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 ktinh it hsa itsneomhg ot od thwi lyeignc ed(u ot sit lslam izse ti nca tif ni mayn aecslp erewh horet oanmi acisd nac otn and cehne ti vredospi lrautcrs“ut mn”ccsaoepst to eth g,llacneo e..i utp a nkik ni hte hpaal ixlh.)e fI lnygiec si asempilcd by gmsnothei see,l I dnto’ ntkhi aopl-rncoelg nca fmro ist teorccr radecoysn suruetr.tc

unscramble the site ⋅ become a member$279$49
jotajota94  ur!Te soal, egnylic si 3/1 fo coealgnl afla ,nchsai os it easmk enses htat tutusitnosbi ihtw leinnaa (chiwh is muhc gi)gerb duowl eald to sorptudnii ni eht lpaha ihlex romfno.tia +2
jotajota94  eT!ru als,o ylgince is 1/3 of lecognla faal cna,shi so ti samek eessn thta itubusnsitto whti aenalni w(hchi si cuhm rg)bgie doluw ldae to undipostir in eht plaha lexih aoofirtm.n +
thepacksurvives  nelyciG is mslla and ydbne, ciwhh alwslo ti to mfro eht blfisri for eht lretpi xeihl +
brasel  soAl in nreelga FA( 0182 pg )50 OI is omfr bprmoels migofnr het ltrpei hiexl whcih is snracyode ruusrtec.t urtonF,lytea eyht aveg us hmtingseo to rsneao tiwh ni het suiotqne (y)A-Gga;lt&l +3
amy  nCa noeesmo lphe em tnaunsdred wyh A si rtrnco?cie A00F22 egpa 5:0 iplreT hlxie fo 3 aecllgno a nihcas is mdeorf fomr oanpollgcre avi nhdregoy nad lesidufid dn.bo sI ihst yver iilmras ot thaw A is ngieAir.b?d c eecedsDra rdodgy-bonnhe martofino eeebntw naolgecl olmeeulsc. +
umpalumpa  eTh xaniantlepo vgein yb aeralsbaliatw olcud rowk fi eth iqouesnt uwodl sya llg-GtA;a-&y niam.totu reweo,vH hte inousteq tessat htat herte si an &ga;llyGA--t intatu.mo +


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 ir,duegf -g-ienYlcyX si ahcityellnc redcdesoni a yrpmra“i imona caid teutrcusr of a inreo”tp ncise hte inoentifid fo a rmriPya tsucturer of a tnoperi si a“ ralnei cihna of anoim i.cas”d fI yuo ssem twih het rPimary t,utcrsreu sa in hte siuteoqn ts,em ouy cnntoa orfm eth eydnaroSc tuecstrur of eth tenp,ior wchhi si niddetemer yb eht nbdynrone-oighdg ichwh cosruc ewbtene eth tpeidpe banobeck, nnedptnedie fo teh R orpgus. I ohpe isth emda s.seen

orFm edaikipiw: dnr“cySaeo ttueusrcr is llfyrmoa nededfi yb het teatprn fo ydrenhog odsnb tenebwe eth omain ghrdeyno adn yxrlboca yexong tmaos in eth idpeetp ancboebk”. hipesas(m )mnei

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 ysug nda i teoqu romf /s.gdtoets.:harsi/el1pice/olopeweretias-i0wettcu/notmwo4sr/sbm2pfhtc

0"9% eahv na edtafienbiil cnteeig mttaonui L CO 11A dna LOC A12
asu sec baorlanm nagocell iigkocslnsnr- iav a ygnecli notttsuibsiu in eth callnpgroeo ullomece "

iwchh msean thta OI hsa a lneygic tousbiitustn dna eroehrft ist nbeual ot fomr a ecdasnroy eutcurrt.su

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

euD to snc'lgyei mlsla zse,i it etercsa s""kkin in the aionm icad suqc.enee heseT sikkn era eedend to yloccerrt morf teh rcasednyo rtsruuct.e

rhOte nsre:aws

  • wekdean"e cnrteotinia tebenwe nllegoca adn oor"yptgcealn - neoaglcl + taorpcenyogl = l.eiagltarc eTh tonsueqi etsm smnoniet nyam fesdtce in ObNE tyep( I clgolea)n ubt on toneinm of fecsted ni lcgaaWOreTl (peyt II cna)gloel
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

l--XyYG is enkobabc fro longclae halpa .nciha 3 allconge ahalp hasnic asrpil to rfmo eitplr iex.hl elGncyi has on R gr,puo wlgonial ofr yliliitbexf dna ntmrofaoi of ptlrie ilex.h No nilgcye evspentr htsi soitoncnuu ign,lipasr vneigrtnep hte mftonairo fo lgeolnca syrenaodc tcuu.srrte

allecR ahtt llcahhpeae-is dna -btsaseehte rea mapxlees fo dnoecsyra sure.ruttcs iThs acn eb huottgh fo a tfmaaieiosnnt of eht lahap ilhxe.

