Circulatory System Revision Pack

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    Year 12 Topic 1

    Revision Booklet

    Lifestyle, health andrisk

    Fill in how well you know each part of the specication using //

    Specication link BeforeRevision

    AfterRevision

    Explain the importance of water as a solvent intransport, incluing its ipole nature!

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    "istinguish #etween monosaccharies,isaccharies an polysaccharies $glycogenan starch % amylose an amylopectin& anrelate their structures to their roles in proviingan storing energy $'(glucose an cellulose arenot re)uire in this topic&!"escri#e how monosaccharies *oin to formisaccharies $sucrose, lactose an maltose&

    an polysaccharies $glycogen an amylose&through conensation reactions formingglycosiic #ons, an how these can #e splitthrough hyrolysis reactions!"escri#e the synthesis of a triglycerie #y theformation of ester #ons uring conensationreactions #etween glycerol an three fattyacis an recognise i+erences #etweensaturate an unsaturate lipis!Explain why many animals have a heart ancirculation $mass transport to overcomelimitations of i+usion in meeting the

    re)uirements of organisms&!"escri#e the cariac cycle $atrial systole,ventricular systole an iastole& an relate thestructure an operation of the mammalianheart to its function, incluing the ma*or #loovessels!Explain how the structures of #loo vessels$capillaries, arteries an veins& relate to theirfunctions!"escri#e how the e+ect of ca+eine on heartrate

    in Daphnia can #e investigate practically, aniscuss whether there are ethical issues in theuse of inverte#rates!"escri#e the #loo clotting process$throm#oplastin release, conversion ofprothrom#in to throm#in an #rinogen to#rin& an its role in cariovascular isease$-"&!Explain the course of events that leas toatherosclerosis $enothelial amage,in.ammatory response, pla)ue formation,raise #loo pressure&!

    "escri#e the factors that increase the risk of-" $genetic, iet, age, gener, high #loopressure, smoking an inactivity&!"escri#e the #enets an risks of treatmentsfor -" $antihypertensives, plant statins,anticoagulants an platelet inhi#itory rugs&!Analyse an interpret ata on the possi#lesignicance for health of #loo cholesterollevels an levels of high(ensitylipoproteins $"0s& an low(ensity lipoproteins$0"0s&!

    "escri#e the evience for a causal relationship#etween #loo cholesterol levels $totalcholesterol an 0"0 cholesterol& an-"!"iscuss how people use scientic knowlege

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    a#out the e+ects of iet $incluing o#esityinicators&, exercise an smoking to reucetheir risk of coronary heart isease!"escri#e how to investigate the vitamin content of foo an rink!Analyse ata on energy #ugets an iet so asto #e a#le to iscuss the conse)uences ofenergy im#alance, incluing weight loss,

    weight gain, an evelopment of o#esity!Analyse an interpret )uantitative ata onillness an mortality rates to etermine healthrisks $incluing istinguishing #etweencorrelation an causation an recognisingcon.icting evience&!Evaluate esign of stuies use to eterminehealth risk factors $incluing sample selectionan sample si1e use to collect ata that is#oth vali an relia#le&!Explain why people2s perceptions of risks areoften i+erent from the actual risks $incluingunerestimating an overestimating the risksue to iet an other lifestyle factors in theevelopment of heart isease&!

    3hat topics o you nee to work on the most4 3rite yourself 5 6782s

    678 9:

    678 ;:

    678 5:

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    irculatory systems

    6n small unicellular organisms, su#stances move aroun slowly #y _____________!

    Surface area to volume ratio is:

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    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!>8otal ;marks?

    scale:

    @!@ mm

    A B C

    surface area /mm

    ; @!;C 5!9 ;5

    volume /

    mm5 @!@; @!D 99!5

    surface areato

    volume ratio9:9

    :9;:9

    ;& 7one of the organisms A, Bor Chas a transport system!

    Explain why organisms larger than organism Cnee to have transportsystems!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    >5 marks?

    . 8he iagram #elow shows a mammal an a unicellular organism! 8he transportsystem in mammals is a ou#le circulatory system riven #y a pump $the heart&,whilst unicellular organisms have no nee for special transport systems!

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    m a m m a l ( c a t )

    X 0 . 0 7 5

    u n i c e l l u l a r o r g a n i s m

    X 3 0 0

    $i& Explain what is meant #y a double circulatory system!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!>;?

    $ii& Explain t!o reasons why mammals nee a circulatory system whilstunicellular organisms, such as that shown in the iagram, o not!

    rst reason !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    secon reason!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    >?

    >8otal marks?

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    Bloo vessels

    Arteries an veins contain ___________________: a tough, #rous protein to make them toughan ura#le!

