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Retired NBME 24 Answers

nbme24/Block 3/Question#46 (reveal difficulty score)
A 15-year-old girl with cystic fibrosis has a ...
Endoplasmic reticulum 🔍 / 📺 / 🌳 / 📖
tags: cell_bio cell_transport cell_trafficking protein_folding

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submitted by vshummy(184)
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I nitkh rmeo yallngee,r ienpotr fdnlogi ehnsapp ta the RRE adn het mset sysa the tipnero dnoe’st lfdo rppo.rley iyi,alelpccfS eht msto ocmonm FC tinuamot is a sdfedlomi pinetor dna the ireopnt si nidrteea in eht RRE nad tno oendtarpsrt to eth ellc emmarneb - AF 1902 gp 6.0

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uroosisyed5  cihWh eaksm esens if ew thnik tuaob eth yshopphat fo deeevtal -lC dna aN yulnaletarcllir. Bhto of eehst soni go pu edisni the lelsc edu ot the onntrteei of hte lifmodeds srtonipe in eht RER. +
lilyo  I cauylalt adsregie ihwt hsti gsiaeno.nr The ayoyhhptopslgio ni CRFT si not eud to uaotmcucnial fo eomsfldid tiorn.spe tI is due ot eanedteecsrba/ds TPA agdet srmntmebanrea oihlrCde eal.nhnc ginccAdor to Ud,orwl teh dimdeosc inotepr is ettdecde by eht cdEianpmols mileu.cuRt ehT raamnolb nertipo si dtegarte for otiutrcsend yb eth rpsemoaeto dan never escareh eth ecll rcuefa.s eTreh si NO rneotntei of ddseimfol nieot,pr erhte is dagdeoirnta of ilmedfsdo etpnori nda hrferteoe anbeces of rdloecih lancnehs no teh me.abernm hisT is awth slade ot imaperid aorvelm fo tals ofmr eth wsate as llwe sa aecddeesr ClaN ni us.mcu I ontd iknth teh wsaren suodlh be RE. Cna oanney tell me if I ma sigimsn sneiomgth eehr ttha msake het nweras RE sa pdoospe ot m?cstploay uBesace het awy I ese fi si deoimslfd rtpsineo go rofm teh ER toni the mtcalyops ot aerch teh mpraeeoost dna hten be c.dtetusdre wlordU usnqsteoi ID era 05,8 802, 15,14 adn 13.99 +19
drdoom  oliyl@ heT TFCR is a entbsarmarmne poni.rte kiLe lal otpnsre,i sit osntiratlan sbinge in het sctoy;ol atth ,sdai RTCF scnnotia an irneu-mtNs “silnag sue”nceqe, hihwc msaen sa it si genbi t,sadeatlnr ti da(n eth erbisoom mnigka t!i) lilw be rpdrsoeatnt ot hte pscnEimoald e^nmuooclueto.tf!tiR As ti gets rtaedt,anls tsi cbhdhrpiooy iomsft wlil gme,eer ihwch desebm the FTCR ptrione initwh teh lsodiiphpoph baerliy fo the ER !eitlfs That aesmn hte rtipone lwil envre ianag eb nfoud n“i the syol”cto aseuceb ti gets drdateeh horugth eht yrlbeia (wchhi i,s ni a,tcf ohw all aetrmaemnsbnr trpienso bemoce mbeaatnnrsemr snporite at hte lecl usfraec -- thye ahev ot eb mdae otin mnbmrnetaersa inotrspe ni teh ER s.)rtfi! +11
drdoom  lyo@li end)it(unoc ,So y,se uialt,mtyle seteh sldfdmoei enprsoti lilw eb ecddiert tdwora a teomrpaeos ofr gdtaeiocnyendgi/lrcr,a ubt htta wlli ehnpap sa a ttllie elcives o(r i“o);lsp”emo eht liomfedds ,tnropie ni siht s,cea is tno saeouwllt-bre es(i,nc yb it,idefnoni ti sha ihcpohydobr tofsim ihcwh egt eed“htard grthoh”u a rylbiae ot treace eth mnmstarebnera tt,npa)er ihwhc means uoy ’onwt ifdn ti in het tscol.oy +6
drdoom  ot!tfnoo^e : eTh nvteoemm of av*cite brsmsoieo frmo eth oycsotl to teh ascmdlnpoiE uuRmteilc is why ew llac ttha aear fo ER o“rghu smEpclindoa ultueicRm R();rE” on reetnloc ocscrpymio, htat eotisnc was ldepkeecsb htiw litetl ts;od ltare, ew auh(m)sn seidrcoevd atht etseh dtos rewe msioebros! +1
drdoom  * By “acevit esoio”mrsb, I jtus anme siorbosem in eht eossprc fo gtenoricvn RmAN ot it!prneo ha(tW ew lcal slornna”i“tta ; ) +1
wrongcareer69  How nmya gmndado syaw rae thye gngio ot etts us no FC. Im' os rove si!th +2
furqanka  losa in AF, udner aaphl 1 ys,npirtatni sti assy diMlosfde' gnee ptoudrc terpino aergggeast ni heraltlpoecual R.E" gmith be eht asme ocenptc. +9
joanmanuel26  ndicocAgr ot alaKpn; llA nproiest that rea iynssteehdz ni eht ER ustm lodf rtcryleoc in rerod ot be anosrdtrpet to the ogilg aarutaps and neth ot ehirt anlfi eitinda.sotsn fI teh tniomaut uesca a omdfsledi ,oirtnep teh erulst lilw be hte olss of teh rpeiont uninfotc ,adn ni smeo a,csse cucaaumolint of het potiern ni hte E.R +1
drdoom  ll@yoi iinhnkTg baout htsi mero. uYo illw not idfn eth ld)esmoi(df toepirn ni het olstc.oy heT oimseddfl inoptre amy be eidsni a t—paosodemerna a epamrootes mya viel in the o—uoybtclts het leidfsmod pinreot ilestf lwli veenr arpepa in teh ocyots.l heT ortdpucs fo tis atgdrodenia ihmtg oestcunnt(ti imaon sacdi ro laslm )sidpepte ubt fi oyu ahd an btdaynoi fro het imddesflo eitoprn dna kdaes ti Weerh“ is eth loddsfeim ”neprt,i?o hte dboyitna duwlo ensraw: o“Mts fo thwa I ludoc ndfi aseparp to eb ni eth R.rE” +
yesa  cehCk otu hte naienlcx cly,ec allsuyu prtosnei ahtt rae edma ni eth RRE and sodfildme tge teggad dan 'lr'dedofe adn then nsedanc nagai ofr porper fln.od.dag.ni if ethy layrel n'cta eb odeerd,fl ree'yht drdeeagd nhte nda tr!hee oS the oyln aclpe dflseimdo TFRC doulc mcuuealatc if dfmliedos iE...RsR.... L(nik to nealxnci cecl:y 3hm9eQZ7=BC8hBaavAhv;DAZoes4mbcsU&:8attXmH+m+hH;g0Tpl54&=wimo8tP6gLeXcrK15eprwj;apghb0iU/2DhyUrErboAgamFiVi7exacmj28eQo2sxWcimU?8LOagp_wMQCsAe.1IY&=nmVgol.On2m73up=wQYpQr&pKw=t#Da5=MKRA;1d&=sU0p9&roh4HEi:mIr&/gea1s7=;sq9hfsalIIabu;saa5k;/wjc=) +
amy  2A0F02 :47 " tAesbn ro flnytcduniaos RPS gil(nas iogotrecinn eapr)itlc ultssre ni niouatuacmlc of onprtei ni hte "lcsotyo +
drdoom  a,y@m tsa’ht a odgo ipont btu it msasesu the rptineo si ioehserwt no,lrma .e,.i tno fodeismld ro nrlm“aoab” in oesm rthoe yaw +

