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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 htkni it sah sgtmenhio to od hiwt niglecy eu(d to sti mlasl isez it acn tif ni yanm clesap erhwe toehr ionma dsiac nca otn dna nceeh it eposrvdi tsac“ultrur onetmcsacsp” ot het ogec,laln ie.. upt a kikn in eth halpa i.hx)le If gicenyl si siecplamd by mtngosehi l,see I dnt’o ihtkn -eplrgnoacol nac omrf tsi ocetrrc doercyans turrtsceu.

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jotajota94  ue!Tr l,osa ignecly si 31/ of longlcae flaa nai,hcs so ti esmak ssene hatt istnutubitos ihwt anaenil ihchw( si hucm eb)igrg wloud alde ot trpnodsiiu in eth lpaah xehli fntaor.moi +2
jotajota94  Tu!re ,aslo lcynige si 3/1 of aelgcnlo aafl aich,sn so it asekm snsee htta iuobintssutt hitw lanaien ih(chw si muhc )gbegir uwold dela ot iudsointpr in het alahp eixlh omnritof.a +
thepacksurvives  Gciynle si sllma adn byden, hhicw lawlos it ot rfom the isriflb rfo the terlip ixleh +
brasel  olAs in eargnel AF( 0821 pg 0)5 OI is rfom pbersolm nmirgfo eth erlitp hleix which is radycnose rtcstrueu. nFr,oeutyatl hyte aveg us hiestomng ot onesra thiw in the uqteoisn &Aly;-gaGtl() +3
amy  nCa nsemooe leph em dsndaunrte hyw A is ?rieccornt F022A0 epag 0:5 pelTir eihxl of 3 oenllagc a cinsah si moredf mfro ngpclloearo iav dgenhyro and dfdliusie o.nbd sI hsti ryev mriilsa ot athw A si neidi. cbr?gA rdecsaeDe deoy-ndnobhrg ionmfrtoa wetbnee neoacgll mlescluo.e +
umpalumpa  Teh aantixnlepo nvige by sawtiaalelbar ldcuo korw if the ntesoiqu oudlw ays A&;tgG-llya- t.iutnaom rHe,eowv eht suqtneio sestat ttha tehre si na gA;-yat-&Gll im.uatton +


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submitted by cellgamesgojan(43)
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I de,ifrgu enyl-Xig-Yc si hieacllytcn ricdnedeso a “amryrpi nioam caid estrucutr fo a nepio”rt nicse teh nendfioiti of a ayiPrmr uscuettrr fo a netopir is “a rnilea ncaih fo inamo dasi.”c If uoy mses whti eht mryraiP eurrtcsu,t as ni teh qseituno setm, ouy nnctao rofm the edrSaycon ucetrtrsu of teh io,nrtep iwhhc is dneterdmei by the ddnhgn-nooybireg whhci orcscu tebeewn the idtpeep knbaeocb, idpedntnene of eht R osp.ugr I phoe thsi made e.snse

orFm deiapwkii: dacSe“noyr ucetrstur is fralyoml efiddne yb eht atpnret of nryodhge obdsn beewnte eth maoni ynoehdrg and oryxbcal ogxyen atsom in teh ietpdep bocbeakn.” esamih(sp em)ni

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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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ok sguy nad i equot morf tc:elmaeemg.s0rfsw/lsspdap.et/twtoirruc4-e2//hip1twotcseteoiohnois/b

"9%0 haev an nlbdieetiifa ecgietn niuotmat CL O 11A adn OLC A21
es usca nrlaaomb lngeolac ssci-iklgrnon iav a ylingce usioisbuttnt ni eth glpoacleron cemolule "

ihchw esman tath OI ash a giyclen tiubtitnssou dan erofehtr sti aluneb ot rmof a aoensydcr urc.sruutte

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submitted by hungrybox(1277)
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euD to scgnile'y aslml iesz, ti ecatesr k"n"ksi ni het aomin cadi qes.ceuen eesTh kiskn are ededen to torylrecc ofmr eht adercnsyo sucrteurt.

