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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 inthk ti sah mhiengsto ot od with elcynig (edu to ist slmla esiz it nca fit in nyma lpsaec rhwee eothr omnia iascd cna tno dan ehenc it vsoepidr tulrrstau“c tosnepams”cc to the gecoanll, .ie. put a knki ni het hlpaa l.)hixe If eygcnli si maeislpdc yb oisetghmn e,sle I on’dt khint lecg-ralpono cna ofrm tsi orrtcec aondsryec streuutrc.

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jotajota94  Teur! als,o ceyngil is 13/ of lclangeo alfa snhia,c so ti asekm seesn thta iunsittusobt tiwh laniane c(ihwh is hcum biegg)r wduol edla ot diosntprui ni het hpala hxile mato.nirof +2
jotajota94  !uerT als,o ecgnliy si 13/ of lnaecgol lafa n,aihsc os ti esakm ssnee htta iitunstuostb ihtw ainealn hciw(h si cmhu bre)gig lwduo edal to srtunoidip ni eht lapah hxiel oit.ofmanr +
thepacksurvives  ilnyecG is almsl dan d,ebny iwchh olawls ti to frmo eht fsirbil for het plerti ilxhe +
brasel  lAso in elraeng FA( 0128 pg 5)0 OI si mofr lomsrbpe nirgmfo teh elritp lhixe hwcih si ydnraosec e.trsutrcu etl,oyarutFn thye vaeg us ehmnigsot to saoren with ni the sqniutoe &aG(;lAtgl)y- +3
amy  aCn eonosme pleh me rdnudtesna ywh A si rne?ictroc A0202F agpe 5:0 rlTpei hxiel fo 3 alcoengl a cisahn si edomrf morf oronlclgepa aiv hnreydgo and dufldisei n.odb sI isht yerv irlmisa to tahw A si cie?db gAn.ir aDerdsece od-gyndbnhore infrmotao weenebt gecallno le.uoscelm +
umpalumpa  The aiotnlnapex iegnv by welastbaralai cloud rowk if het setnoqiu dluwo asy tlAy;G-l-&ga tutn.aiom eveworH, the ueqntois ttesas htat ehtre is na l&G-Ay;-tgla .ttmanoiu +



 +13  upvote downvote
submitted by cellgamesgojan(43)
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I gefidru, c-g-iXnelYy is nehtcliylca dnecsrdeio a mp“yrira iamno dica recsturut of a toeinrp” sncie eth nfeitoidni of a rriaPmy rrctueust fo a etonipr is a“ rielan chnia fo aomni d”s.ica fI yuo smes ihwt hte Praymri tcurret,us sa ni teh eosntuqi tes,m uyo ntocan rfmo teh erdyaSnco ttcsrueru of teh epino,tr hchiw is rtidnemeed yb het oh-ggindbdnyreon cwihh coscur neewebt hte idepept enockbab, eedpdnetnin of het R osrg.up I ohep itsh amde ness.e

Fmor ieiwkdapi: noe“Sdyarc urtcrutse is amylolfr eeniddf yb hte etaptrn fo enhyodrg obnsd neetbwe the ainom honryedg dna aorlycxb onyxge sotma in eth ptpeied ncabbeko”. sa(ipsehm mni)e

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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)


 +4  upvote downvote
submitted by usmle11a(102)
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ok uygs nad i eouqt rofm lsfocperriitesotgwr1a:tuabdtps0e/o/thste/e-4whec2o.io.pt/ms/wecnmsli

90"% veha an iebenfdiatli iectegn tonmitau C OL 1A1 dna COL A21
auses c rmbnaaol lcgeolna sgrosi-ciknnl aiv a ieglnyc btsuittsinou ni eth pcgeolornal cmleluoe "

hwhci senma that OI ash a gliyenc tnsoutbsiuti adn teehorrf tsi ealubn ot rmfo a sdenoaryc ut.reuurstc

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 +4  upvote downvote
submitted by hungrybox(1277)
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euD to egisyn'cl lmlas zeis, it cearset n"is"kk ni eht oniam caid ecueesnq. eThse skink are deedne to coyrectrl ofrm teh reocnysad screruu.tt

rheOt sen:raws

  • eeeand"kw nenroaittci eeenbtw geclanol dan octralepn"ogy - anllecog + yrgeoptoacln = tleg.cliara heT oqunteis estm eionmnts yman csdetfe in ENOb (teyp I )aogncell tub on iennmot fo eedscft in TWcOllagrea (ptey II gloac)enl
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 +1  upvote downvote
submitted by basic_pathology(25)
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-lyXY-G is ckabbone orf caengoll paahl ac.inh 3 llgaocne lpaah hanisc aprils to ofmr tlriep l.hexi ceiGnly ash no R gpru,o gloliwan for ieflilbixty adn rmoitfnao fo ietrpl el.xhi oN geclyin esrntepv tihs otcnsiuuon ili,spagrn ginrvnpeet teh ntiarfmoo fo egoclanl aocsredny ettucrrs.u

lceaRl ttha eacsllihpeh-a dna sstteha-eeb aer plaxseem of sarnyoedc urtsrtuec.s siTh cna be ththguo of a otimfninestaa of the laahp e.hixl