For a great little summary of the Endoplasmic Reticulum (and many other concepts in molecular biology!), see this from Alberts’ Molecular Biology of the Cell: https://www.ncbi.nlm.nih.gov/books/NBK26841/#A2204

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 +4  upvote downvote
submitted by seagull(1933)
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I hvae na uesis whti stih ionuesqt hiwhc soal tolscnfci htwi rWlo.dU In dreor ot eb drdedgea by emreootsspo hte fldsdmoie epoitrn wludo dnee ot eb tpseern in the yoslotc for autbinuoin. tI it umacecldatu ni teh ERR ehnt owh dsoe ti gte gat?gde ltoHns,ye so n.cfiodelt..c

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sajaqua1  oS ilyodirrna a msedodfli otrpnei odes ngeudro iuuoiattbiinnq and .yipslestroo tI si lneaotbe atht RTCF fdoimsnlig sen'otd eenv awoll it acepes eht ER, so it etluacausmc ni eht RE +9


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 +4  upvote downvote
submitted by drdoom(1206)
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The FCRT oirenpt si a nnbmsaaetrmre o.etrnip kieL lal irso,npet tsi rstaanlntio sbinge in teh lostoyc; atht adsi, RTCF ticnaons an senN-tmrui l“agsin ”cueqne,se iwchh asnem sa it si nibeg rtad,elsnat ti (nad eth mbooiers ngaimk !)ti lilw eb rtrepsotadn ot eth apndioclsEm mctR.eui^uloefoontt!

sA ti tsge ndl,treaats tsi copyidhorhb fstoim llwi remege, iwhhc msbeed het RFCT rotipen iwinth teh pihpsdohipol abyeril fo eth ER lfti!se haTt anesm het retiopn wlli vrene ingaa eb uodfn “ni the ”toycsol eucebas it etsg adhetder horgthu the ryilabe chwih( is, in ,tfca hwo all tmabnmneresra psntorie becoem nsbrmmaentear spoinetr ta the lcle urscfea -- tehy heav ot eb eadm ntoi nmembraetanrs orptnies ni teh ER t)!rsif.

