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 hinkt it sah isonmegth ot do twih clgniey u(ed ot its almls zise ti can tfi in mayn eslpca rehew orteh moain asdic acn ont dna ncehe ti vieosrpd “tutrrcusal sema”osntcpc ot hte nlcael,go ..ie upt a nkki ni the apalh eix.h)l If lngceyi si madsicepl yb eontmhsig el,se I td’no ihtnk ol-lrenopgca acn romf tsi ercorct srodyneac ururecs.tt

unscramble the site ⋅ become a member$279$49
jotajota94  u!rTe ,aslo einlycg si 1/3 of agenlclo alaf nchi,sa os it smeak sseen ttah unbittstiuos tihw eainaln (hwhci si cumh gb)iegr lwduo eald ot rtpsduinoi in eht hplaa leihx rmfn.oatio +2
jotajota94  eTru! l,aos clnyige is /13 fo olnacelg aalf ,ahcnsi os it maske nsese atht boutsustinit itwh innaeal (hichw si mhuc grg)ebi owdlu leda to tnsiprodiu in teh aalph ihexl tfma.rinoo +
thepacksurvives  lnyGcei is mlsal and de,nyb hwhci laolsw ti to rfom het lbriifs rof teh iplert xlieh +
brasel  sAlo ni ganrlee A(F 8201 pg 05) IO is mrfo oplrbems fiormgn eth irtelp lhiex wcihh is dcseorayn u.rctruest ,tlotueFynra eyht veag us hgtnsmeoi to osenra wiht in hte utnieosq )G;tyA&l(alg- +3
amy  aCn onemseo phle me stenadnurd yhw A is cnr?ecirot 0FA022 page 50: ilpreT ielhx fo 3 nlaecglo a ciasnh is fdoemr rmof cnpgllooera aiv ngordeyh nda lddueisfi o.dnb Is stih vyre miaisrl ot what A is rAbngic.ie?d ereseacdD nor-eodyhbngd mofntraoi eetenbw lnlageoc uelcomel.s +
umpalumpa  hTe naptoxenlai neigv yb brtlasiwlaaae lcodu owkr if eth usoeqtin uwodl say yl-t;alG&A-g taonu.tim oreeHw,v eth teuoiqns etssat atht ereht is na ty-la-lGgA;& iotan.mtu +


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 gdruei,f ng--ciXylYe si lelcyhintac sroieeddnc a apy“rrim manoi idac tcuustrre of a per”oint since the iinfietndo fo a riPaymr strrcetuu of a preonti is a“ irneal anich of nomia a.icds” fI oyu sesm hitw het ryaPrmi tcuu,serrt sa ni het iqtsneou tmes, uyo oanntc rfom eth rSdaoycen stutcurre of eth eroitp,n chhwi is emredniedt by the oibnnryd-edgonhg which csurco beneewt het pptedie cbanbeok, npeeednidtn of hte R .rupogs I hepo ihts edma s.seen

mFro iidwieakp: ydenarcS“o rcretstuu is lyorlmfa deeindf yb het atnpert of ydgohnre sndob ebenewt eth mnaio hrdnegoy adn baxrolcy nxegoy atsmo ni the ptpedie bnoaebkc.” e(sismaph nime)

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 yusg dna i uetqo romf m0ieco2theetracw/btrp/inp-:a/slr1ewefgoco.sseotil4ith.swposte//tdmsu

0%9" eahv na fenidtleiiba netigec tnoituma OLC 1A1 nad LOC 2A1
eas cus lranobam lgeaocln iign-clnkosrs via a yelnicg uittbssniout ni eth cgnrloloaep clelemuo "

whhci semna htta IO ash a cneilyg sisutobtnuti and hereftro ist eluban ot omrf a ondaesycr tutrs.uuerc

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

Deu ot eynslgci' llasm s,eiz ti eaetrcs i"knsk" ni teh mnoia aicd es.qeucne hTees kinsk era denede ot erocytcrl mrof eht srcdeonay rusetcru.t

ertOh :aserwns

  • dee"waekn aincrotitne bewnete loaglcen dan oytagcpner"lo - ogalelnc + lepratocgnoy = actlie.gral eTh tsqiunoe emst innsmeto ymna ftscdee ni EONb et(py I eclna)log tub on mitnoen fo ectefsd ni OerclaalTgW p(yet II nealoc)lg
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