    8he artery wall ___________as #loo is pumpe in an then _____________as the heart relaxes!Bloo .ow is continual an there is a pulse!

    ontracting ______________an low______________ in the chest when #reathing in assist #loo.ow in veins! _______________ prevent #ack.ow! 8here is no pulse an pressure is low!

    omplete the ta#le with the properties of each #loo vessel

    Arteries -eins apillaries

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    "abel the pictures as an arter#, vein or capillar#

    b a s e m e n t m e m b r a n e( c o l l a g e n )

    e n d o t h e l i u m c e l l

    r e d b l o o d c e l l

    8 m

    c o l l a g e n &

    c o n n e c t i v e t i s s u e

    s m o o t h m u s c l e& e l a s t i c t i s s u e

    l u m e n ( b l o o d )

    0 . 1 - 1 0 m m

    c o l l a g e n &c o n n e c t i v e t i s s u e

    s m o o t h m u s c l e& e l a s t i c t i s s u e

    l u m e n ( b l o o d )

    s e m i l u n a r v a l v e

    0 . 1 - 0 m m

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    Bloo pressure is a measure of the _________________of the #loo on the walls of a #loovessel!

    6t is higher in arteries an capillaries than in veins!

    _______________#loo pressure is highest an occurs when the ventricles contract!

    Gressure is at its lowest in the arteries when the ventricles relax: ____________#loo pressure!

    Both are measure, using a __________________________,in mmg eg 9;@/C@!

    Any factor which causes arteries or arterioles to constrict will lea to high #loo pressure orh#pertension!

    8hese inclue:

    loss of elasticity with age atherosclerosis arenaline high salt iet!

    igh #loo pressure cause #y atherosclerosis leas to a worsening of the conition

    Exam questions:

    1. 8he ta#le #elow shows features of arteries, veins an capillaries!

    6f the statement is correct, place a tick $& in the appropriate #ox an if thestatement is incorrect place a cross $X& in the appropriate #ox!

    Feature Arteries -eins apillaries

    3alls permea#le

    ollagen #res present inwalls

    Enothelium present

    Series of valves present

    $%otal & mar's(

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    ariac cycle)igure 1.* on page + of the textboo': ma'e sure #ou 'no! the structure of theheart.

    8he cham#ers of the heart $_________an ______________& ll with #loo when they relax$_____________& an pump #loo out when they contract $_____________&!

    8he cariac muscle making up the atria an ventricles is supplie with #loo #y the________________________________.

    omplete the ta#le #y explaining each stage of the cariac cycle:

    Atrial systole

    -entricularsystole

    "iastole

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    Exam questions:

    1. 8he iagram #elow shows a section of a human heart at a specic stage in the cariaccycle!

    (a) 7ame the stage of the cariac cycle shown in the iagram an give tworeasonsfor your choice!

    Stage!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    Reason 9!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    Reason ;!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

    $#& Hive onefunction of each of the parts A an B!

    P a r t

    A

    B

    F u n c t i o n

    $;&$8otal marks&

    .$a& ariac muscle contracts myogenically! Explain what is meant #y thetermm#ogenic!IIIIIIIIIIIIIIIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIIIIIIIIIIIIIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIII!!

    IIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIIIIIIIIIIIII $;&

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    8he graphs #elow show the changes in pressure in the aorta an in the left an rightventricles of the heart, uring the cariac cycle! 8ime @ inicates the start of atrialcontraction!

    $#& ompare the changes in pressure in the left ventricle with those in the rightventricle, giving reasons for the i+erences!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII$&

    $c& ompare the changes in the pressure in the aorta with those in the left ventricle,giving reasons for the i+erences!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII$5&

    $& Jn the graph of changes in pressure in the aorta an left ventricle, show #y meansof an arrow when the aortic semilunar valve closes! $9&

    $8otal 9@&

    . Explain what is meant #y each of the following terms!$a& 8he cariac cycle

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

    $#& oronary circulation!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

    $8otal marks&

    Atheroma an #loo clotting

    9& omplete the ta#le of key terms

    Biological%erm

    -enition

    "isease process that leas to coronary heart iseasean strokes

    Bloo clot

    eart attack

    "eposit resulting from com#ination of white #loo cellsan cholesterol

    ar swelling on inner wall of artery resulting from#uil up of calcium salts an #rous tissue

    8ype of #loo cell without a nucleus involve withclotting

    Solu#le plasma protein at start of clotting process

    An en1yme that catalyses conversion of a solu#leplasma protein into an insolu#le protein

    0ong insolu#le strans of protein

    A tangle mesh of protein strans with trappe #loocells

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    Solu#le plasma protein converte into #rin

    Atherosclerosis: a isease process where fatty eposits #lock an artery or increase itschances of #eing #locke #y a #loo clot $thrombosis&

    ow atherosclerosis $Kharening2 of the arteries& occurs:

    Fill in the #lank #oxes!

    6n the arteries supplying the heart, this causes a heart attack $m#ocardial infarction&!

    6n the arteries supplying the #rain, it causes a stro'e!

    An infarctionis when tissue ies ue to a lack of oxygen!

    8his is usually the result of a lack of #loo L ischaemia!

    lottingBloo clots when it .ows very slowly, or when #loo vessel walls are amage!

    A #loo clot consists of cells trappe in a mesh of insolu#le __________protein!

