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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 kihnt ti sah heitnsmgo ot do thwi nlgyiec d(ue to its smlla eizs ti cna fti ni many aplsec wehre etrho noiam dicas can not nad hceen ti siovrdep sutculr“tar mstec”oancps to the anlogc,le ..ie tup a kkni ni teh ahalp eh).ixl fI eyngcli si cedmipals yb gnhseimto es,el I ’dtno inhtk apclroeog-ln can fmor ist orecrtc caeysrdno .tsurcuert

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jotajota94  !uTer osal, ginylec is /31 of goaelnlc lafa ,ainchs so it esakm neses atth utnisbiosttu whit nnaiela ci(whh si uchm gr)gbei oduwl dela to iisonpturd in het paahl ixehl .nfotraoim +2
jotajota94  !rueT asl,o ciynleg is /13 of llengcao aafl ,ashcni os it asemk snese atht oiutusitbnst thwi nnlaeai ichwh( is chmu gebr)gi lwudo dael ot psdiirtnou in het aphla lxeih mtfio.rnao +
thepacksurvives  ncyGlei is slmal adn b,nyed cwhih lwloas ti to fmro eth lsfbiri fro het rleipt lixhe +
brasel  losA ni anrgele AF( 2810 pg 0)5 OI is fmro roelmbps gofmnri hte ieplrt lihxe hcwhi si nroysecad .tcreutsru truna,oyteFl ythe gaev us osehtmgin to eonasr with in eht ntqioseu )G;layA(l-g&t +3
amy  nCa sonmoee hlpe me dendrasunt ywh A si or?enircct FA2020 agpe :05 plierT ixleh of 3 lgnacole a anhsic si ofderm form peglclaoron via hogydnre nad elsdduifi obdn. Is itsh vyre alrimis ot wtah A is rinbeAd?.cig recaeseDd ondonhbge-rdy riotomnfa weebnet gallcoen cmls.uloee +
umpalumpa  ehT atxolipnane nveig by alwaeltaasirb udloc wrok if the usqitneo wluod asy GalgtAy-;&-l anutmti.o oHeewv,r eht eitnsoqu etasst atth ehrte is na l&-;yAg-taGl .tuimotan +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I egfudi,r lig-Y-cXney si nlealychcit dcsneoider a aim“yprr naoim daci etuscutrr of a preiotn” secni teh tieiindonf of a miyrrPa rttuursce of a rneipto is “a airnle hcian of amino ”iasdc. fI yuo mses ithw teh rPryima ucesu,ttrr as in eth qtsnoieu mest, oyu anotnc omrf eth Sycnrdeoa setrrcutu fo the pireon,t wihch is eedminetdr by hte beoydghgion-rnnd hwihc cscoru wbneete hte ietedpp abnkoceb, ienptnednde of eht R usr.ogp I epoh tshi deam se.nse

morF ewidikipa: ercado“Sny trtesucru si ayolfrml efddnie by eht antptre fo eognhdyr odbsn enteebw the mnaoi rnedyhog dna abroylcx goxyne mstoa in hte ppdetie beanockb”. ss(iehpma emni)

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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 gusy adn i uqeto mofr a0f:s/sdo/l2scmpmg/l-et/s4isr.1banti.owiicptoptrttrwueehswee/ooethec

%0"9 ehva an bftenidieial iectgen amtouint OC L 11A nda OCL 2A1
sasce u alnoarbm canoellg iknsslrgc-nio iav a nlygice oittubuisnst in het lrcglaoeonp lueloemc "

whhci amnse that OI sah a nlygcie istiusntbout nad erhrteof sti eluanb ot romf a neysdcaro usrtcurteu.

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD to ny'gielcs mlsal izs,e ti sreceat n"skk"i ni het naimo acid seeceu.qn eeshT knski are neddee to clroctrey fmor eth scaroyend sructetu.r

eOhtr ssnwear:

  • awkn"deee nonitictear tneeebw noallceg nda ocntyelg"apor - olgenlca + rcpylneogoat = .lalgcirtae Teh tiqnoues mest mesinton ynam ecdtesf in EObN ey(pt I oacel)gln ubt on nenotmi of dcetefs in OWcelgrlaaT (peyt II nac)gloel
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 +1  upvote downvote
submitted by basic_pathology(25)
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l-G-XyY is ncbbokae fro ocellgan aplha nh.iac 3 gleoclna lahpa nacihs siralp to orfm pretli xielh. neylcGi ash on R upg,ro lioglwan rof eiflblixtiy dan omafintor of petirl .hlxei oN lygniec evpsrnet hsti ocuonusitn lipragin,s pretvnnegi eth oatoinmfr fo lgoncale rncdosaey ur.tuerstc

lecRal ahtt hl-shiacaelep and e-tesbhsate rae mpsexlae of dansryeco tscu.urerts ihTs nac eb huottgh fo a tfmaninoaetsi of eth phlaa he.lxi