-GYXyl- is eabcnokb ofr alongcle lapha i.nhac 3 eacgnoll lapha anhsci alipsr ot mfor lrtiep iexlh. lGyenic sha no R grp,uo ilalwgon rfo lytiibifxel nad noriomfat fo itpelr h.xiel No nlyicge nprseetv tihs stuocounin sanprli,ig ivnternpeg het foimranto of laolcneg doansercy rsctr.uute

caRell hatt slaele-pchiha dan seseteabt-h ear amspelxe of cnasrydoe .setucrturs ihTs nca be ttuhhgo of a iianfamsteton fo the laaph xi.lhe

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

AehNotr ayw ot gte ta ti is vai niitm:neaoli

A. egyndohr niongbd uodtnlw arleyl nacehg scnie nirethe iealnna rno gienlcy rae a.lpBro yGl &g;t aAl tnduslho' achneg woh npelroi si omdfieid (I anem it LCUO,D fi ehetr saw a stceri achnrdein or oihtsmn,ge btu ton a gaert D rn.wsae) onnihtg ot ciendtai hatt oglanlec toerdgained si erldtea ni pesnesro ot na AA .btsoiusutitn As,ol ni teh ontctex of IO whchi( si teh ngrteenisp ,oncpi)amlt we areadyl kwno atht eth lpeobmr ndt'oes hvae hgiyntna to od twih ngadieeodr,t emro iwht eth nhagec ni s itt/.nurntoerfccuEu nHstoely od'nt n.kwo

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

esH’re eon awy ot crsmeepa-tilnosioe-f cdase“dere dngyedbhonor- ofm”otanr:i mI’ nto a gbi naf fo shti inle of aerongins, tub nachycieltl ienlnaa as a deis gurop sha emro gnrsd*oyeh ofr tienaltpo oenryhdg odnibgn athn gnelicy:

:ealnina —HC3
cnyel:ig H—

So, cca,“hiylle”tn lnainae olwud mptrei oemr b-goonrdedhyn i,antrfomo chwhi thmig wlola yuo to mitelenia htta ec.hoic

htTa ads,i ti sesme stamol oilbesspmi to leur out htw(iuto reyv cicnatleh egondelwk ro msoe dovdrepi eairxetlnpem da)ta tath eth llsyhtgi rreagl neaailn deso ton miaipr dhyegorn nginodb wtbneee llancoge oemescllu aiv eitsrc tila)(psa ifrnnecretee. In sierlpm e,trsm sncie nalnaei si err,agl oyu wdulo inhtk atht ti sumt whomoes ertfriene tihw the rnhd-digyeonngbo atht srcocu htiw hte -ydtipwel elcigny.

---
ryt*lScti an,ipsgek s’it otn eht remnbu of odygnehsr btu saol het nhgtetrs of het leodip ttha leacstiaift hyedngro ndn:obig a dyghonre buond to a solrytgn toaelregetcievn cemuolel klei ieflorun illw raaep”“p omre vietiosp nda, u,tsh eryobnhd-nogd rmeo ystlorng ihwt a nybaer yexnog copme(dra wthi a nrgodhye eccnodtne ot c,anobr ofr eep)xm.al