    3hen platelets come into contact with the vessel wall, they #ecome

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    Glatelets stick to amage tissue! 3hen this happens they release __________________!8hrom#oplastin reacts with

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    "ata an Risk

    _____________is the pro#a#ility of occurrence of some unwante event or outcome!

    A time perio is always )uote e!g! chilren in a class having a 9 in $@!; or ;@O& risk ofcatching hea lice in a year!

    7ot all iniviuals are at risk to the same egree!

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    0is' factorsincrease the chance of the harmful outcome!

    Factors that contri#ute to health risks inclue:

    hereity

    physical environment

    social environment

    lifestyle an #ehaviour choices

    8wo factors are __________________if an increase in one is accompanie #y an increase in theother e!g! the num#er of people su+ering sun#urn an the amount of ice cream sol!

    A positive correlation oes not necessarily mean that the two are_____________________________P

    Geople2s #ehaviour is a+ecte #y the ________________of risk!

    8hey

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    $a& 8here coul #e a causal link or correlation #etween high #loo pressure an the

    other varia#les shown in the ta#le! "istinguish #etween the terms causationan

    correlation!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $#&$i& sing the information in the ta#le a#ove, escri#e the relationship #etween ethnic

    group, cholesterol levels an the percentage of the population with high #loo

    pressure!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $ii& Suggest onereason why the ata on the American 6nian an Alaskan 7ative

    population are escri#e as statistically unrelia#le!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$9&

    $c& A stuent conclue from the results for gener, shown in the ta#le #elow, that

    higher cholesterol levels cause lower #loo pressure!

    Adult

    population

    $gender(

    ean cholesterol

    level

    2 mg dm3

    /ercentage of

    population !ith

    high

    blood pressure $4(

    Female ;@ ;

    Qale ;@ 5@

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    sing the information in #oth ta#les, explain why this is not a vali conclusion!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $5&

    $8otal C marks&

    Risks of -"

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    omplete the ta#le to show how the following risks may lea to -"!

    Risk factor ow this may contri#ute to -"Henetics

    Age

    Hener

    "iet

    Bloo pressure

    Smoking

    0ack ofexercise

    Stress

    Alcohol

    Exam questions:

    1. oronary heart isease $"& is a ma*or cause of eath in evelope countries, an

    accounts for over 9@ @@@ eaths each year in the nite Mingom! Jne of the

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    main causes of " is atherosclerosis, a conition in which lipis an connective

    tissue #uil up on the insie wall of #loo vessels!

    $a& State t!o conse)uences of atherosclerosis which may lea to the evelopment of "

    in an iniviual!

    9 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    ; !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $;&

    $#& 8he ta#le shows eaths from coronary heart isease as a percentage of all eaths

    in the nite Mingom in 9DC5!

    Gercentage of all eaths

    Age / years Qales Females

    @L9 5

    9L; 9@

    ;L5 9 9

    5L 5 9C

    L 5 ;

    L 5 5L 5 @

    an over 9

    $i& 3hich t!o risk factors associate with the evelopment of " are inicate in the

    ta#le4

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$9&

    $ii& 3ith reference to the ata in the ta#le, compare the percentage of eaths from

    " in males an females!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

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    $8otal marks&

    . 8he chart #elow shows the num#er of eaths from cariovascular isease per 9@@

    @@@ population for men an women in four countries!

    N u m b e r

    o f

    d e a t h s

    p e r

    1 0 0 0 0 0

    p o p u l a t i o n

    1 0 0 0

    8 0 0

    6 0 0

    4 0 0

    2 0 0

    0

    F r a n c e S p a i n E n l a n d

    a n d ! a l e s

    " u s s i a

    ! o m e n

    # e n

    $a& "escri#e the i+erences in the eath rates shown in the chart a#ove!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

    $#& Jne possi#le reason for the i+erences in the eath rates ue to cariovascular

    isease #etween the i+erent countries is the )uantity of fruit an vegeta#les

    eaten!

    3rite a suita#le null hypothesis that coul #e teste #y an epiemiologist

    investigating the e+ect of fruit an vegeta#le consumption on eaths from

    cariovascular isease!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $9&

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    $c& Suggest an explain two other reasons for the i+erences in the eath rates

    #etween the countries ue to cariovascular isease!

    9 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $;&

    ; !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $;&

    $8otal C marks&

    . Several risk factors in.uence the onset of coronary heart isease $"&, incluing

    high #loo cholesterol level, high #loo pressure an smoking!

    8he chart shows the e+ect of com#ining these three factors on the incience of "!

    $ 0 0

    6 0 0

    % 0 0

    4 0 0

    & 0 0

    2 0 0

    1 0 0

    0

    ' n c i d e n c e

    o f ) * +

    p e r

    1 0 0 0 0 0

    p e o p l e

    0 1 2 &N u m b e r o f r i s , f a c t o r s

    $a& "escri#e the e+ect on the incience of " of increasing the num#er of risk factors!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $5&

    #& Explain how each of these risk factors can in.uence the onset of "!

    igh #loo cholesterol !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    igh #loo pressure !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    Smoking !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $&

    $8otal D marks&

    &. 8he graph #elow shows the mortality rate $num#er of eaths per 9@@ @@@& from

    coronary heart isease in people age #etween an in Scotlan #etween

    9DD an ;@@9!

