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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 hntik it has nhgsiotem ot do twih gelcyni ed(u ot ist lslma zies ti cna tif ni amyn pealcs rweeh trhoe amion adisc nca tno dan nheec it vopsdier scttrlra“uu snspmocet”ac ot the lnc,oeagl ..ei tup a knik in eth hpaal e)hilx. fI yelgnic is csadlpmei by nmgehtois les,e I n’otd ktnih ooaplner-cgl anc morf ist rccreot yorndaces .ctueurtrs

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jotajota94  rT!eu ,laos neligyc si 13/ of cllaoneg fala ,asicnh so it skame eenss tath ttnisbuiuots with nlanaie whhc(i si muhc brg)gei dlwuo deal ot prdoisuint ni eth aaphl ixhel .foatmnrio +2
jotajota94  eu!rT soa,l eglnyic si 3/1 of lcoeagln fala cha,isn os ti saemk nesse ttah suitusontbti hwti ilaenan hicw(h is hcmu )grbegi wlodu lead ot iprnitousd ni hte aplah lexhi nmta.rfoio +
thepacksurvives  incelyG is allsm and ,nydbe hiwch olsawl it ot rfom eht sfrilib rof eth etrlpi ilhex +
brasel  Asol ni gnaerel AF( 0182 pg )05 IO si omfr boermspl ngmofir hte ltreip xelih hhwci si ydroaescn trtc.esuur aeyturln,tFo ehty agve su gsomtehni ot aseonr ithw in eht quetison lyl-g(aAt)G&; +3
amy  Cna osneemo elhp me nddeusrtan hwy A is t?corncrie 2F200A gpea 05: iTerpl xheil of 3 agloecln a nacihs si fmedor ofmr eproallcgno aiv gnehyrod and lsidfuied dnbo. Is htis yver sraimil to hwta A si dnAigrcb.ei? cdasreDee onehdngbdro-y toamornfi eenwebt leoclnag leoeulsm.c +
umpalumpa  The lapxnnieato venig yb lilaetsrwaaba doucl rokw fi the onuteqis lwoud yas tGl-&l;aAy-g inmatout. reovHwe, eth otisuqne tsseta taht eehrt si an lAtyag-&lG;- aiuotmtn. +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I erg,diuf --yYgicXeln is laytielchcn ddcnsereio a r“piyamr omani diac strcutrue of a ”opnteir iscen eht iifdteinon of a iarrmyP uttrrecsu of a preoitn is a“ irlena ahcin fo naomi adcsi”. fI oyu smes thwi het yarmirP rt,trseuuc as in hte uenqsiot mtes, you aocnnt from teh oSacerydn eutrcrtsu of hte pnireot, whcih si mnireteded by eth ebnodn-hdygngior wichh ucsrco weetneb eht dpeepit keabbnco, iennndtdeep of teh R guso.pr I hpoe tish amde neses.

From iidaewpik: ye“dSoarcn ruustetcr is oflmyrla enfiedd by the tptrean of dryonghe osbnd webeetn eht miano gryeodnh adn cyaroblx ygoxen maots in eht ptpedie bknbaoce.” map(sheis mien)

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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 sgyu nda i tueoq mrfo ifmh/ga.rpmwal//oei.tuctesppwsw/reteindbhsoit-1oesoo2cet0t:tec/4rlss

9%0" have an iiabeenitdfl gitenec tonuiamt LOC A11 and OCL A12
es csau laramonb lnceagol gikosnc-nsirl via a cnylgie toitbtuusins in eht onlcoparegl loecmeul "

hiwhc anems htta OI ash a yglcien suoutbtnisit and efrertho tsi ulbane to omfr a soerdaync utcr.uturse

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submitted by hungrybox(1277)
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eDu to nsyclgi'e sallm ,szie ti ceraest knski"" in the aimon dcai ceqseneu. eTesh isknk are enedde ot colcyerrt fmro hte neoysrcad .tusrtcrue

etOrh nerwas:s

  • aenewekd" acnertioint etenbwe nogllaec nad ynclopog"eatr - onlagecl + otronlygaecp = .talgerialc Teh ouqisnte semt neisomtn ynam fstdeec ni EbNO teyp( I c)nogeall but on notimne fo tefceds ni egOllWrcaTa ty(ep II ln)galoce
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 +1  upvote downvote
submitted by basic_pathology(25)
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Yy-XG-l si acbkeobn ofr ceaongll alhap .nhiac 3 acglnole plaah nhscia lrisap ot ofmr ilpetr lhe.ix ylncGei ash no R urpg,o lnwogail fro ieitbyfilxl adn ftaiormno fo rpilet .eixlh No ygcleni streenpv tish iouncuonts algspirn,i repnvgetni hte ntmfoaoir fo loglacne dysnoerca cuettru.rs

ealcRl tath ihehalc-aleps adn e-ehasettsb era aslmxpee of yesdcnroa rr.uceuttss shTi nac be hotthgu fo a tnaoiifamtens fo teh ahlpa elixh.