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

NoertAh way ot etg ta it si iva mi:tolainine

A. hndoergy bdngino otwlund ralely necagh eiscn hireent aalnine ron niylecg era .Bor lpa yGl > laA houl'stnd hnecag hwo nreiolp si dmefioid (I amne it LD,UOC fi rhtee swa a tirsce hendcarin ro iosmgenh,t tub ont a tgaer wnDsaer.) ntnhgoi ot nteciiad ttha anecglol ndadoirgeet si etareld ni osenesrp to an AA utiosni.ttsub ls,oA in eht toxentc of OI wh(cih si hte esegtpinrn cinmltp)o,a we eaadrly oknw hatt eht pbemrlo 'tesndo aehv aghnnyti to do ihtw ddarentgo,ie mero tiwh hte nagche ni /cttcunerf r.iuuEtosn Hnsoyelt dton' kow.n

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

’Heres eno yaw ot -efe-iosmaltncipreos “rdseceaed rnyd-bdgeonoh tmronfa”i:o Im’ not a ibg fna of shti ienl of ,noiasrneg btu neyhacltcil aaennli sa a sied puogr hsa orem *neydgsrho fro aetotlnip hdgynero igdnnbo nhta nelgiyc:

ilaeann: C3—H
eyngil:c —H

,oS lle“”citnaych, anenlia lwduo miptre rome hdb-yoengdonr ,oorimtanf hiwch githm oawll uoy ot elimietan atht e.coihc

htaT sd,ia it esems salmot iemsolbsip ot rlue uot u(otiwht yrve ahnieltcc edognlewk ro some vdiedrpo peeernxitalm tada) atht the ihstlylg eagrlr ialenna seod ton pmiair ordyhnge binndog enewebt lencoagl oemlclues avi sietrc i)l(aatps tneciene.refr In peisrlm ,metrs nseci lineaan si r,egarl you wuodl ihtnk atht ti umst oomshwe reeetinfr hitw het onn-egdinrbhoygd ahtt ocrusc hwti the d-telypwi yencilg.

---
*ytiSlctr apns,gike ’its ton teh neumrb fo nrgedhsyo utb laso teh rhgsettn fo the ielpdo ttah alateticsif hrgonyde inbdgn:o a rohgdyne undbo to a glyosntr ginaeeevetcrotl oemucell lkie elionfru lilw repap“”a omre opeviits an,d stu,h degdoonrybhn- remo ognystlr whit a eybarn gxyeon ropamc(ed ihtw a orhgdnye eccdtonen ot can,bor rfo ).exelpma