,oS sey, tu,amllyite tshee dsmloefid itrpoesn will eb ciredted rdtoaw a otpasmeeor for iio,gcgnteycel/rdnadra btu ttah wlil hapepn as a iltelt ceivesl ro( ;lso”i“om)pe eth demolfisd ronei,tp in iths ,case si otn eowua-ltslreb ,n(sice yb doiietni,fn ti sha hdichorobpy siofmt cwihh tge trd“aehde rthuhgo” a lbraiye to ratece eth rmanntearmbse pra)n,tet hwchi msnea yuo ’nwto fnid ti in the colosyt.


\ tnooo!tef \ eTh gnithhci of iatevc* ebososimr to the dlnsocpmiEa iecuRltum si wyh we lalc ahtt aare of RE oh“ugr Epmscnlaoid eRilutcmu )Rr”(E; on ecroltne yo,pcimrcso ahtt oitcens asw epdkbescle iwth tlleti dost; e,latr we ha)(mnsu esrdiodcve htat eseht stod rwee i!soorsbem

\ * \ yB cveait“ ,srsbooi”me I utsj maen osrmsebio in the cresosp of rnnocigvet RmAN to neorpit! aW(ht we lcla tin“na”lsaort );

oFr a aterg itltel uasrymm fo het mpiEdncasol iRtclumeu (dna many horet opccsten in oreuclaml ),igoylo!b ese siht omrf stebAlr’ alMuleorc oliyoBg of het llCe:
:mt0././blBs.swAw8oK2n#go6c.h4n2ipw/h/nN1/to2ibk4v

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drdoom  ^ 'Im tsuj inga-ttsre ni neo nmtemoc awht I ertwo ni ultmepil ebctumsonsm b:eavo eo93xbs2e#/mm9/n.rs//3tn4mespaah/79m:bcnewt1 +

A mini-discussion of protein transport within the cell is here: https://nbmeanswers.com/exam/nbme21/742#257

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submitted by therealslimshady(42)
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Wnhe oitnsrep egbni meda ni hte ER mi,lsfdo htey uaetmlacuc ni het ER, hicwh then gtersgir htme ot eb sipt uot niot eht loyscto nda cmboee egedaddr yb eoet.srmsopa Tuh,s teh acmlcuuanito fo the dldsomife ientrpo in the RE si edireuqr rof hmet ot tamleuytli be ggdeta yb bniiituuq and eb rgddadee in otesmpe.oasr

vEen if oyu ruaeg ttha ethy ilwl be aluiuncagmtc in het yltscoo eaesubc oeromepsast rea ni teh tcolyo,s hte ieoqutns is ingask ewerh rea eht itosrepn numltuaaiccg, ton iengb agreddde. oS etyh 'catn tceuualamc in speo,aesmrto absucee thye aer orsedteyd ni h.tem

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drdoom  cein hctca whit eht ”caumalguni“ct !amerrk q,q enhw uoy sya “terrgsgi tmeh ot eb spit otu oitn eht ,tcyoos”l od you eahv a eocrus fro ?ttha nodt' lecarl laiegnrn ahtt eeanyhwr f.ymels xt!h +1
therealslimshady  I at'cn eermerbm rewhe I drae tshi tbu it cukst thwi me, I hktin it swa a ellc bio obko +


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submitted by mutteringly(33)
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ihTs si orfm smbos:a utetdMa TFCR eeng FΔ5(08 mn)iutoat → ldfmsieod etonpir → eefevditc inrtpeo si earenitd in hte roguh lnaidmcsepo timluceru R(rE) fro orddntaegai → tage-AdTP heocdlri chalenn si abntes no the lcel srcaufe of piahieellt llcse grootthhuu teh bdyo ,(..ge sniltatnie adn srraoireypt ieipaehlt, watse agndls, orneixec cprnsaae, eoxecinr asndgl of ioerpetcvudr grnos)a

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submitted by unknown001(9)
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UARTL EP.MLIS

1ere.th rea many isaartnv fo cytcis sifsirbo so ihst etnoisuq is not tboua .yhtpyhpas of FC

it2pn.o of nuoesqit : erweh sode rpteino gidlnfo crouc ? sr)nawe RER

  1. NI HSTI EPYT FO CF , if ointerp itnos fedldo eplyropr in RER lliw ti og tou or llwi it ecmualcuat ? n)seawr ti lwli caeuatlmcu in .RRE

TPI : FI OUY EEKP CEHSRNEGARI ON SAATVINR FO ,CF UOY ERA NO A AHTP TO ESESNLD OODM

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submitted by blah_blah(1)
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elulhpf egmXiHysiwaBooh?b;wvc=s.j:ylf3b=u/hyaalgemc/taGQt_onwunhcpan.&NwtuosIe/tp

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submitted by welpdedelp(270)
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eF4g122mi25.9lL_e5H=ses:_2PTsi5.d99o_9?nMnwC3angp/7//gMyieg20_nss/1khb3o33ntmi._085/0vppc1o18/24htr.221/

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