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    $a& ompare the mortality rate from coronary heart isease in males with that of

    females, #etween 9DD an ;@@9!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $5&

    $#& 8he graph shows a change in the num#er of eaths from coronary heart isease

    #etween 9DD an ;@@9! Suggest threereasons for this change!

    9 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    ; !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    5 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $5&

    $c& Jne cause of coronary heart isease is atherosclerosis! "escri#e how atherosclerosis

    evelops!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $&

    $8otal 9@ marks&

    8reatment/prevention of -"

    omplete the ta#le #y explaining how the proceure/rug helps treat -"

    8reatment ow it reuces the risk or treats -" Sie e+ects

    0ifestylechanges

    "rugs tocontrol #loopressure

    Anticoagulants

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    Glateletinhi#itory

    rugs

    Statins

    3ater

    3ater is a

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    3aterTs latent h

    most #iochemical reactions take place in a)ueous solution! 3ater also has a high

    IIIIIIIIIIIII!!, which means that its temperature remains relatively

    sta#le espite large changes in the temperature of the surrouning environment!$%otal 6 mar's(

    . Rea through the following account of compouns use for energy storage in cells, then

    write on the otte lines the most appropriate wor or wors to complete the account!

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    3ater is the universal IIIIIIIIIII!! in living organisms! Qolecules which issolve

    easily in

    water can prouce osmotic e+ects! A high concentration of small, solu#le molecules within a

    cell can

    cause water !!!!!!!!!!!!!!!!!!!!!!!IIII!! the cell! 8his e+ect is reuce if the molecules use forstorage

    in a cell are IIIIIIIIIII!! ! 8herefore energy storage compouns are usually either

    polysaccharies or IIIIIIIIIII!! ! Examples of storage polysaccharies inclue

    starch an

    IIIIIIIIIII!! Starch is foun mainly in IIIIIIIIIII!! cells!

    $8otal marks&

    . 8he ta#le #elow refers to the formula an structure of some #iological molecules!

    omplete the ta#le #y writing in the name, the formula or the structure of themolecule where appropriate in the empty #oxes!

    7ame Formula Structure

    3ater ;J

    Fatty aci * ) ) ) ) ) )

    **

    **

    * * *

    * * *

    -

    - *

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    )

    )

    ) * - *

    ) )

    )

    -

    - *

    *

    *

    **

    *

    - *

    - ** -

    2

    $%otal & mar's(

    ar#ohyrates

    ar#ohyrates are a large family of compouns with the general formula:

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    galactose

    $all the a#ove are hexosesugars: 89;J&

    disacchariesmaltose$;

    glucosemolecules&

    sucrose$glucoseanfructose&

    lactose$glucoseangalactose&

    pol#saccharies$polymers&

    starch

    glycogen

    ellulose

    a'e sure #ou can recognise the structural formulae for glucose, maltose, fructoseand galactose molecules 3 see pages and .

    3hen monosaccharies *oin together, they are linke #y a __________________.

    8his is forme #y a

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    Exam questions:

    1. 8he statements in the ta#le #elow refer to three polysaccharie molecules! 6f the

    statement is correct, place a tick $& in the appropriate #ox an if the statement is

    incorrect, place a cross $x& in the appropriate #ox!

    P o l . m e r o f l u c o s e

    / l . c o s i d i c b o n d s p r e s e n t

    n b r a n c h e d c h a i n s o n l .

    E n e r . s t o r e i n a n i m a l c e l l s

    S t a r c h / l . c o e n ) e l l u l o s eS t a t e m e n t

    $8otal marks&

    . 8he ta#le #elow refers to twoorganic molecules!

    6f the statement is correct for the molecule, place a tick $& in the appropriate #ox!

    6f it is incorrect, place a cross $X& in the appropriate #ox!

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    S t a t e m e n t 1 r i l . c e r i d e / l . c o e n

    ) o n t a i n s o n l . c a r b o nh . d r o e n a n d o 2 . e n

    / l . c o s i d i c b o n d s p r e s e n t

    S o l u b l e i n 3 a t e r

    P r o 4 i d e s s t o r a e o f e n e r .

    - c c u r s i n f l o 3 e r i n p l a n t sa n d a n i m a l s

    $8otal marks&

    . 8he iagram #elow shows a car#ohyrate molecule forme from two glucose

    molecules!

    -

    -

    -

    ) * - * ) * - *2 2

    *

    - *

    B o n d 5

    $a& 7ame the molecule shown in the iagram!

    IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!$9&

    $#& 3hat type of car#ohyrate is this4

    IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!$9&

    $c& 7ame the type of #on la#elle V on the iagram, that links the two glucose molecules!

    IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!$9&

    $& Qany glucose molecules can #e linke together to form cellulose!

    $i& State onefunction of cellulose in living organisms!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!$9&

    $ii& Explain how the structure of cellulose is relate to its functions!

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    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!

    IIIIIIIIIIIIIIIIIIIIIIIII!!IIIII!$;&

    $8otal marks&

    &. 8he ta#le #elow refers to some isaccharies, their constituent monomers an their

    roles in living organisms!omplete the ta#le #y writing in the appropriate wor or

    wors in the empty #oxes!

    "isaccharie onstituent

    monomers

    9ne role in living

    organisms

    0actose ar#ohyrate source

    in

    mammalian milk

    Hlucose glucose

    Form in which

    sugars

    are transporte in

    plants

    $8otal marks&

    6. 8he ta#le #elow refers to two isaccharies, sucrose an maltose! 6f the statement

    is correct, place a tick $ & in the appropriate #ox an if the statement is incorrect,

    place a cross $ & in the appropriate #ox!

    Statement Sucrose Qaltose

    ontains glucose

    6s a reucing sugar

    ontains glycosiic

    #ons

    6s transporte in the

    phloem of .owering

    plants

    $8otal marks&

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    8.$a& A stuent was given two car#ohyrate solutions, la#elle A an B,

    an was tol to perform two tests on each solution!

    8est 9: A Beneict2s solution an heat!

    8est ;: A hyrochloric aci an #oil!

    7eutralise with alkali!

    A Beneict2s solution an heat!

    8he ta#le #elow shows the colour of each solution after testing!

    Solution olour after 8est 9 olour after 8est ;

    A Re

    B Blue Re

    $i& omplete the ta#le to show what colour solution A woul #e following 8est ;!$9&$ii& Explain why these results inicate that solution B containe a non(reucing sugar!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $#& "escri#e how you woul use #iuretreagent to compare the concentration of proteinsin two solutions!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$5&

    $8otal marks&

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    0ipis

    0ipis contain the elements car#on, hyrogen an oxygen! 8hey are insolu#le in water!

    8hey provie twice as much energy as car#ohyrates an supply the #oy with essentialfatt# acids! -itamins are often foun issolve in lipis!

    8he most common type are ________________: mae up of 5 fatty acis *oine to 9 glycerol:

    3hen the molecules *oin together,a _________________reaction takes place!

    _____________#ons are forme!

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    . 8he iagram #elow shows the structure of a lipi molecule!

    *

    )

    )

    )

    *

    -

    -

    -

    )

    )

    )

    *

    *

    *

    -

    -

    -

    A B

    $a& $i& 7ame the parts la#elle A an B!A !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    B !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $ii& 7ame this type of lipi!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $9&$iii& 7ame the chemical reaction use to form the #ons #etween A an B!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$9&

    $#& $i& State onefunction of this type of lipi in living organisms!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$9&

    $ii& State onefeature of the molecules of this type of lipi which makes them suita#le forthe function you have given!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$9&$8otal marks&

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    . 8he ta#le #elow refers to twoorganic molecules!6f the statement is correct for the molecule, place a tick $& in the appropriate #ox!6f it is incorrect, place a cross $X& in the appropriate #ox!

    S t a t e m e n t 1 r i l . c e r i d e / l . c o e n

    ) o n t a i n s o n l . c a r b o n

    h . d r o e n a n d o 2 . e n

    / l . c o s i d i c b o n d s p r e s e n t

    S o l u b l e i n 3 a t e r

    P r o 4 i d e s s t o r a e o f e n e r .

    - c c u r s i n f l o 3 e r i n p l a n t sa n d a n i m a l s

    $8otal marks&

    &. 8he iagram #elow shows the general structure of a phospholipi!

    O r g a n i cg r o u p

    P

    P

    ) *

    * ) - )

    * ) - )

    -

    -

    *

    2

    A B

    P h o s p h a t e r o u p

    $a& $i& 7ame the parts la#elle A an B!

    A !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    B !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $ii& 7ame the type of reaction #y which the #ons #etween parts A an B may

    #e #roken!

    !!!IIIIIIIIIIIIIIIIIIIIIIIIIIIIII$9&

    $8otal 5&

    Energy #ugets an o#esity

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    Boy mass inex $B& is a metho of classifying #oy weight relative to height!

    3hat is the formula for calculating BQ64

    7ormal range is aroun ;@! 0ess than this is unerweight an over 5@, obese!

    ;@O of the population are o#ese L excess dietar# fatan inactivit#are the likely causes!

    J#esity increases the risk of cariovascular isease an 8ype 66 ia#etes!

    3hy might BQ6 not #e the #est inicator of o#esity4

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    BQ6 U2

    meters7in8heihts

    s,ilorammeinmass

    Answer !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $ii& sing the information in the ta#le, interpret this man2s BQ6!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $#& 8he graph #elow shows one analysis of relative mortality compare with BQ6, for men

    an women!

    ompare the e+ect of BQ6 on relative mortality for men an women!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    $5&

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    $c&$i& A relative mortality of 9!; or less inicates a low risk of ying! sing the information

    given, iscuss whether or not a woman with a BQ6 of 5;! shoul #e concerne

    a#out her risk of ying!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$;&

    $ii& ariovascular isease $-"& is responsi#le for many eaths!

