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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 itknh it has timogsneh to od wthi cegnily u(ed ot tis lamsl zesi it anc ift ni many aecpls herwe eothr oiamn sacid cna ont and nehce it dpiovsre rttuasr“luc pamenst”scoc ot the oagl,lecn e..i tpu a kink ni eth hpala .elh)xi If legnciy is daipsemlc by hnesgtiom see,l I ’tdon hkint glec-prnolao nca mfro tis ctorrec dyorcensa ctrstuure.

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jotajota94  Tu!re lo,as neygcli si /13 fo elclonga lfaa cihasn, os ti skema nssee taht tusttbisoniu wiht laeanin (hwchi is humc brgg)ie luwdo ldae to unrptdosii in hte hplaa xeihl .ntfraooim +2
jotajota94  rue!T los,a ygnceli is /31 of clenlaog laaf hn,asic os it mseka esesn htta ttsiotnuibus itwh nnleaia hw(chi is umhc ebir)gg wludo lead to dpstroniiu in eht alahp xlehi tfina.omro +
thepacksurvives  eicGlyn is aslml nda db,ney hwich olslaw it ot ormf eht fsbrlii fro het iprelt hleix +
brasel  Asol in glenera AF( 2108 pg 05) OI is ofrm blrsmoep fiorgmn eht prelit xileh wihch si aonyedrcs ertust.cur ,aoyrtFlnute hety geav us emgshiotn to roanse thwi ni het iuqosetn a&lg)G;A(ytl- +3
amy  aCn moeenso pehl me antruddsen hwy A si tirrnc?ceo 20FA20 gpea :05 epirTl xlieh fo 3 genlolca a csainh is romedf ormf enocapllgro iva eohrgdny dna ldefsdiui dn.bo sI shti vrey riislam to atwh A is d?.iniecr Abg aDsdreeec ddnronhg-eoyb orotnaimf wnbteee lnlageco .ouemelscl +
umpalumpa  The exaitlnnpoa evnig yb blaleswatiraa luocd owkr if eht tqunsioe uldwo sya l;G&lygt-aA- tmnati.uo eeorv,Hw the eointsqu ttsaes tath rhete si an &Ay-lgat-;Gl tuma.toin +


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submitted by cellgamesgojan(43)
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I dgie,urf c--ynlgYXie si ialenlyctch rddeesocin a rmryai“p aomin icad trurtcsue of a er”potin ncies the ftinndioei of a rimPary escurrtut of a ptorine is a“ linrea hiacn fo ianmo s”ac.di If ouy msse hitw eht arPirym ueu,trcrst as ni het tnuoqesi etsm, you onncta mrfo eth crSneoday utctrrseu of eht t,onierp hciwh is ieendtdrem by the n-boyerohdngding whihc cuscro eebnetw eth deetipp abkcoenb, enneetnddip of eth R ugrosp. I poeh siht edam see.ns

Frmo iadewkipi: arycdo“nSe crturtuse si omayfllr eddiefn yb the ptneatr of rgydnohe nbods ewteben het nmaoi heonyrgd dan lbcyoxra eygnxo matos ni het dppetei bcoaebkn”. eaisspm(h im)en

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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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ko yusg dan i qutoe fomr 1i0hp.leaftlphttb/ceirses/sogrw4omniuee:et/mco-sopteir.atso/wt2/wcsd

"9%0 vaeh an bdiaeftenlii ietcegn itmnatuo LCO A11 adn OCL 1A2
uscsea mlaorbna oecalgnl sniokl-srngci aiv a gcineyl utnbosisuitt ni teh rollngpcaeo uoemllec "

chhwi measn tath OI ahs a cglyeni stotsuubinit and rfteerho ist blnaeu ot omrf a sancrodye sruuctrtu.e

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submitted by hungrybox(1277)
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ueD to nlcye'igs allsm sz,ei ti eetcrsa ikk"s"n ni hte aomin dcai eeencusq. seThe iksnk rea nedede to rcetocrly fmro het srdnyaoce tue.scrrut

erOht se:snarw

  • ekedean"w onrtciiaent ebwtnee ancgeoll adn peoyan"tlocgr - ceonalgl + cyoolragetnp = .lrgaacteli eTh inetsuqo etms omintnse amny dfectse in bEON pet(y I )cnoglale tbu on imetonn of estcedf in glaerTaOlWc tp(ey II ga)elcnol
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 +1  upvote downvote
submitted by basic_pathology(25)
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lG-YXy- si cnkbboae rof nllgeoac phaal h.cina 3 ceollagn lhapa ncsiah plarsi to from ertlip hixle. lGeincy ahs no R p,uogr wagiloln for lyftxibilie nda nmoaortif of ipetrl h.xile No icgenyl trnpesev stih tonouncuis nsi,algrip pvntegnrei teh notmfaori of lencloag anedryocs uresturct.

llcaRe ttha eaapeh-hislcl nda tsaees-tebh rae pxmeesla of cnorydesa ssr.utructe sihT cna be thhtgou of a atsoeanmfitni of hte aalhp ihlex.

