Section B, Question 12
[2 marks]Health and safety
Which item, commonly kept in a first aid kit, is used to clean a wound and reduce the risk of infection?
- AA thermometer, used only for checking body temperature.
- BAntiseptic (antiseptic lotion or wipes).
- CA pair of scissors, used only for cutting clothing away from a wound.
- DA set of safety pins, used only for securing a folded bandage.
[2 marks]Health and safety
Which item, commonly kept in a first aid kit, is used to cover and protect a small cut or graze?
- AAn adhesive plaster (dressing strip).
- BA crepe bandage, used only to hold a splint against a broken limb.
- CCotton wool, used only for padding underneath a splint.
- DA pair of disposable gloves, worn only by the person giving first aid.
[2 marks]Health and safety
Which item, commonly kept in a first aid kit, is used to hold a sterile dressing firmly in place over a larger wound?
- AAdhesive tape, used only to label the first aid kit's contents.
- BPain relief tablets, used only after the wound has already been dressed.
- CA thermometer, used only to check for fever after an injury.
- DA bandage (crepe or triangular).
[2 marks]Health and safety
Why is first aid important in a school?
- AFirst aid is only useful for treating illnesses, and has no role to play in an injury such as a cut or a fracture.
- BFirst aid is required by law to be given only by a qualified doctor, never by a teacher or trained first aider.
- CPrompt, correctly applied first aid can stop a minor injury from becoming a serious one before proper medical help arrives.
- DFirst aid replaces the need for a learner to ever see a doctor or go to a hospital, whatever the injury.
[2 marks]Health and safety
Besides possibly saving a life in an emergency, what is another way first aid is important in a school?
- AIt replaces the need for the school to keep any emergency contact details for its learners.
- BIt reduces the risk of further injury or infection, for example by immobilising a fracture before it is moved or cleaning a wound before it becomes infected.
- CIt permanently cures any chronic illness a learner already has, without any further medical treatment.
- DIt guarantees that no learner at the school will ever be injured again after receiving first aid once.
[2 marks]Enzymes
The lock and key hypothesis compares an enzyme's active site to a lock and its substrate to a key. What does this explain about enzymes?
- AWhy each enzyme is specific, catalysing only the reaction of the one substrate whose shape fits its active site.
- BWhy every enzyme in the body can catalyse any reaction, regardless of the shape of the substrate involved.
- CWhy an enzyme is permanently changed and destroyed the first time it catalyses a reaction.
- DWhy enzymes work only outside living cells, never inside the cytoplasm of the cell that makes them.
[2 marks]Enzymes
According to the lock and key hypothesis, what happens to an enzyme's active site after it has catalysed a reaction and the products have been released?
- AThe active site is left unchanged and free to bind another substrate molecule, so the same enzyme can be reused repeatedly.
- BThe active site permanently changes shape to fit the product instead, so the enzyme can never bind that substrate again.
- CThe active site is destroyed along with the substrate, so a new enzyme molecule must be made for every reaction.
- DThe active site seals shut permanently once one reaction has taken place, ending that enzyme molecule's activity for good.
[2 marks]Enzymes
If an enzyme is denatured, for example by a temperature far above its optimum, what does the lock and key hypothesis predict?
- AThe active site no longer fits the substrate, so the enzyme can no longer catalyse that reaction, just as a bent key no longer opens its lock.
- BThe active site becomes able to fit every substrate in the cell at once, so the enzyme catalyses many more reactions than before.
- CThe enzyme's specificity is unaffected by denaturation, so it continues to catalyse the same reaction at the same rate.
- DThe substrate itself changes shape to match the enzyme's new active site, so the reaction proceeds even faster than before.
[2 marks]Enzymes
Biological washing powders contain enzymes such as proteases and lipases. How do these enzymes help remove stains?
- AThey break down large, insoluble stain molecules, such as protein or fat, into smaller soluble molecules that dissolve and rinse away.
- BThey bleach the colour out of the stain directly, the same way a chlorine-based bleach does.
- CThey coat the stain in a waterproof layer that prevents it from spreading further into the fabric.
- DThey raise the temperature of the wash water directly, which is what actually removes the stain.
[2 marks]Enzymes
Biological washing powders can clean effectively at relatively low wash temperatures, around 30 to 50 degrees Celsius. Why is this an advantage?
- AIt prevents the enzymes in the powder from ever being denatured, however hot the water later becomes.
- BIt uses less energy to heat the water and is gentler on delicate fabrics than washing at a high temperature.
- CIt causes the enzymes in the powder to work faster than they would at any higher temperature.
- DIt kills every microorganism on the fabric instantly, which hot water alone cannot do.
[2 marks]Transport in plants
How does light intensity affect the rate of transpiration from a leaf?
- AIn bright light the leaf stops making water vapour altogether, since all of its water is used up in photosynthesis instead.