    "escri#e two changes that this woman may #e a#le to make to her lifestyle, to

    reuce her risk of ying from -"! Explain how each change woul reuce the risk!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$&

    $8otal 95 marks&

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    ar' scheme for exam questions

    irculatory system

    1. large / active, organisms have high$er&, eman for oxygen / neeto remove J;W

    small$er&, surface area to volume ratio / SA:- / surface area:volumeWsurface area too small / istance too large / i+usion takes too long

    $to supply nees&WACCEPT ORAthroughoutIGNOREref to nutrients

    ACCEPTdiusion too slowlook for reason why diusion not good enough

    >;?

    .

    i+usion not ae)uate / A3 / oraWas not enough area $relative to volume&W ora

    istance too great / cells eep in #oy / A3W ora, 0large un)ualiemass .ow system neeeWtransport / #loo $vascular&, systems, link, the parts of the #oy /name partsWe!g! of su#stance neeing to #e transporteW 0Kgases2 / Kwaste2 / Kfoo2ref to activity / high meta#olic rate, of mammalsW 5 max

    . $i& $#loo .ows& twice through the heart / A3Wfor one circuit / cycle $of the whole #oy& / A3W A for one heart #eatref pulmonary andsystemic systems / to lungs andto $rest of& #oyW0systematic ; max

    $ii& read whole answer and look for any two linked ideas fromX sizeX activityX SA:V ratioora if answered in terms ofGaramecium

    size$mammals& larger / A3Wcells eep in the #oyWregions re)uiring materials separate #y a istance / nee to getmaterials to all parts / A3W

    i+usion too slow / A3W

    activity$mammals& more $meta#olically& active / A3Wnee more materials / more rapi supply / more removal of wastesW

    SA:V ratio$mammals& surface area:volume ratio reuce / A3Wi+usion alone not e+ective / A3W must be linked to SA:V max

    Bloo vessels

    1. 8he ta#le #elow shows features of arteries, veins an capillaries!

    6f the statement is correct, place a tick $& in the appropriate #ox an if the

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    statement is incorrect place a cross $;& in the appropriate #ox!

    Feature Arteries

    -eins apillaries

    3alls permea#le ; ;

    ollagen #respresent in walls

    ;

    Enothelium present Series of valvespresent

    ; ;

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    $a& ompare the changes in pressure in the left ventricle with those in the rightventricle, giving reasons for the i+erences!

    both rise and fall bac' to ? '/a in ?.6 seconds 2 eq.>

    greater change in pressure in left ventricle 2 smaller changes inright ventricle>

    credit correct ref. to gures 2 range 2 di@erence 2 eq.>

    left ventricle contracts more strongl# 2 eq. 2 right ventricle

    contracts less strongl# eq.>left ventricle has more cardiac muscle in !all 2 right ventricle hasless>

    to pump blood around the bod# 2 less distance to lungs 2 leftventricle pumps blood further>

    so that pressure in the lungs is less>

    $& mar's(

    $#& ompare the changes in the pressure in the aorta with those in the leftventricle, giving reasons for the i+erences!

    steep 2 rapid rise in both>

    pressure in aorta rises later than in ventricle 2 starts higher inthe aorta>

    greater rise in left ventricle 2 converse 2 use of gures>

    slight time dela# in blood passing out of ventricle into aorta>

    steeper fall in left ventricle 2 converse>

    gradual fall bet!een ?.& and ?.+ 2 ?.* sec 2 from 1& 2 16 to 1? 2 11'/a is aorta>

    caused b# elastic recoil of aorta !all>

    closure of semilunar 2 aortic value>$ mar's(

    $c& Jn the graph of changes in pressure in the aorta an left ventricle, show #ymeans of an arrow when the aortic semilunar valve closes!

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    arro! placed top of left ventricle curve 2 cross over point of aortacurve and ventricle curve>

    $1 mar'(

    $& ariac muscle is escri#e as myogenic! Explain how the cariac cycle iscoorinate within the heart!initiated b# sino5atrial node 2 eq.>

    !ave of electrical excitation 2 eq. spreads across atria>

    stimulates contraction of $cardiac muscle of( atria>

    passes to ventricles via atrio5ventricular node 2 A7>

    non5conductive tissue 2 eq. else!here bet!een atria andventricles>

    some reference to time dela# at A7>

    thus atrial s#stole occurs before ventricular s#stole>excitation 2 eq. passes do!n pur'ine tissue 2 bundle of is>

    ventricles contract from base 2 apex>

    $& mar's(

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    "ata an risk

    6. $a& Causation:when a change in one varia#le is responsi#le for a change in

    another varia#le / e)W

    Correlation:.$relationship #etween two varia#les such that& a change in oneof the varia#les is re.ecte #y a change in the other varia#le / e)W;