Other rs:senwa

  • nkeeead"w nititraceno eenewtb nleacogl dna nyloe"captrgo - lcolgean + gpneyootlacr = lr.leaiatgc Teh ontsqieu estm snmotine mayn dtsceef ni NObE t(pey I lclog)nea utb on mnoneit fo tfcedes ni WrlOaalceTg e(pty II n)llgeaoc
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 +1  upvote downvote
submitted by basic_pathology(25)
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GyYl--X is ckenobab ofr lcnleoga laahp nih.ac 3 lcaolnge lpaha cihasn lirsap ot mofr lpetir hex.il ncliyGe hsa no R u,pgro owilalgn for eilbiyixftl and mrfnioota of ertilp e.hixl oN gnlyiec teepnsvr shti uscniouont ngrpal,sii engnpvtier hte trofaonim of gcnaoell scdroyena trsu.uetrc

Rcella atth ieaec-llahshp dna eaesshtbte- aer sxleeamp of rdnoeacys rettrussu.c hisT anc be uoghtht fo a tomnafsniiaet fo het phlaa e.xilh

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 +0  upvote downvote
submitted by an_improved_me(91)
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theNrAo awy ot get at ti si avi laiitio:mnne

.A odyrghne bogidnn ndowtul lelary gnahce ecnis eeinhtr nlaeian onr ylcigne are aB ol.pr lyG gt&; laA ntlsohud' cngaeh hwo pionerl is foemdiid I( mean ti L,ODUC if ereht was a ticsre ciehadnnr ro ehnotigms, ubt ton a eartg D).nrasew ngtihno ot eicdinat ahtt eoglnalc dntgoeaierd si rlatdee in essropne ot na AA suoi.itusbttn os,Al in teh otextcn fo OI whh(ic si eth ietspgernn ta,omlci)np we adayerl ownk hatt the molpebr d'otesn heva itgnnhay ot od twhi dotdeanegir, oemr ihwt teh ncaghe in conue.trEus /itrftncu Hleyntso t'ndo ownk.

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submitted by drdoom(1206)
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Hser’e eno way to oeesintomfeaicr--lps eacsde“erd ondeodbynh-rg f:rotao”nmi ’mI ton a bgi fna of shit line fo n,egsraino but yhlnectliac aienlan as a side ugrpo sah remo egsydhn*ro ofr epnaltoti dgrhoeyn digobnn hant iglecyn:

alninae: CH3—
c:eyglin —H

,So cia”tyl“hc,nel inaneal lwudo rmpeti ermo dn-georohbynd ron,itmafo hhiwc hitmg allwo uyo ot lmntaiiee ttah oi.ehcc

Taht dsi,a it semes oasltm iseibplsmo ot urel tuo ituwoht( eyvr nhceiclta eklewngdo ro meso pedivrdo lripeeanmetx dta)a ttah hte ihgltyls elarrg nieaanl edso not impiar egodrhyn ogdnbin tnwebee llonegac luocsmele iav itrsec tisap(al) einrfte.reecn In rimslpe trems, nices ienlnaa si rgr,ela you lwudo ihnkt htta it tmsu oohewms erieretfn hiwt het dogonrhynend-ibg taht srcouc iwht teh weplt-dyi nlyeigc.

---
lytrS*cti enkgip,as its’ tno het rbmune fo gnroyshed but oals teh thgernst fo eth podiel that leiatfcasti hyrgoden nib:ndog a hndrygoe dbuon to a gytorlsn geeaenttivocelr lclumoee ielk uroefiln llwi p”erp“aa meor tpiiveso ,dna ,hust hbeyo-ddonnrg rmoe rtylngso hiwt a ayrebn nexoyg epcmodr(a hitw a hrdyengo tccdnneeo ot rnc,oab rfo e)mxa.epl

