Answer ALL questions,
Write your answers in the spaces provided.
fe questions must be answered with a cross in ab
ne aver puta line through the box $8 and che box, If you change your mind about an
ark your new answer with a cross &.
A polysaccharides, lipids, nucleic acids and proteins are large molecules found in living
organisms.
(a) Polymers are large molecules made of monomers. The table gives information
about some of these polymers,
Complete the table by filling in the empty boxes with either the name of the
monomer, the elements present in each monomer or the type of bond between
monomers.
(4)
E Polymer Ds aphorier ss Elements presentin | Type of bond between
: See monomer _ monomers
sw APL. . ~
yd tecpars..
polysaccharides monosaccharide nt A Bl Goteby, glycosidic
carbon, hydrogen,
nucleic acid oxygen, phosphorus and L
nitrogen LPhas bad ikiter
Rb. ,... pYdlgp
III Ly fn
protein amino acid oe PUYBILE) eee peptide
Scanned with CamScanner{iglycerides are lipid.
pescribe how an unsaturated triglyceride is synthesised.
@)
ene glyeerd.and... 2 Pay rxct_nonyfoihed by ceabensahion.feseslon
Sy sigenzy LMS...
(Total for Question 1 = 7 marks)
Scanned with CamScanner{on with diabetes has a blood glucose level that can be too high.
en the blood glucose level of a person without diab i
fiver stores glucose as a polysaccharide, ce
(a) Which polysaccharide does the liver store?
a)
EE Og
1A amylopectin
OB cellulose
& ¢ glycogen
Bo
starch
(b) Blood glucose levels can become high following the digestion of carbohydrates.
Which of the following can be digested to release glucose?
o
A_ both fructose and sucrose
OB both fructose and galactose
OC both galactose and lactose
x
D_ both lactose and sucrose
(©) Diabetes is a risk factor for cardiovascular disease.
(i) One estimate is that there are 415 million people with diabetes in the world
and that 46% of these people are undiagnosed.
Calculate the number of people who have undiagnosed diabetes.
a)
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ANSWEF ns
Scanned with CamScannerAy There are two types of diabetes, Type | and Type Il.
the treatment for Type | diabetes |s different from the treatment for Type I!
diabetes, so It Is Important for a correct diagnosis to be made.
Diagnosis can be difficult, particularly in people aged between 20 and 40 years old.
‘A genetic screening method is now available for the diagnosis of diabetes.
Explain why doctors are more likely to scggen individuals once they develop
diabetes than use methods such as prenatal testing.
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(3)
Pr ke EE.
(Total for Question 2=6 marks)
Scanned with CamScannerts a used in the treatment of atherosclerosis,
jagram shows how stent i
fhe diag its are positioned in a diseased coronary artery.
plaque stent balloon
An uninflated balloon and narrow
stent are inserted into the diseased
coronary artery.
The balloon is inflated, expanding the
stent.
The balloon is deflated and removed,
leaving the expanded stent in place.
Explain why a stent is used in the treatment of atherosclerosis in a coronary artery.
(3)
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ee
Scanned with CamScannerfnserting 2 stent can damage the artery,
In:
this damage can result in stent thrombosis if the blood clotting process is
stimulated.
A sudy looked at the damage caused by two different types of stent, stent A and
stent B.
The graph shows the incidence of stent thrombosis found in this study.
2.0; r
sten(a)
Incidence
of stent
thrombosis “° stent B
(%)
0.0:
0 1 2 3
Years after inserting the stent
(i)_ In this study, 800 patients had stent A inserted and 400 patients had ster
inserted.
Calculate the difference in the number of patients who developed stent
thrombosis three years after inserting the stent,
(2)
B 2 Tex) Zz =Y
AB 2 geo Xph = l2er 2 2
(22
12-95y
Answer...
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nef On NGS,
state how the formation of a blood clot in the coronary artery could cause the
death of the patient.
active form?
a
Q
Qo
w
prothrombin and thromboplastin only
prothrombin and thrombin only
(ii) Which components of the blood clotting process are enzymes in their
a)
A
B
€ prothrombin, thrombin and thromboplastin
D
thrombin and thromboplastin only
(iv) Which components of the blood clotting process are soluble in blood plasma?
a
Oo
R
o
A fibrin and fibrinogen
B fibrin and thromboplastin
fibrinogen and thromboplastin
D fibrinogen only
a)
(v) Stent B contains a drug to prevent stent thrombosis.
Suggest one type of drug that could be used in stent B.
vs Cf PEL..
qa)
(Total for Question 3 = 9 marks)
Scanned with CamScannermale taster
O
© female taster
O male non-taster
e
female non-taster
-{—
GC
(2) Complete the diagram to show the following information:
a)
+ individual 7 as a male taster
+ individual 8 as a male non-taster
+ individual 9 as a female taster.
Scanned with CamScanner‘Describe the difference between each of the following pairs of terms,
information in the pedigree diagram to illustrate your answer, a
(i) Gene andallele
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sone Mars j0n...04-dhe gene) os
(ii) Genotype and phenotype
(2)
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Shera, opps ga OX Peed IN...