    $#& $i& 9! Yno relationship / little i+erenceZ #etween ethnic group ancholesterol level / e)W

    ;! Ymore / higher percentage ofZ #lack an African Americanshave Yhighest / higherZ #loo pressure than #oth 3hite anQexican Americans / e)W ;

    $iii& not enough people surveye / e)W 9

    $c& 9! iea that Yother varia#les present / other varia#les nee consiering /no information availa#le a#out other varia#lesZ $for a causalrelationship&W

    ;! name varia#le $e!g! genetics, ethnic group, mass of iniviuals, ageof iniviuals, iet, smoking, exercise&W

    5! iea that cholesterol level of ;@ mg mL5may not #e signicantlylower than ;@ mg m

    L5W

    ! iea that Y5@O may not #e signicantly i+erent from ;O / twovalues are not very i+erentZW

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    ! no information on how many teste / survey not repeate elsewhereW5max

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    $& $c&>Gaire points ( marks for reasons must #e linke to apotential i+erence?

    Gotential i+erence Reason

    9! "i+erent levels of healthcareW

    Better treatment / iagnosis / rugavaila#ility / e)W

    ;! SmokingW Smoking can cause atherosclerosis /

    car#on monoxie reuces oxygentransport / nicotine increase #loopressure / e)W

    5! YSaturate fat / re meat/ e)Z intake / converseW

    Raises #loo cholesterol level /"0 : 0"0 ratio / e)W

    ! 0ack of exerciseW Exercise strengthens heart / e)W

    ! J#esity levelsWigher Yfat / cholesterolZ levels /e)W

    ! 0evels of stressW Arenaline / high #loo pressure /fast heart rate / e)W

    ! ealth awarenessW Mnowlege of risk factors aispreventative action / e)W

    C! Goverty / poor livingconitionsW

    A+ects Yiet / health / e)ZW

    D! Alcohol intakeW igh levels increase #loopressure / Ylow levels may reucerisk of " / re wine antioxiantsZW

    9@! Age prole of countryW " increases with ageW

    99! Henetic i+erencesW Henes may a+ect health of heart,

    e!g! hypercholesteraemia $gene /allele&W

    9;! Salt intakeW igh #loo pressureW

    95! Any vali pointW Any vali linke reasonW

    $e(

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    $l&

    $#& igh #loo cholesterol:

    9! Fatty eposition in artery walls / pla)ue formationW

    ;! Atheroma formeW

    5! 6ncrease #loo pressureW! 0umen of $coronary& arteries narrowe / reuce elasticity of

    artery wall / e)W

    ! orrect reference to 0"0sW

    High blood pressure:

    ! "amage to $lining of& arteriesW

    ! Risk of aneurysm / amage lining $of arteries& rupturingW

    C! 6ncrease risk of #loo clot #locking coronary arteriesW

    D! orrect reference to in.ammatory responseW

    Smoking:

    9@! 6ncreases #loo pressureW

    99! 6ncreases risk of aneurysmW

    9;! 0ess antioxiants / more free raicalsW

    95! 6ncreases Ynum#er / activationZ of plateletsW

    9! $0eaing to& increase risk of #loo clot #lockingcoronary arteriesW

    eneral points>allow in any section?:

    9! Reuce #loo supply to heart muscleW

    9! Angina / increase risk of heart attackW

    9! Reference to interactions #etween factors to increase riskW

    9C! orrect reference to atherosclerosisW !"a#imum $ marks for each risk factor%

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    $#& 9! Ypeople more aware of the angers / #etter health eucationZ /appropriate name example /e)W

    ;! less stress /e)W

    5! Y#etter / moreZ screening / e)W

    ! #etter treatments / e)W

    ! [more exercise #eing taken / e)W

    ! change iet / less o#esity / e)W

    ! less alcohol intake / e)W

    C! ecrease in smokingW

    D! change in population genetics / e)W 5 max

    $c& 9! amage to Yenothelial cells / epithelial cells /cells lining artery $wall&ZW

    ;! reference to in.ammatory responseW

    5! reference to $accumulation of& white #loo cells in $amage area&W

    ! Y#uil up / e)Z of cholesterol $in amage area&W

    ! reference to #uil up of Ycalcium salts / #rous tissue / #rin / plateletsZW

    ! reference to formation of Yatheroma / pla)ueZW

    ! reference to Yloss of elasticity $of artery& / narrowing of lumenZ / e)W

    C! iea that this process is selfLperpetuatingW max

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    atheroma / e)ZW

    99! iea that iet shoul have reuce saltW

    9;! high salt associate with high #loo pressureW

    95! iea of moerate alcohol intakeW

    9! high alcohol associate with high #loo pressureW max

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    P o l . m e r o f l u c o s e

    / l . c o s i d i c b o n d s p r e s e n t

    n b r a n c h e d c h a i n s o n l .