uehrFtr idnare:g

  1. ipw.l.utu//ltwsihuhddrd/nlh/h/w.sbdepuocphm.:metecqge
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hungrybox  cArpapeeti teh forfet tbu htsi is fra too olng ot eb us.eufl +30
drachenx  orbxunygh si a nekifgar thrae +
drdoom  dhraexcn@ hha,a ,nha cnimog back ot isht i raeliez i was brpbloay kgerigo-nvee llo +1
blueberrymuffinbabey  'tins the rohgeynd ngibdon dentedenp on eth dxoreyadylth enolipr dna elysin? os ahtt douwn'lt llaeyr eb eth esisu eehr neisc ehsot 'artne eth saa bieng ?tdrelea +
drdoom  eubre@byrl cirdnocgA to r’setblA oCMB es(e nsegatnT ta i)trgh, ryosyxnhidely dan iryrxlnyooedph tteouibcrn ergdnhyo dnsbo thta fmor nwbeete eht cishna cat(e,ih“n”nri as sopdeop ot -iaca;ntrinh het sicn,ha fo cuero,s are eeraptas piseteyol;pdp thta is, paateser anlgcloe itpe;snor and icrntstaoein wtbeene aeapesrt ahicns rateesa[p lposp]iypeedt is whta ew lacl unaearrqt“y re”usr;utct ees Tntaegn oevab). ndA in tsih s,ace sa uyo nitpo u,ot hte mtes ecierbdss a ->alylA;G iosit.utsuntb ahTt sesme ot nema otw s:tihgn 1)( eht reeht eaesrpta goclneal loepdsipepyt lwil not kapc“ s]a[ yi”hlttg to ofrm hte rtlipe ehlxi q(uyae=tanrr ttsrcueu)r we lal nokw nda lveo dna ()2 lpeirno sgrni wlli flia to yrlea qetiu as n,gulys mncoorpmgsii the cihalle tmnrcoinfooa thta dfesnie na hpala hcina oesydcnar=( tusr;etcru teh hespas htta rofm htwnii a sngeil )ppeo.ytilepd +
tadki38097  salo uoy cn'at H ndob whti n,aobcr i'ts nto palro noeghu +
amy  2A200F 5P0 e:atts atoifromn fo iocrcahlelonwpg(h si het tirple lhexi )tuerrctsu vai odheyrgn and dulsd.ieif So A si eoccrnrti cb erthe are no nlgeolca lumoeescl yte d(n2 rtceurtsu spnepah at oeacglnprol eell)v +
drdoom  aym@ lirtep eixhl si a aytunrearq urtsrtcue sic(ne treilp lhxei is a asehp that fmors EEWEBNT eeatsrap ro “tulad” ae/ool-neacplcgonlrlg edt.pieps) r,iryaPm ocdrsnaye dan iatyrert turetrsscu ear tiidosrscnep fo a lesgni ldp.eetpioyp Onec uoy vahe 2 ro rome delteisoppyp tcnrgntaeii wthi hace rheot ,..(eg begmionolH clmluoee) ouy evah taryrnaque utsruce.rt +

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 tgmih eb rigkihetnvno ti ut,b H obnd ioraomfnt fo a'sa msaek the oacdernsy ttesuurrc of eht tpinero (lgolcaen ni htis ae).cs ehT ylG to alA otnsbiusuitt oesd tsleur ni sesl H bdon fotnar,mio ubt of uiviaidldn aa's ton benewet eagllocn cmeoluels ta(th mithg eb eomr rfo uatenrqray tseurc)rtu

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lpp06  I tihkn het eky is ni hte wsnrae r,hanpigs teh sarnwe noentgmiin -nbHods ssya "opDniiurst of Hn-bods btnweee gnllcaoe e uthlo"glhmoecsAul lonlgcea osed gnordue nodngbH-i to tprspou het ltirep lix,he tihs si nedo iwhint teh easm neogcall inu.Lgkmeocnelli efidnfrte elalncgo msueollec scurco iav eth ylnies - ilneoyydhsxry nliks deon in eht MEC +1
kevin  hsit is the noe oecmntm htat lliaynf dpehle me udntrdnase hwy atht asw crtco.erin thakn uyo +


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submitted by j123(16)
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mrayPir utucrsrte = niamo ciad cqeradnSsoeuyc nee crutsteur = rttscreuu modref ihtw a glnsie monai daci unescqee ateb( tdapele t,hsee halap ehilx, tiTryat) eerc uesrructt = ulitpelm nryesdoac srrsctuuet naiirntgect ohgtreet m(uptleil ebat atdeelp steseh estdkac no opt of haec erhto, aQ)enaceyu rttrr rsuutterc = opernit euutrrcts rdmfeo mofr oildfgn fo all tteyrria etrustucsr to ekam ndginib ,seits et.c

eSnci teh alanien swa tup in cealp fo eth lncG,eiy the rpyaimr ureutrcst asw baueln to fmro an lhaap lhxei nseci lapha ilhex ssecutrrtu deen a laracptiur ceqensue g(yl - x- )y in eordr to mfor dgynheor donsb to epke eht exilh btea.sl

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 -1  upvote downvote
submitted by unknown001(9)
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tawh is cegaolnl ? a sndoryeca eotinpr c.truurtes

hewn you eovrem glen,ciy het tmso ndntaaub oiman adci , mfro teh pcrrouser clemoelu lwli uoy teg a pprore yanrcsdeo rtcersutu ? ON

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unknown001  eoginr htsi +
drdoom  anc uyo ?reatlboea htwsa' gnrow wtih oury cotemmn? +


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 -4  upvote downvote
submitted by lilmonkey(63)
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Gyl si ,palor nlnAaei si ornlnaop adn cprodhhy.iob esMsneis oneervvnstoncai u.inmtaot hTsee AAs haev rdetfinfe cmilchea roerpitesp iwchh aled ot ruedisdpt oitrnpe fniodgl sacenod(yr t)recuurts. Srliami to luG - alV ubsitsuotint in Secilk Cell aesD.esi

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