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submitted by an_improved_me(91)
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reothNA way to gte at it si iva ioen:anmltii

A. ynoerdgh gdibonn wuldnto alelyr ncaheg iescn iehnret linenaa rno egnicyl ear Bo rpla. Gyl ;&tg aAl dnu'otlhs eagnch woh ieprlno is ofedimid (I enma it U,ODLC fi erteh swa a iesrtc danhecirn or igohnts,me utb ont a egtar n)es.wD ra gnihotn ot cnditaie htta lnolcgae ogndeediatr is adretel in peneossr ot an AA soittuinu.tsb Ao,sl in hte encttxo of IO (cwihh si the piersntgne nlpm,cao)ti ew aaleyrd onwk ahtt eht meolprb odents' veha iatnyhng ot od with an,gtoeirded mreo hitw het hncage in Erscuunt.uitnc f/teor nHltysoe 'ndot nkw.o

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submitted by drdoom(1206)
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’rseHe oen wya ot cesoi-foeilrpmea-nst ae“esecrdd doe-ohgynnbrd ri”mf:toaon ’mI not a gib fna fo stih einl of sgaennio,r tub lalcienycht laanein as a sdie porug ash ermo *nergodysh for laotipent onhergdy bdgonni hnat gneycil:

aenna:li C3—H
c:nlgiye H—

So, yneccl,“htla”i naealin lowud empitr eorm go-dbnhrnoedy marniooft, hwcih ighmt allow yuo ot eienmitla hatt checo.i

thaT ,asdi it sseem alosmt eplobmsiis ot relu uot w(iuhtto yrve litcnaech lgdkeewno or esmo pdreivod neelxtmpaier dta)a ttah eht lylgthis erlgra inleaan osde nto imripa hoygdren gbnndoi tebnewe alegocnl oceluseml iav eisrct a)(lsipat eencen.frtire In ispmelr rm,tse enisc ainaenl si ea,grrl oyu wuold knith ttha it tsmu oosemwh teneirref itwh eth nooebn-higdngrdy thta coscru whit teh yildw-tpe genycil.

---
Sc*lytitr p,isagken it’s not het mrbneu of hodsgrnye tub oals hte enstghtr fo teh iepold htat atecstlifia ydnegorh bdnn:igo a hrodyneg obdnu ot a rogsnlyt reolveatnteegic moelcuel ekli refonuli liwl “p”rpaea omre eivtopis d,na ,tsuh benohnrgddoy- orme rgnoytls iwth a nbyrae nyxoge cm(aeprod tihw a dgryeohn notdccene ot ,caobrn fro ea.mexl)p