    E n e r . s t o r e i n a n i m a l c e l l s

    S t a r c h / l . c o e n ) e l l u l o s eS t a t e m e n t

    ;

    ;

    ;

    ;

    >8otal marks?

    . 8he ta#le #elow refers to twoorganic molecules!6f the statement is correct for the molecule, place a tick $& in the appropriate #ox! 6f it

    is incorrect, place a cross $&& in the appropriate #ox!

    Statement 1ril.ceride /l.coen

    )ontains onl. carbon

    h.droen and o2.en

    /l.cosidic bonds present

    Soluble in 3ater

    Pro4ides storae of ener.

    ;

    ;

    ;

    ;

    ;

    ;-ccurs in flo3erin plants

    and animals

    >8otal marks?

    . $a& Qaltose W 9$#& "isaccharie / reucing sugar W 9$c& Hlycosiic $ignore )ualications, e!g! 9( & W 9$& $i& Formplantcell walls / structural support inplantsW 9$ii& Second mark depends on 'rst( cannot get second marunless linked to a structural point)

    correct structural point * link to relevant function *

    9! large molecules / many glucoses

    linke / polymer W

    insolu#le W

    ;! $forms& straight / un#ranchechains W

    high $tensile& strength /]strong^forms micro#rils / forms#res W

    5! cross links / $hyrogen& #ons,betweenmolecules W

    high $tensile& strength /forms micro#rils / forms#res W

    ! forms micro#rils W high strength / forms #resW

    ! $9(& glucose links W i=cult to igest W! many glucoses linke W cellulose can #e

    hyrolyse an $glucose&use in respiration W

    max ;>?

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    &."isaccharie onstituent

    Qonomers9ne role in livingorganisms

    Hlucose an

    galactoseQaltose Energy / foo

    sourcein$germinating&sees

    Sucrose Hlucose anfructose

    >?

    6.Statement Sucrose Qaltoseontains glucose6s a reucing sugarontains glycosiic#ons6s transporte in thephloem of .oweringplantsEncircle JRRE8 answers

    Any 83J correct responses U 9 markBlanks an am#iguous ticks are incorrectGut correct num#ers of ticks to correspon with total mark

    >?

    8.Statement Starch Hlycogen elluloseGolymer of aglucoseHlycosiic #onspresentn#ranche chainsonlyEnergy store inanimal cells

    >?

    F. $a& $i& Re W 9$ii& 8est 9 shows no reucing sugar $in solution B& W6n test ; sugar is hyrolyse / e) W6n test ; solution $B& was positive W ;$#& 9! A e)ual volumes of each solution W;! 8o e)ual volumes of #iuret reagent W5! YGurple / lilacZ colour prouce W! ompare intensity of colour / use a colorimeter W! After same perio of time W 5>?

    0ipis

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    1. 8he iagram #elow shows the structure of a lipi molecule!

    *

    )

    )

    )

    *

    -

    -

    -

    )

    )

    )

    *

    *

    *

    -

    -

    -

    A B

    $a& $i& 7ame the parts la#elle A an B!A gl#cerol 2 propan31, ,.3triol>

    B fatt# acid$s( 2 fatt# acid chain>

    $ mar's($ii& 7ame this type of lipi!

    trigl#ceride>

    $1 mar'(

    $iii& 7ame the chemical reaction use to form the #ons #etween A an B!condensation 2 esterication>

    $1 mar'(

    $#& $i& State onefunction of this type of lipi in living organisms!energ# store 2 energ# source 2 insulation 2 !aterproong 2

    production of metabolic !ater 2 buo#anc# 2 protection>$1 mar'(

    $ii& State onefeature of the molecules of this type of lipi which makes themsuita#le for the function you have given!

    insoluble 2 non5polar 2 high energ# value 2 poor heat conductor 2lo! densit# 2 less dense than !ater>

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    Statement 1ril.ceride /l.coen

    )ontains onl. carbon

    h.droen and o2.en

    /l.cosidic bonds present

    Soluble in 3ater

    Pro4ides storae of ener.

    ;

    ;

    ;

    ;

    ;

    ;-ccurs in flo3erin plants

    and animals

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    $ii& 9! calculate value is ;! which is Ygreater than ;!@ / in range;!@ to ;D!DZW

    ;! $therefore& man is overweightW

    5! #ut only *ust $overweight&W ; max

    $#& 9! relative mortality ecreases as BQ6 increases from 9D to Y;@ to ;5Zin $#oth men an women& / e)W

    ;! little change in relative mortality within the range Y;@ / ;9 to ;/ ;Z / e)W

    5! as BQ6 increases from a#ove Y;; to ;Z risk increases $in #othmen an women& / e)W

    ! iea that from a#ove Y;@ to ;Z the risk for men is greater thanthat for women / risk the same #etween 9D an Y;@ to ;ZW5 max

    $c& $i& 9! $relative mortality is& Y9!; to 9!;ZW;! iea that risk is low / no nee to #e concerneW

    5! ref to nee to Yreuce / #e concerneZ a#out YBQ6 /weight / o#esityZW ; max