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submitted by an_improved_me(91)
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ehtoArN wya ot get at it si iav o:anleiinmti

A. egoydrhn bnogndi woundlt ayerll cghnae isecn eritneh ealnani nro cngylie era Bo.lapr yGl ;> lAa ldoutsh'n ahnceg how nplioer si idmdioef (I mean it LDO,CU if htere wsa a itscer candirhen or gihtmsne,o tub ton a tgrea .aws)nDre igtonnh ot ectandii ahtt leagconl ietoedgnadr is rletaed ni neroepss ot na AA bsuoiniutst.t l,oAs ni the toxcetn fo IO w(chhi is eth pigsnetern )oclmpiatn, ew dalyrae nwko hatt teh rpoembl teson'd aevh ngtyhain to do htwi rdaeoi,nedgt mero wtih teh nhgcae in .oerctfE/ic tturnuuns netyslHo 'dtno nk.ow

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submitted by drdoom(1206)
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’reeHs one way ot -teeen-rcipaoliomsfs serededa“c bo-ynrgdenhod matoi”fn:or Im’ otn a gbi naf of shti line of ,eongsanir btu lanhlcyteic aanlien sa a deis porug sah remo rengdho*ys ofr tanpoeitl nodgyher dinbngo tnah clgyein:

ilna:ane C3H—
nc:ygile —H

,oS ”l,icnc“lytaeh iaalenn ludwo empirt moer rbnegdoyhond- i,oaotnmrf whhic ghmti lolaw ouy to iatinleem hatt eiccoh.

Thta ais,d it semes omlsat soibliemps ot rleu uot iwotuh(t eyrv tcaiecnlh edknlwoge ro esmo verpddio rpeietnxemal aat)d htat eth lygslith rrgeal nialnea dose ton apimri ryhnoegd noinbdg nteeewb cegllaon oemselluc avi rtesci aa(p)tsil tener.fcireen In pimrsel ,rsetm sncei elinnaa si rrgea,l uyo odwlu nkthi tath ti msut oohmwse erefiretn tihw hte egbnhrdydnigoo-n atht orsccu hiwt hte dpteyiw-l geynicl.

---
cr*tltSyi sgenpak,i s’it tno hte mrbnue fo edhnorsgy utb lsao het httrngse of the dpileo atth saittlefica rnoyghed bnigdo:n a eyodrghn dubon ot a lrtsgnyo ceneirlevtgeaot cmloeelu lkie ouelfirn lwil a“a”rppe moer esoiivtp d,na hsut, nrynodbod-ehg mero olrystng whit a ernaby oxengy oard(pecm whti a rygehodn odectnnec to na,cbro fro elx).maep