thuFrre gndare:i

  1. wlleudmwdespd.:ihrunhgth.cp/e/wmbh.etqul/d/o/.csuithp
unscramble the site ⋅ become a member$279$49
hungrybox  Acptearepi the rfeoft btu hsti si raf oto glno ot eb uulf.es +30
drachenx  rohngxybu is a nigkefar taehr +
drdoom  ncdaxh@re aha,h ,nha mcgion akcb to sthi i zleeair i aws ybobplra knvei-orgeeg oll +1
blueberrymuffinbabey  st'in eht oyrgenhd nidnbgo npeeddten on het hyyldrxtedao ilrnpeo nad ynsie?l so atth lnwodt'u arllye be eht ussie heer nseci tesoh r'ntae eht saa ebngi raetedl? +
drdoom  rb@uebyerl iAorcdncg to s’lberAt oCMB ees( easTtngn ta ),rhigt roiyndhxyelys nda nlixpyoheyrdor nurieocttb yeornhgd ndbos atth ormf etnbwee eth hcsian i”nan“(ec,ithr sa desopop ot nc-hian;tari eht haisnc, of csroe,u aer aersaetp eoltppsi;depy tath ,si psrteaae gceaolnl ;pniorset dna otnnsirtacei benewet easrapet nchasi [epeaatsr tpe]peydioslp si wath we lcla uytrranqae“ ”sceuut;rrt see gnnTtae eboav). dAn in stih ce,as sa uoy ntopi ,tuo hte mtes iscrebdse a lyG-tl&;agA tisbtuti.onsu haTt eemss to amen tow gshtni: 1)( the eerth aeertaps loeglcna tespyldippeo liwl tno “acpk a]s[ yt”hglit ot fmro het ietprl lxeih utry(aarn=eq )uesrruttc ew lal wkon and oevl nda 2)( iprelon srngi llwi fail ot ylrae quite sa yg,snul ooprniicmgsm eht ehicall ofonmrtnocai htta neisdef an aphal cihna e=(rsaydonc rstuuc;rte hte pssahe htat rfmo ihwnit a neligs ep.ptdopliey) +
tadki38097  alos ouy atc'n H nodb hwti arcnb,o st'i ont aprol uogehn +
amy  0F220A 05P ets:ta oonarifmt fo o(hrcwlpglinhaoec is eth tirepl ixhle urct)suetr aiv reyhgnod adn .ddlfeiius oS A si nctcreroi cb hrete ear on gnoaellc uolseelmc ety nd2( utsrecurt appehsn at grlcpnoaole elev)l +
drdoom  ma@y iterpl lxhei si a tyarauenrq tretuuscr senc(i pirtle xilhe is a sphae that omrfs TEEWNEB spaetera or td“a”ul neolalnlg/cpleocro-ga ei)s.ptepd rri,mayP aoydcsnre and rittayre tcuurrtess ear reictinspdos of a sgnlie todeplyppe.i eOnc ouy eavh 2 or ermo letppeydposi gnnetiacrit ihwt ehac ohter .(e,g. oilHgemobn mcul)eole uoy heav atryauenqr t.rusrcetu +

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 thigm be tekvogirnihn ti but, H odnb onoifmrta fo aa's kasem teh secoadrny csrueutrt fo the inrtepo ngclle(ao in ihts ase.c) The ylG ot laA sbsuiuotttni dsoe utelrs ni ssle H ndbo nia,ofromt tub of daliivdnui 'saa tno tbenewe lacoglen esumlolec t(tha hmigt eb orme rfo uaanrtrqey ctur)ertsu

unscramble the site ⋅ become a member$279$49
lpp06  I khitn the key is in teh arnwse g,rhipnsa eth enarsw ienotignmn bn-osHd assy niusptrDoi" fo odsHbn- ewnbeet galcnoel l"c tolhuhgAolmseeu egllnaco edos ognured nHbongid- ot oupprst eth ptlrie xih,el ihst si oden iwhnti hte aems lnegcoal glLiionnekl mu.ce fteiednfr enllacog mllueseco cosrcu iav eht iylnse - yinhdeyxsrloy snkil node ni hte MCE +1
kevin  tsih is eth eno etmomnc ttha ilylfan epehld me anesutndrd hwy thta was oentrric.c hatkn 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

iayPmrr tuetrucrs = moina icda ne qeonucredyaSces tscutrreu = ucturrets mdfore iwht a egsnil imoan idac eeensqcu ate(b pteldae eshet, lpaha x,ihle irerTtecyta) utursectr = utimlpel oecdsrayn utserurcts irgaitnetnc hogreett pit(mulel beat delptae ssehet tkeacds no top of ecah hrto,e rcttn)uyeQ earar esrturuct = eoirtpn uctrrestu ordmfe orfm onfdgil fo lla trirteya rtrsutcues to maek ngnbidi iets,s tec.

Secni the nilneaa wsa ptu ni lepca of het cieG,ynl hte mpyairr ttuceusrr aws uanbel to orfm an lapha ilhxe sceni laahp ixelh tesrsucrtu ende a taclpurrai eesnueqc g(ly - -x y) ni rreod ot mfor onydehgr nbsod ot epek eht eixhl eltbas.

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

twah si cglenaol ? a aesorncyd enrpoti st.ucrurte

nhwe oyu rvoeem cg,lynie het osmt tdaunanb niaom idca , ofrm eht opuerrrcs melueclo illw uyo get a rerppo donsyacer rutustcre ? NO

unscramble the site ⋅ become a member$279$49
unknown001  gernio hits +
drdoom  nac ouy etebrl?oaa hwtsa' orgnw with uryo omcet?mn +


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

Gyl is loa,rp enAilan is oaoplnrn dna d.ricpohbyoh isnsMsee ntenavrooinescv n.ottiuam heeTs AsA ahev rdefieftn ahlemcci rrpeeostip hcihw lead to udditrsep rtiepon odifgln ry(adcseno rustrutc).e rmailSi to luG - lVa tstuitubison in ilcekS leCl esasiDe.

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!