uerFtrh greiad:n

  1. qec/dbwhuil..ehdn/shugte.utioe.hupmdlmplw/:c/wtdp/shr
unscramble the site ⋅ become a member$279$49
hungrybox  tprAecpaie eht tforef ubt stih si raf too long ot eb .uuelsf +30
drachenx  nuygbrhxo is a akgnrefi ethra +
drdoom  rdhncxea@ ah,ah ,nha gicomn bakc ot itsh i rzlaeie i aws aylrobpb g-eeegnvroik llo +1
blueberrymuffinbabey  its'n het ygdonher bionndg needdtepn no the deaytroyxhdl loerpni adn ?enlsiy os tath ntodwlu' llyaer eb the eisus here cines ehsot raetn' teh aas gnbie rdte?ael +
drdoom  ereblbu@ry ccongrdiA ot ’sbAretl oBMC s(ee ntTnegas ta t,hi)gr yxrionyeshdyl dan ydxohripryoenl eotcruibtn nohrgeyd odsnb taht orfm etwneeb hte cnasih “a,ircnti(enh” as oodppse ot ;h-aninricta het ,chsian fo so,ecur rae taepsaer spldoiyp;peet tath ,is tesraeap glclnaeo n;sieptor nda irosennatitc wneetbe raeatsep hicnsa epata[ser sep]odepiyltp si htaw ew llac aurnr“yatqe eu;t”rtrcus ese taenngT veabo). Adn ni this ec,sa as ouy iptno uot, eht tems isbdeescr a Agat-;&lylG ibu.nsotuttsi tTha messe to aenm two nsi:thg 1)( the teerh eertaaps gloeacln oyptleispdpe will ont ca“kp ]a[s ”thltiyg ot rfmo hte rtpeli xeilh arrtaqun=ye( tuec)sturr ew lal kown dna voel nda )2( orelinp sirgn lwli lifa ot aylre tiequ as gusl,ny nomiormpsicg eht hlceila moctnrnofiao tath fenisde an palha nciha es(n=rodyac surutcet;r teh ashpes atht ofrm tnhiwi a nliegs pole.dptey)pi +
tadki38097  slao yuo c'atn H onbd tiwh cbn,roa i'ts ont olpar ounheg +
amy  F2A020 5P0 ttae:s fnimoatro fo hh(lrwcnlooiegapc si het etripl ilhex uruettcr)s via hrnoegyd nda lif.idsedu oS A si recrticno cb hteer ear on calolgen ellceosum tye n2(d tscruurte appenhs at oelgcroanpl e)ellv +
drdoom  ay@m telipr lhiex si a tuqnryaera uutterrsc (escin lpirte lihxe si a hpaes tath fmros TEEENBW rateaeps or dl”ut“a /pr-egonlacelgcloonla ditp)epe.s ,iaryPmr ercanodsy dna yitetrar uecsrtutrs aer espicdirntso fo a giesln pppyee.otidl nOce uoy eavh 2 or rmoe lepsypetpoid ineaintcgtr thwi heca eothr .eg,(. obolngimHe e)loluemc ouy haev aaerytrnuq .utcterrsu +

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 thimg eb inigotnvehrk it bu,t H donb fnomrtioa fo 'aas emksa eht daysencro usrtetucr fo eth tpeinro eolalng(c in shit .aec)s hTe lGy ot alA tsniutbuosit sode rsutle ni slse H donb aoitronfm, utb of aidnidluiv 'aas not eetenwb anlogecl eucmsleol tht(a gmhit be mroe for yquaerrnta scrruu)tet

unscramble the site ⋅ become a member$279$49
lpp06  I nkiht het eyk is ni teh srnwae ghrsipan, teh ersnwa etniogminn oHdbns- ayss tipru"oinsD of bsnod-H etwnbee lognecal "eolleutghulsAcmho lcgaeonl oeds nrdugoe n-bignHod to rtpospu het etrpil lih,xe stih si oend ihinwt het seam glneolac lngumeoe. liLkicn rneftefdi lanocelg loeslecum ocucsr iav eht sliyne - rosxiyhlyedyn inkls ndoe ni eht MEC +1
kevin  tshi si eth eno eoctnmm htat fiyalnl pelhde em sndunatedr hwy atth saw erocic.trn nhatk 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

mryaPir rtctusreu = miona icda ec rnSsaeqocnyueed errttuscu = rtceusutr erodfm with a lsegni onima cdai sueqecen e(tba dtpeale e,esth lahap xeh,il r)eetTyctrai rtesurctu = eplmuilt socenrday rttrueucss engitcartni gheortet tilp(umel etba pedlaet stsehe tsckeda on pot of cahe ,hrteo trntaQr rceua)ey cutesturr = iopnrte surrctetu dmefor frmo nlgfiod fo all rytaitre truercstus to kaem ignndbi seits, ect.

incSe eht innelaa was utp in cpela of eth el,Gcniy hte rmaypir stetrrcuu aws nbuael ot ofmr an phala ielhx ecsin alhap ihxle tucretsusr dnee a paliuarcrt qeeseucn gyl( - x- )y in eodrr ot ofrm ryneoghd dsnbo to kepe hte lixeh elbta.s

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

athw si gaoelcnl ? a dynascore rioeptn srertcu.tu

wehn ouy merove icngley, het tmso nubtdana omian daic , omrf het cuerprosr uecmlelo wlli uyo tge a epporr roeayscnd rstruceut ? NO

unscramble the site ⋅ become a member$279$49
unknown001  ngoeir thsi +
drdoom  nca uoy aer?batleo thsa'w gnwro whti ryou ?mtmneco +


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

ylG is alr,po Aainnel is ooprannl adn ohhyibrdp.oc inesMsse rtoevsacnnoeniv tino.autm esehT sAA have rneefftid lhcacmei eerppositr hwhic edla to rptsueidd teionpr fnogidl sno(yrcaed )rtecrt.uus liirSma to uGl - lVa otnstiuubtis in Sieckl lCle es.iDsae

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!