urtFher id:rgaen

  1. .idnhm//l/tett/wuepidpwe.umdbhsouh.s.pceglurhhdlw:/cq
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hungrybox  ertapAciep hte tfrfeo btu isht si fra oot ognl ot be lsef.uu +30
drachenx  ghyorbuxn is a nagkerfi hreta +
drdoom  dnrch@eax ahha, ,han noigmc bkca ot ihts i eleziar i was rabpolby -rigeeenokgv oll +1
blueberrymuffinbabey  nti's the grndehoy nngobid neepdentd no hte hotyderldyxa elrnpio dna liyse?n os that lotwnu'd ellayr be the isesu eehr esinc ehtso aenr't the aas egbin drtee?al +
drdoom  yeurbl@rbe oridccngA to ’Asbertl BMCo ese( nstanegT at ,)rtihg hsdolxieyyrny nda odpxeiohyrlrny cnobierutt hderygno nodbs ttah fmro wtnebee hte inchas ncrnat(h”e“ii, as esopdpo to ;hciitnrna-a the nsi,ahc of ecro,us era sraaetpe ostlp;ipeyped that ,si patasree lelnoacg ni;roptes nda ntaircesonit eebewtn rapasete chsnai esarep[ta soeptpep]yldi is ahwt we llca utayn“rreaq u”etcsr;rut see ngetTna ovbae). dnA in sith ae,sc sa you notpi uto, het smte bsesicder a ltg;&laA-yG iututno.ssitb athT esmse ot mena otw :hignst )(1 het theer tpsaaeer nlgaceol lseteipypodp lwli ton pack“ [sa] lthtiyg” ot frmo eth lprtie ixhel tru(eq=anrya utcuetrr)s ew lla knwo nad loev adn 2() noperil grnis lilw alif ot yealr uetiq as ns,luyg smopinmgoric hte lahelic inoonratfocm that ndiefse na hlapa hanci (soadn=eyrc ur;teursct eth shsepa htta mfor twihni a enlsgi e).tpdyelopip +
tadki38097  lsao yuo acnt' H ndob wtih na,crob ts'i nto polar nouehg +
amy  2AF002 0P5 eatt:s anomfrtoi of ngiechwhaorc(llpo si het ritepl hiexl rers)uuttc aiv dygnohre dna dul.defisi oS A si etcroricn bc rehte aer no lnlgaoce ceesoullm yet 2(dn urttuscer easphpn ta onrecpalogl el)elv +
drdoom  ya@m iretlp lxihe si a ruatanyerq setrutcru es(icn telpir exlih is a sahpe ttha sofmr TWBENEE epsaaetr ro ta“l”du pegga-lrocllnen/locoa )ie.detspp m,raryPi dyocsanre nad rietryta tscrruuste are doiptrnscise fo a ieglsn tdoeepppliy. cOne you ahev 2 ro mreo ilotepedppsy gninratecit wtih heca ohret (ge,.. ileogbHomn )uocleelm yuo vahe arqeuarynt rtrs.cuteu +

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 htgim eb rioiehnkvgtn ti ut,b H dobn aiootmnfr of asa' esmak teh osyrdncae tercuutsr fo the tneproi llgnco(ea in sthi )ecas. Teh yGl ot alA ubtiintuosts edos rlteus ni ssle H obnd ,motnfraio ubt fo iduaviindl 'aas ont ebewent caglolne smeluloce ha(tt mihtg eb mero rof uyaaretrqn te)turrsuc

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lpp06  I nkhit teh key is ni eht ewnsar ra,pnighs het earnws meiinongtn bdH-son ayss "upoisrDint fo bodnsH- eneebwt nolegcal hstAulemglholeuo"c lleangoc osed ngodrue goinHb-nd ot utropsp het pltire lxi,he sthi si dneo ntihiw hte amse cglnolae lnneoLeclkiu.g im drtfefein clenglao omeellucs orcsuc iav hte snylie - sxiohderylnyy nskil noed in hte EMC +1
kevin  this is teh noe montcme taht nylliaf ledhpe me rddunstena why atth aws .ticoncrre nakht yuo +


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submitted by j123(16)
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maPyrri ttsureucr = ianmo cadi eqyeu noSdrcanecse tectuurrs = esucrturt foemrd hwit a islgne inoam icad cnqeeues btea( aetedpl hst,ee ahapl hei,lx r tcyriae)teT rsetucrut = muiptlle ncsedyrao utcsrtsreu artitienncg ortheetg emptulil( eatb edtplea thsees aktedsc on pot fo ceah ho,rte un)rtrrteeyaQac etucrstru = oerinpt ctusrtrue efodmr romf dgonfli fo lal tryriate trusuertsc ot make nibding ssit,e .etc

inceS het elinnaa wsa tpu ni eaclp fo teh elci,nGy het pyrmari rtcureuts asw auenlb ot ofrm na halap xhile ncise ahalp ilxeh ctrssertuu deen a caairurptl eseuecqn y(gl - x- )y ni dorer to mofr dnygreoh bonds ot epke teh lhexi etbs.la

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 -1  upvote downvote
submitted by unknown001(9)
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twha si naelgloc ? a aysdonrec eprnoti rttuuesr.c

enhw uyo mvoere yneil,gc hte otsm nntabuad animo caid , rfom the orrpeucrs eluoecml illw ouy gte a rpreop decsranoy ertustruc ? NO

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unknown001  ieorgn shti +
drdoom  cna you ee?oblaatr wsaht' wnrog hiwt oyur oemt?cnm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl is l,paro Aenlina si rloanpno nda obhhypcoird. iseesnsM reaosteocnvinnv otnaimu.t eseTh AsA veah ertfidefn eilchmac etorpipres hhciw leda ot epstrddiu ontpire flodgni cyrena(sod retut)crus. iraimSl ot uGl - alV bsinoutttius ni eclkiS eCll eDie.sas

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