(Explain which is the dominant allele.
Use the information in the pedigree diagram to support your answer.
(2)
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ohhh tS Ob Yfbeteowry
Scanned with CamScannerxplain why this gene is unlikely to be located on the X chromosome.
Use the information in the pedigree diagram to support your answer.
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se CHEE. AF ES HO
(2)
(Total for Question 4 = 9 marks)
Scanned with CamScannerple with cystic fibrosis produce very thick, sticky mucus.
cystic fibrosis is caused by mutations in a gene coding for the CFTR protein.
(a) Explain why a mutation in this gene results in the production of very thick,
sticky mucus.
(3)
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YI BE MMPS ME non
Scanned with CamScannerbreathing
difficulties
problems
absorbing
nutrients,
infertility
Explain why very thick, sticky mucus results in these health problems. oc
COOLS CS, MEMES nto aep Sone PAmbpre ys “oka FRADE A800 Bf. on
Pitesti. hia. fuinteds c. Ca Xdiacde. Ctbyreghes.radllsepete Yeslat.. Leyte
vo Sone pe 00. e COO PPL feo dat, }-- {Debi opt
AE ASpo Patt Hore Gy Pb Ene eels x...
Scanned with CamScanner.e graph shows the correlation be!
twee
ire sand the level of functi en the concentration of chloride i
sl ion of tt loride ions in
he CFTR protein,
100
Concentration
of chloride
ions in sweat
3
/ mmol dm 40
80
Level of function of the CFTR protein (%)
Individuals diagnosed with cystic fibrosis have a level of function of the CFTR
protein of 18% or less.
(i) Which is the change in concentration of chloride ions in the sweat of an
individual when the level of function of CFTR protein decreased from 10096
to 18%?
a)
a 15 mmol dm?
35 mmol dm?
A
GB
[2 ¢ 40mmoldm®
Go
80 mmol dm™
Scanned with CamScanneriy cystic fibrosis results from different mutations in the CFTR gene.
Explain how the graph provides eviden:
ice that cystic i
different mutations in the CFTR gene. Pees arroat (eseis from
(2)
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2)
ANSWEF ne AB ct bones KQ
Scanned with CamScanner(iil comment on the risk of developing CVD in these two wo;
men.
a)
/ ay BM. Pemele ae ligtent,
Theta. Wt.QLNEN... bed bay. j35. 46... A dene Pag, C cup.
(iv) The diagram shows how the waist and hip measurements should be taken,
using a tape measure.
measure waist at narrowest point
measure hips at widest point
Explain how the way a person takes these measurements could produce an
underestimate of their risk of CVD.
(2)
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sold
“mle the back ortl HT
he arm,
ick:
ness Measurement is taken over the
EX
oa?
the skin is pinched over the
triceps to form a skinfold
skin callipers are placed across
the skinfold and the thickness
read from a scale
Hea SEN an
Skinfold thickness measures the thickness of the layer of fat under the skin,
Noa 7A.
Measurements are taken from several sites on the body,
The table shows the skinfold thickness at four sites on a 42-year-old female,
Over the biceps at the front of the arm 0.63 =
over the triceps at the back of the arm 082 B
under the shoulder blade at the back of the neck 0.65 6
above the hip bone at the side of the body 0.82
(i) Suggest two reasons why the skinfold thickness values are different at each
site on the body.
‘Assume that the skin callipers have been used correctly. i
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\ /BRY Sam LON ORS.
a
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i) The table shows a body fat interpretation chart,
The values in the table are the Means of the four skinfold thickness
measurements.
‘Level of body fat
Moderate | High
20 to 29 <071 0.71 t00.77 | 0.78 to 0.82 >0.82
30t039 | <0.72 | 072t00.78 | 0.79t00.84 >084
40t049 | <0.73 | 0.73t00.79 | 0.800087 >0.87
50t059 | <0.74 | 0,74t00.81 | 0.82t00.88 >0.88
Determine the level of body fat of this female.
a)
Answer9QBe PHP.
(Total for Question 6 = 11 marks)
Scanned with CamScannerfs number of diseases are associated with lifestyle risk f
factors,
some of these risk factors Cause Mutations,
(a) Mutations can give rise to cancer,
State the Meaning of the term mutation,
~ Change lathe base oP the DWA..
(b) Exposure to ultraviolet light is associated with the development of skin cancer.
The graphs show the incidence of skin can
Country in the Far East, from 2000 to 2005,
icer in males and females in one
250:
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£12004
12003
Incidence of =
skin cancer per
100 000 of the male
12002
population
«0 cceeeatase
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 >80
Age / years
12005
32004
fr
Incidence of skin #142003
cancer per 100000 by
of the female - fat }2002
population
12001
3880
0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 >80
Scanned with CamScanner@ Te graphs show some Correlations,
State the Meaning of the term Correlation,
a)
= y
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Nn nceua ale, VOB LE cen — —
(ii) Describe the correlations shown by these graphs,
(3)
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