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 +0  upvote downvote
submitted by an_improved_me(91)
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AtNroeh ayw ot gte ta ti si via inamiil:nteo

.A negrohdy nbidong lnduwto llraye ncaegh iecsn eientrh innlaea rno gyenicl aer l ap.orB Gyl g&t; Aal otsnhudl' ehnacg who iolenpr is ddmoeifi I( mane ti CODL,U fi there wsa a tscire ahrndcine or mon,iegths ubt not a trage a)e r.nsDw itongnh ot tiidenca ttah leaocgnl artneigeodd si eledart in rpeneoss ot na AA nstoutiusib.t Alos, in het ttecnxo fo IO h(hciw si hte nrpengiset i,npltacm)o we aaryled owkn taht eth boemrpl sdt'eno haev tignanyh ot od tiwh ,negrodeidat moer wthi teh hecagn in coreinu Ettt/funcsu.r lnesHtoy dnto' .wkno

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 +0  upvote downvote
submitted by drdoom(1206)
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es’rHe eno awy ot ceforsoaee-i-iptlsmn ereaedsdc“ brdeohdonnyg- n”fit:mraoo ’mI ton a gbi fna of itsh ieln fo aonni,rseg btu litycenaclh naaniel as a deis pourg sha ermo rgesdhyon* rfo opttenlai rngdehyo nbiognd athn ygcelni:

nnial:ae 3H—C
nelcg:iy H—

So, hceya“clntli”, nilneaa dlwuo pretim mero -dodybehorgnn in,rfomtoa cwhih mgith alwol you to tmiileena that cie.hoc

Ttha da,si ti eemss smotla ibsplemios to rlue tou whutoit( evyr cchailnet owednkgle or mose poddervi aeteprmienxl a)atd ttah het tyglihsl ragerl aainlen dseo nto mipiar rodhyneg nbdingo tneebwe caelngol ulloecmes avi ersitc aips)lat( ectfrrninee.e In rmsipel sr,mte ensci nlaeain is rg,arle you wduol itnkh that it smtu osmeowh erinertef twhi eht yghonennodd-grib atht urcosc ihwt eth dplyw-tei cenylig.

---
*tryltciS ai,gksnpe tsi’ tno eth brumne fo doneghrsy ubt asol teh erhsnttg fo eth eioldp taht feaclaitist eohdyngr on:bdgin a nhyogdre donbu to a nolgsytr toegeenravcetli luceolme ilek ulinfreo wlli ”rpeaa“p rmeo iespovti and, ,htus ybo-nedrodghn reom gornsylt hiwt a yeabnr enyogx pam(ordec whit a rgeyndoh eotncecnd to arbcno, rof ep).xelam

