdp;yleio htat i,s apareets olelncga otps;erni adn nritsacenoti tnebwee peastaer shnica taseerp[a pposeepyl]idt si what we clal qye“runarta ct”etu;rsru see tTnenag oveab.) dnA ni sthi aces, as oyu oitnp otu, hte tems eseicrdbs a -;agAytGll& .suuittobnits Ttah meses to eamn owt th:gnsi 1)( teh htere ertpaesa oaglnlec ideplpyeopts wlli ont “kcpa ][as t”ghiylt ot orfm teh leptir hexil uqt=ar(anyer c)rurutset we all nkwo and love dna ()2 plonrei ngisr wlli aifl to eayrl itueq sa nyslgu, ongsipcoimmr the cellaih riootcofmnna atth sfndiee na alhap hanci osedcr=ayn( eurrtc;tsu eht ehpass thta rfmo ihwnit a gslnei .doileppt)pey +
tadki38097  soal uoy catn' H dnbo wthi nr,boac is't nto rpoal oguneh +
amy  F200A2 0P5 etast: foniroamt fo (hnergohlplowcica si eth rlitep xielh tsur)ecurt avi yngoredh nad iiuedsfl.d So A si tnicrroce bc rethe aer on oanlegcl museceoll yet (d2n euurtcrts snaepph ta orelglconpa leel)v +
drdoom  ym@a liretp hxile is a rnearuqyta cesuurtrt ne(ics tpierl helix si a hpsea ttah fsomr WBEENET eretpaas or u“”ltda oco-lgpaeerlolna/nlcg e).spedtip y,amrPir narseydco dan ertitary srsrtuteuc are ntodspscriei of a nelsig p.eldopytiep Ocne uyo have 2 ro eomr lptopdepeiys iectitngnra thwi ache etohr ,.(eg. mieoHnbglo cmeloeu)l uyo eahv arneyuraqt ruruscet.t +

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!
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 migth be tnrevignihok it tu,b H nbod moarniotf fo asa' makse eht dcaesnyor suectutrr of eth ntireop elalc(ong ni ihst ase.c) Teh Gyl to aAl utiisuntstbo sdoe srtlue in lsse H nbdo niartoom,f ubt of ldaidunvii 'asa tno beteenw aelnolcg seluelmco h(tta hitgm eb orem ofr yuqnraerta )cruutrtes

unscramble the site ⋅ become a member$279$49
lpp06  I ntihk het kye is in hte rewans n,isrpgah eht arnwse ninnotmeig nodHbs- ssya riDit"unops of d-bHosn wetenbe nacelogl uosmghloelcut"e lhA gcnoaell dsoe ueongrd bnonHi-dg to rtospup the ltripe lh,iex ihst is neod wiithn eht aems anlolegc nlncgLlmei.uek oi tedinrffe lcogalen ecmloselu cuorsc aiv hte sneiyl - yyxneohdrilys slikn oedn ni het ECM +1
kevin  hist si eth eon otecmnm tath lyailfn hdepel me enndadsutr hwy that saw .coetrcirn antkh yuo +


You must be logged in to vote!
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

yarmirP rsuctteru = manoi cadi yqnsoeeeudnS racce stetcurru = rcetustur ofedmr tihw a ensigl naoim daic eueqnecs (teab pleedat tesh,e phlaa ilxh,e Tte ceay)itrr sutrtucre = lpulmite crydsaeno rscstueurt tgietrcnian heetogrt mtul(plie bate lpetdea tseesh dcatkse on pot fo ceha rh,ote te)rareucy tnQar trsuurcet = pnireot struucret edmorf orfm ndilofg fo lal reyiratt uttrssecur ot kaem gnndiib e,isst te.c

icnSe eth ennilaa wsa utp in pleca of eht iGneycl, eth mrpiyra cretsuutr asw nbuela to omrf an plaha ixhle isecn aphla ihxle rutecursts ndee a arliuaptcr ecsueeqn (ylg - x- )y in rerdo ot rmof hneogyrd dnsob to kepe the hliex lasbt.e

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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

htaw is aegnlclo ? a conyaerds teiporn sr.trucetu

ewhn uoy orvmee ,ligneyc the osmt nubtaadn nomai iadc , romf the crsrropue oleuecml iwll you gte a rprepo arosecynd utturcres ? NO

unscramble the site ⋅ become a member$279$49
unknown001  ngroie htis +
drdoom  can you arl?bteaoe ws'hta gnowr thwi ryou tencm?om +


You must be logged in to vote!
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

Gly si oa,rpl inAelan si ronlnapo nda dhp.icryboho esenssiM oirvnsoenevactn ouman.itt shTee AsA hvea irdnfteef almihcec eeptosrpri hwchi eadl to spiurddte treonpi ngdifol cno(ysrdae us.)rutertc lmSairi ot uGl - alV ssiotubttniu in ciekSl eCll D.asiese

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!
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!