trureFh :irdgean

  1. bhe/.npwplweulthi/c//r/.ghpiodwde.thchmdu.qdemul:ssut
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hungrybox  Apirpcatee eth ffteor tbu shit is afr oot ngol to be sful.eu +30
drachenx  urngboyxh is a rfeigank ehtar +
drdoom  rxc@nhaed ha,ah a,nh gcmoni cbak to itsh i reizael i aws abbpyrlo vekiongegre- lol +1
blueberrymuffinbabey  'tsin eth rynhedgo nbiognd ndeeptdne on eth eylxddytorha noreipl dan l?sniey so ttha utldwno' ylaelr be eht usise hree niecs etosh tnr'ae eth aas ebing eredlat? +
drdoom  elr@buerby dcgnrcioA ot tesblr’A CBoM es(e setnnaTg ta ti,r)gh yydhsronlyexi dan ryyoiprdxoehln obtnicrute goerhdny sbodn that rofm eetnwbe teh chains e”,t(ainnihc“r sa spoodpe to naci;hitn-ar hte cia,nhs fo s,ourec era staeaper ps;ilepdeotyp htta ,si rasaeept olacelng nosirt;ep nda nceottariins tebenew staerpea hnicsa rsa[eeapt plsey]opdptei si tahw we clla tareqrnyau“ tuurs;etrc” ees tegaTnn vboea.) nAd ni siht c,sea as oyu oitpn ,out eht stme ecdsserbi a ;Ga&gl-ylAt tusunitsio.tb taTh esmes ot mena tow thgis:n 1)( eth ehtre eesptara aeoglncl epoipytepdls will nto pka“c a]s[ httygli” ot ormf eht lrptei lheix =(rryuqaanet ctuutrrs)e ew lla knwo nda love and 2)( erinolp nisgr iwll lfai ot eraly uiqte as gysu,ln mioongcmpisr the hliacle cnfitmnroaoo htat fidnese an palha hcain dn=ar(cyoes custt;erru the saepsh hatt from niihwt a iesngl eel)ypdp.toip +
tadki38097  osla you c'tna H donb with abr,nco 'ist otn laorp heguon +
amy  A0F022 P50 tas:te iooartfmn fo gpeolicrw(nlcohha si the ltperi ilehx )rctsuertu iva hgenydor dan usdid.ilfe So A is orenirctc cb eterh era on onclleag elesomulc tye 2(nd sretrucut spanhep ta oacnrglloep lel)ve +
drdoom  a@my tplrie ixhle si a rnqaeyutra rretutcsu sncie( ltperi lihxe is a eashp htat frsmo TNEEEWB aaseretp ro tud“l”a rnlepaogll/ngoa-lcoec s)id.eppte Parriym, scyadoenr dan yrtriaet srretsutuc ear crssnpiioted of a lginse .iplotdyeppe cenO uyo ehav 2 or ermo solepptypide etriganntic twhi ache threo e(.,.g ilnogeombH mceleuo)l uyo aveh arryuetnaq crtesur.ut +

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_

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submitted by nmb29(0)
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I ihgtm be rkieinhgntov ti but, H bdon oointmraf fo 'saa kesam het eryodsacn uutrctres fo teh rteinop (nlcglaeo ni hsti s).aec eTh ylG ot Aal ntsobusutiit osde slrtue ni slse H nobd ato,rmnoif ubt of nuviidadil sa'a nto enbtewe aeloclng coumeells ahtt( himtg eb rome orf reanrqauyt su)rttrecu

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lpp06  I knthi eth kye si ni hte erswan ,aphgnris eht raesnw nmtiiengon -nsbdHo sasy t"urisDopin of oHnds-b eneetbw aognlecl lAllec ue"hogtohsmu lonegcal osde eogndru bd-Honign to rstuopp the rlipet ex,hli shti is ndoe iitwnh hte smae lanoclge g.cnkulLinmole ie inrefdtef ngcoleal lesuemloc ccsuro avi teh lynesi - xonryhsdyeily inkls endo ni hte EMC +1
kevin  siht si eht noe enmocmt that iaylfln depelh em endrsdanut wyh htta aws ironc.rcte hnatk uoy +


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submitted by j123(16)
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aPmiyrr crtusture = anmoi cdai dcconySeaq nrsueee uusrttecr = cseruttur emrodf htwi a igslen minao caid eecsqune aeb(t taeldep hets,e alpah elh,ix yteci)rterT a srctutrue = ipelmltu ryneocsad tutcuresrs cartnitneig etgoreht tulempl(i tbae deeatlp hseest aedtksc on pot fo caeh ,htreo r )yueaQntctearr terurtusc = pretion cuettrurs efmord morf lngiodf of lla eartrtyi srttucreus to ekma binidng s,etsi .ect

ncSei eht naaneil swa utp ni alepc of eth ,eyGinlc the mrpyari sutertucr was uablen ot mofr na lapah hexli iscne aphal xheil uctrstseur ende a ctapaurril neesueqc l(yg - x- y) ni orred ot mfor ehdgonyr sbdon to peke teh xhlie bte.als

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 -1  upvote downvote
submitted by unknown001(9)
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waht si elncloag ? a aordneycs piotern t.ruerstuc

nhwe oyu vrmeoe ,nylgeic eth tsom auntdanb maion iadc , mrof eht ruscroerp lumleoec illw you egt a epropr cnydreosa stcuerrtu ? NO

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unknown001  eniogr sith +
drdoom  nca uoy beerotaa?l htwas' wngor ihtw ryuo comt?emn +


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submitted by lilmonkey(63)
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Gyl si pr,oal ielAann is noanlrop nad oiodcrhb.yhp nMsesesi noosnvitcareenv taoitnmu. seThe sAA ehva rentdifef ecilchma oetriseprp hwihc ldae to sitredpdu oprient nofglid ry(eoncasd cs.err)tutu iimarSl ot Gul - Val utibiusotnts ni ielkcS Clel De.iseas

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