turrheF rangid:e

  1. c.du.pupttwhgdrilmnmp/hhwedes.ltehqu/o.ud/s://iwecblh
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hungrybox  riactppAee eht retffo btu isth si rfa too nogl to be .elufus +30
drachenx  ynhougbxr si a rgeniakf rhtae +
drdoom  xharncd@e ahah, a,hn congim kabc to tshi i alereiz i swa abpyrobl gk-erveogeni lol +1
blueberrymuffinbabey  'ints eht ghyoredn nobndig tndendpee on teh xtoareydhydl enlproi dan i?eynls so htta nud'ltow yealrl be teh usies here cseni seoth a'nret hte aas neigb eerdtal? +
drdoom  brbe@eyulr cidArgonc ot rbsAt’le BoMC ese( tnesTagn at ighr)t, nrdylseoxyhyi and olhorydixpnrey rciuontbte gneryhod sodnb ttha ormf eebetwn hte isacnh ”i,tnarheni“c( as posedop to a;nia-rthicn eht asnhci, fo ,cerosu rae staerape soypeppdl;ite htta i,s teapresa lglcneoa isnptero; nda icerntioastn eenwebt ptaesera hasnci reteasa[p ]peoltpydpies si ahtw we acll q“naeyurart srruc”utet; ese nnTtage ovaeb). Adn ni htsi se,ca as ouy onpit uto, het estm brieecsds a A;tlgaGyl-& bsiuto.ntsuti hTat eesms ot emna otw tg:sihn 1() eth hetre erseptaa oeacglnl tlppdpeeyois lwli nto ap“kc s[]a hi”gyttl ot fmor eht ltpeir lxeih ytua=qne(rra e)usttcrur ew lal nkwo adn ovle dan 2() noielpr srnig iwll ilaf to lyare uieqt as ,uynsgl rcspgnooimmi the hlileac rnmoaootcfni ttah neiefsd an hplaa cianh dea=nr(coys ;urtcertus eht apsehs htta fomr htiwin a nesilg oppitely).dpe +
tadki38097  osal oyu nct'a H dbno ihtw cn,baor si't tno rlaop ngheou +
amy  2F00A2 0P5 tate:s otanrmoif fo (lchchrelngooipwa is hte iteplr leihx c)eurrutts avi gonhreyd dan iludfsied. So A is ierocrcnt cb erhte are no gnlolaec cloeuemsl yet (dn2 rtceustur enahpps ta ologaprcnle evell) +
drdoom  m@ay rltpei lxhei si a anueyatqrr rtcrestuu scnei( eptrli ilhex is a sepah ttha fsmro BETWENE staraepe ro dtu”a“l lgnplglao-nceacrl/eoo esdte).ppi yi,rarPm nsdoryaec and yariertt stcursretu ear riscindpetso fo a eisgln ied.pptpleoy ceOn oyu haev 2 or orem iseotpdpeypl irngetcanit wthi aech eroth eg,(.. nmboloHeig )olecelmu you heva ternrqyaua st.ctrureu +

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)


 +0  upvote downvote
submitted by nmb29(0)
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I timgh be kvihegionrtn ti b,ut H bnod mofranito of sa'a kasme eht sdaeynorc ctrseuutr fo eht rnoteip oegal(nlc in stih ea)sc. hTe lGy ot aAl tutbiotsunsi oesd usetrl in ssel H ndob aomtfnoir, tbu fo andividlui a'sa nto eeetbnw clneloag clseoeuml t(hta tgimh be remo rof rataqyruen rsuutrec)t

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lpp06  I kinth hte key si in hte wsnear i,ashpngr hte aserwn iognietnnm -osndHb sasy oD"ntipsrui of odHsnb- etwenbe oeacngll cuhoemeohslgluAl "t legnolca eosd deurngo bgndo-Hin ot puosprt hte trilep lei,xh this is edon iwnhti teh maes llanogec ei icekomgnnl.Lul efnifdtre clnealgo csllueome uccsor vai eth iensyl - yyhdnyloriesx iklsn edno in eht CME +1
kevin  tshi is het eon octnmme that lyilfna dplhee me nareutsndd ywh atht saw irecrncot. hkant yuo +



 +0  upvote downvote
submitted by j123(16)
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mrrayiP usurtcert = naoim cadi eedo reSseanyccunq seuuttrrc = rreucutts edfomr tiwh a lnegsi moain daic nesucqee a(etb dapeetl ,tehes lhaap elhx,i ctit)Trre aye urcturtes = elupitml drayoscen tusutcrers atcitigernn teeorhgt eutlm(lip abte apetdle tshese etdkcsa no opt of aehc roteh, r trnaacreQyetu) tsucterur = trnioep erutrutsc odrfme fmor fogdinl fo lal ityaetrr rusucttres ot meka nidgbin isse,t e.ct

Sniec het naaelin saw ptu in leacp fo hte ln,cyeiG the mpariry ctrstuuer asw elnuba ot mofr an aaphl elhix nseci aaphl ielhx utscstuerr dnee a pitlaurcra euseencq ylg( - x- y) in roedr to ofmr gneyhdro bodsn to epke het ixhle bets.la

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 -1  upvote downvote
submitted by unknown001(9)
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what si naeollgc ? a cydnroesa einrtop trtsucer.u

ewnh oyu vemoer ,gnilecy teh tosm anndtabu nomai diac , romf eth poucrrrse eelmculo lwil yuo etg a eppror dsoyarecn rtuecrtsu ? NO

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unknown001  neoigr hist +
drdoom  can uoy rb?taeoela aswth' wgnro hwti ryuo m?cotnme +



 -4  upvote downvote
submitted by lilmonkey(63)
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ylG si lor,ap iaAlnne is opnornal dna yrh.oihcopdb Meinsess oravtcnsoeivnen tntiumoa. esThe AsA aveh dfrneefti hclmaeic sproiteepr hicwh dlae to tdreipsud poinert gdnfoil ensdoayc(r cu.uttrre)s lrimaSi ot Gul - alV binstttsuoui in Selcik ellC iDess.ea

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