- BIn bright light the stomata open wider, letting more carbon dioxide in for photosynthesis and more water vapour escape, so transpiration increases.
- CIn bright light the stomata close completely to protect the leaf from the heat of the light, so transpiration falls to zero.
- DLight intensity has no effect on the stomata at all, so transpiration stays exactly the same in light or darkness.
[2 marks]Transport in plants
How does a rise in temperature affect the rate of transpiration from a leaf?
- AIt gives water molecules more kinetic energy, so they evaporate and diffuse out through the stomata faster, increasing transpiration.
- BIt causes every stoma on the leaf to seal shut permanently, so transpiration falls to zero above a certain temperature.
- CIt has no effect on transpiration, since only light intensity and humidity influence the rate of water loss.
- DIt slows the movement of water molecules, so less water evaporates from the leaf's internal surfaces.
[2 marks]Transport in plants
How does low humidity in the air surrounding a leaf affect the rate of transpiration?
- AIt has no effect on transpiration, since only the light and temperature reaching a leaf influence how fast it loses water.
- BIt causes the stomata to open only at night, so transpiration during the day falls to its lowest point.
- CIt creates a large difference in water vapour concentration between the inside of the leaf and the air, so water diffuses out quickly, increasing transpiration.
- DIt creates a large difference in water vapour concentration that pulls water vapour into the leaf from the air, decreasing transpiration.
[2 marks]Transport in plants
When a plant loses water faster than its roots can replace it, what happens to its cells?
- AThe cells absorb air through the stomata and swell, so leaves and soft stems are held out even more firmly.
- BThe cells take in extra mineral salts from the soil, which makes their sap stronger and the leaves stand more upright.
- CThe cell walls dissolve completely, causing the cell's contents to leak out and the leaf to collapse instantly.
- DThe cells lose water from their vacuole and cytoplasm and become flaccid, so leaves and soft stems droop.
[2 marks]Transport in plants
As a plant begins to wilt, its guard cells lose turgor and the stomata close. What effect does this have on the plant?
- AWater vapour is forced back into the leaf from the surrounding air, restoring the cells' turgor within seconds.
- BLess carbon dioxide can diffuse into the leaf, so the rate of photosynthesis falls and less food is made.
- CMore carbon dioxide floods into the leaf through the closed stomata, so photosynthesis speeds up.
- DMineral salts can no longer be absorbed by the roots at all, so the whole plant turns yellow within minutes.
[2 marks]Coordination and response
What effect does adrenaline have on the heart?
- AIt increases the heart rate and the force of each heartbeat, increasing the volume of oxygenated blood pumped to the muscles and brain.
- BIt slows the heart rate and weakens each heartbeat, conserving energy for a period of rest and digestion.
- CIt stops the heart from beating for a brief period, redirecting all of the body's blood supply to the digestive system.
- DIt has no measurable effect on the heart at all, acting only on the muscles and skin of the body.
[2 marks]Coordination and response
What effect does adrenaline have on the liver?
- AIt causes the liver to release adrenaline of its own, doubling the total amount circulating in the blood.
- BIt stimulates the breakdown of stored glycogen to glucose and its release into the blood, raising blood glucose concentration.
- CIt stimulates the liver to store extra glucose as glycogen, lowering blood glucose concentration.
- DIt stops the liver from carrying out any of its normal functions until the adrenaline has been broken down.
[2 marks]Coordination and response
What effect does adrenaline have on the bronchioles, the airways in the lungs?
- AIt contracts the muscle in their walls, narrowing the airways so that less air can pass through them.
- BIt has no effect on the bronchioles, acting only on organs below the level of the neck.
- CIt seals the bronchioles shut completely for the duration of the fight-or-flight response.
- DIt relaxes the muscle in their walls, widening (dilating) the airways so more air, and so more oxygen, can be breathed in and out.
[2 marks]Coordination and response
How does regular insulin therapy help control diabetes mellitus?
- AIt raises blood glucose concentration directly, giving the body extra energy to fight the disease.
- BIt replaces the need to eat any carbohydrate at all, since the injected insulin itself supplies the body's energy.
- CIt replaces the insulin the pancreas fails to produce enough of, allowing body cells to take up glucose from the blood and lowering blood glucose after meals.
- DIt permanently repairs the damaged cells of the pancreas, so no further treatment is ever needed again.
[2 marks]Coordination and response
Besides insulin therapy, how can a controlled diet and regular exercise help manage diabetes mellitus?
- AA controlled diet and exercise remove the need for a person with diabetes to ever monitor their blood glucose again.
- BEating large amounts of sugar in a single meal helps stabilise blood glucose by giving the pancreas one clear signal to respond to.
- CExercise raises blood glucose concentration directly, which is exactly what a person with diabetes needs more of.
- DA controlled diet avoids large spikes in blood glucose, and exercise increases glucose uptake and use by the muscles, both helping to keep blood glucose within a safe range.