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submitted by an_improved_me(91)
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NthAoer wya ot egt at ti is vai :ntanmieolii

A. onyghdre obgindn ldontuw yllaer ncgeah cnsei nreehti alenani rno gnelyci are .rplBa o yGl ;> Aal ln'tsdhuo nacehg ohw ipolner si eofidimd I( anem ti ,UCDOL if eterh asw a itrecs hcerndian ro ,isgohmetn but nto a rtage a).rwDes n tnnogih to aidcteni taht nlecgoal edndagierto si retedal ni onrsspee to an AA oiusnbt.uttis Asl,o ni the cxteotn of IO (hihwc si eht ternisgpne tanlimp)o,c ew laaryde wkno ttha teh pobemlr on'stde heav gnaiyhnt ot od iwht eaoindd,rtge meor wtih eht gheacn in nruuftorecEt untc.is/ tlnHesyo dt'no wnok.

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submitted by drdoom(1206)
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Heers’ eno ywa to eirfocelinmst-o-pase ereea“scdd oehg-nyrobddn :artmno”oif ’mI tno a gib fan fo tihs nlie fo nio,rsagen tbu chytcnilale ialanne sa a sdei ugpro ash reom yne*ghodrs fro lopantiet gohnyerd igdnonb nhta cingeyl:

ien:alan H—C3
ec:gyinl —H

,So nlte”chiacl“,y ennaail luodw riemtp emor dn-gonbeodryh moanoirtf, hwich gitmh aolwl uoy to linteieam that coch.ie

aTht dsai, ti esmes tosaml iipsblsoem ot reul out tiwh(uto evry ectilhacn lekgnwdoe or smeo vepddoir retipaemnelx a)dta ttha eht ilysltgh largre neiaanl odse ont miapir hodgerny bodingn beneetw aglenclo scemolleu aiv escirt aspit)l(a cetrrinenefe. nI rsmlpie s,emrt eicsn neaialn si r,lerga ouy dlouw itnhk ahtt ti muts oosewhm eiternfer hiwt eth endgobonrndihgy- tath cuocrs tihw teh ei-tpdlyw lcgeyni.

---
trcliSt*y api,egnsk ist’ tno hte brumne of rhosdenyg tbu aslo the nhsgrett of teh oledip htat aciieltatfs ryedhogn b:noidng a hengoryd nudob to a otlngysr arelcvteoetigne lolmceeu ikle nfeiourl wlil pre“aap” meor tpiveiso d,na h,ust bdeodnnhgyr-o reom ystgornl tihw a abryen xgnoey (pacedmro twhi a hnygreod necoetndc to bnacro, ofr )px.eaelm

reuhFrt dnaegir:

  1. lcuohern.u/phhwdgctthdudphq./iwepe.e/ld/.w:muls/isbtm
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hungrybox  etapAierpc eth oterff ubt isth si rfa oto gnol to eb uuf.els +30
drachenx  xrhognuby si a rgfeiakn htaer +
drdoom  nadxce@rh aa,hh ahn, nogcmi kbac ot hsit i iazleer i asw rybopbla nkreggevoe-i llo +1
blueberrymuffinbabey  ts'in the yroenhgd onignbd eeendntpd no hte yxytadoledrh rlpione dan n?siyle so ttah lnou'twd yallre eb eht isseu here eincs etohs tnar'e the aas begin rteade?l +
drdoom  rbe@yblrue orncciAdg to lterAbs’ MCBo (ese ganTsent ta )t,hrgi idnrsyxloehyy adn nhroydxeylropi rotcnteibu rgoyednh odbsn hatt ofmr tbeenwe teh iachsn an,“nhe”ir(ict as odoppes ot iir;-nnhacta the ,hanisc of ,osreuc rea eatspear lps;ydpipotee ttha ,is srepaate olgecanl oeirt;snp dan teitcairnsno eweentb aarpsete chsnai peetas[ra pydpposie]etl is tahw ew alcl q“rratnyuea c;ert”uturs see Tnanteg baove). nAd ni iths aces, sa uyo optni otu, eht stem dbsesceir a -lGa;tygl&A b.utsiintsotu ahtT esems ot mean tow nishgt: ()1 eht heert rteaeasp ollengac dlppoeepysit will not ck“pa s]a[ htgl”tyi to fmro eth eilptr hxiel aqry=etruna( )urctrtseu ew all nkow dan vloe nda ()2 niorlep sgnri liwl fial ot elyra ueitq as gs,yuln cipsmiormong eht caliehl coooatrifmnn htat esiendf na aplha nhaci dor(seacn=y trstu;eurc eht psseah thta romf hwtnii a sliegn e)piyltdo.epp +
tadki38097  olsa oyu nac't H onbd iwth nar,cob s'it not rloap ohugen +
amy  2AF200 P50 tsaet: aoromitfn fo pchhaolni(gceorlw si het rltpei lhixe )tcrureust iva neyhgrdo dan udsdlf.iie So A si errcicnto bc terhe are no lnlegoca lsloecuem tey (2dn ursrtcuet ppheasn ta cnpoagllero l)lvee +
drdoom  a@ym lrepit xilhe si a aryanueqrt rtrctuues se(cni ltirpe exlhi is a phsea htat sfmro EBNTEEW aetearsp or ad”u“tl alerocola-eon/ggnlcpl )estp.idpe r,iymaPr yedcaonrs adn arytteri strerutusc ear ercspoidtsni of a lginse .dpypopeltei Ocne yuo ahve 2 or eomr poysptliedep crtigtinean ithw ecah rhtoe ..(,eg oomelgniHb ceeu)mlol oyu hvae earayqntru .trrtueucs +

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 gimht be nnevioithrgk ti ,tbu H bodn oarifotmn of 'asa eskam het nydocsaer uutrtcser fo het prnoeit lelacnog( ni this ca)es. hTe yGl ot Ala tutstoubsini sedo ltsrue in less H obnd taon,ifmor utb of vnduidiali asa' nto entbeew olacngle lmoelcues a(tht mgith be meor rof terauanrqy ter)ruutcs

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lpp06  I khnit eth eky si ni teh enarws gapis,rhn hte newasr inmteionng Hno-dsb assy npirt"ioDus fo bdo-nHs eewtebn lgleoacn egs"h cltAouelhouml clonealg seod roudneg H-gidnnbo ot stuporp eht tipelr i,xlhe shit is endo ithinw eth emas elanclgo omgi nkluilc.enLe freiftden ncogalel ecmoulles uocrsc via hte insley - idorysehnxlyy snkil nedo ni the ECM +1
kevin  hsit is teh eno nteommc ahtt yfainll hlpede me nneusdatdr hwy thta was rtoiccnr.e nthak oyu +


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submitted by j123(16)
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amyrirP trutuesrc = anomi icda n aeqcyneoscdSueer uusrrcett = usrurttec efmdor twih a genisl inmoa cdia ueecseqn aet(b tpdelea she,et haapl x,heil rry)Tietec at terusutcr = lpietmul ardoeycsn tusterrucs rnaiegtcint ethrgeot lutipl(em bate ldpeeat esetsh dacsekt no pto fo ahce rothe, tnue)aytcerrQar srtutrceu = opinret crusuettr drmfeo omrf olngidf fo lla teairyrt surstcuetr ot mkae gibnind sstei, e.ct

ciSne eth aielann wsa upt ni aelpc of het nciye,lG the priayrm srrctueut swa belnau ot omfr na haapl xlieh ecsni hlaap ilxeh uuecsrsrtt dene a aalrpicrtu eceeqsnu gl(y - -x y) in rored ot rofm yhedgron bnsdo to peek teh lxieh es.blta

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 -1  upvote downvote
submitted by unknown001(9)
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hwta si engalloc ? a dyrcnaose iptnoer tucetu.rrs

ehwn yuo mevoer ngiyec,l eht stom aannutbd aniom idac , form teh ocseprrur cemuleol wlli you get a eoprrp nrdyeoacs ureusctrt ? ON

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unknown001  ogienr sith +
drdoom  anc yuo lto?aebrea t'ahws wgnro hiwt royu motme?cn +


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submitted by lilmonkey(63)
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Gly si or,apl iAnenal is onornpal dna dipoy.bhohcr eisnsseM oeeicnosvrnntav nmu.otiat heTes sAA eavh dfertinfe celacihm pisrtpoeer ichhw alde to iuetrdpds eniptor odnglif orc(asyden currstte.)u lSiiram to lGu - aVl ttnsibistuuo in Skelci lelC ese.asiD

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