Mark Scheme
Section A — Structured Questions (60 marks)
Question 1
(a) (2 marks)
Award 1 mark for each of the following, up to 2 marks:
• Add iodine (solution) to the test tube / to a sample from the test tube (1)
• If starch is present, the solution turns blue-black / dark blue (1)
Accept: 'Add iodine and it will turn blue-black if starch is there'
Reject: 'Add iodine' alone without result
(b) (2 marks)
Award 1 mark for each controlled variable identified, up to 2 marks:
• Temperature (of the solutions) (1)
• Volume of starch solution (1)
• Volume of amylase solution (1)
• Concentration of starch solution (1)
• Concentration of amylase solution (1)
• Source of amylase (1)
Accept any two valid controlled variables
Reject: pH (this is the independent variable)
(c) (2 marks)
Award marks as follows:
• Correct substitution: rate = 1/45 (1)
• Correct answer: 0.0222 s⁻¹ (1)
Accept: 0.022 s⁻¹ or 2.22 × 10⁻² s⁻¹
Accept answers showing 3 significant figures
Reject answers not to 3 significant figures if question specifies this
(d) (3 marks)
Indicative content:
• The conclusion is supported because pH 6 has the shortest/fastest time (1)
• pH 6 shows the highest rate of reaction / fastest breakdown of starch (1)
• However, pH values between 5 and 7 were not tested / only whole number pH values tested (1)
• So the optimum pH might be between 6 and 7 / more pH values should be tested (1)
• The differences between pH 6 and pH 7 are relatively small (1)
Award 3 marks for a full evaluation including support and limitation(s)
Award 2 marks for partial evaluation
Award 1 mark for simple statement
(e) (3 marks)
Award 1 mark for each of the following, up to 3 marks:
• At pH 4, the pH is more acidic / further from optimum (1)
• The active site of the enzyme changes shape / enzyme denatures / enzyme structure is altered (1)
• The substrate no longer fits the active site / enzyme-substrate complexes cannot form (1)
• So fewer substrate molecules are broken down (per unit time) (1)
Award maximum 3 marks
Accept: 'bonds in enzyme break' for denaturation
Reject: 'enzyme dies' or 'enzyme killed'
Question 2
(a) (2 marks)
Award 1 mark for each correct identification:
• A = aorta (1)
• D = valve / bicuspid valve / mitral valve / atrioventricular valve (1)
Reject: 'vein' for aorta
Accept: 'heart valve' or 'AV valve' for D
(b) (2 marks)
Award marks as follows:
• The left ventricle has to pump blood further / around the body / to the body (1)
• (So) needs to generate higher pressure / more force / stronger contractions (1)
Accept: 'left ventricle pumps blood to body, left atrium only pumps to ventricle'
Reject: 'pumps more blood' alone
(c) (2 marks)
Award marks as follows:
• The valve opens when the atrium contracts / when pressure in atrium is higher (1)
• The valve closes when the ventricle contracts / when pressure in ventricle is higher / when blood tries to flow backwards (1)
Accept: description of pressure differences causing valve movement
Accept: 'tendons/cords hold valve in place'
Reject: 'valve seals the entrance' without mechanism
(d) (2 marks)
Award marks as follows:
• A stent is inserted into the coronary artery (1)
• It keeps the artery open / holds the artery walls apart / maintains blood flow (to the heart muscle) (1)
Accept: 'metal mesh/tube inserted into artery'
Accept: 'prevents artery from narrowing'
Reject: 'removes blockage' (stents don't remove fatty deposits)
(e) (4 marks)
Indicative content:
Advantages:
• Reduces cholesterol levels / reduces risk of fatty deposits forming (1)
• Reduces risk of heart attack / stroke / coronary heart disease (1)
• Non-invasive / no surgery required (1)
• Can be used with other treatments / alongside stents (1)
Disadvantages:
• Must be taken regularly / long-term / daily (1)
• Side effects (e.g., muscle pain, liver problems, memory problems) (1)
• Cost of long-term medication (1)
• May not work for all patients / effectiveness varies (1)
• Doesn't address existing blockages, only prevents new ones (1)
Award marks for advantages and disadvantages identified and explained
Maximum 4 marks total
Credit any valid advantage or disadvantage
Question 3
(a) (2 marks)
Award marks as follows:
• Two unaffected parents can have an affected child / the parents in generation 1 are unaffected but have an affected son (1)
• This shows both parents must be carriers / both parents must have one copy of the recessive allele (1)
Accept: reference to specific individuals in the pedigree
Reject: 'it skips a generation' alone without explanation
(b) (4 marks)
Award marks as follows:
Parental phenotypes:
• Unaffected male / carrier male / normal male (1)
Parental genotypes:
• Ff (1)
Gametes:
• F and f × F and f (1)
Offspring genotypes:
• FF, Ff, Ff, ff / 1 FF : 2 Ff : 1 ff (1)
Accept genetic diagrams shown as Punnett squares
Accept alternative correct notation (e.g., N and n)
Award marks for each correct component
Offspring phenotypes:
• 3 unaffected : 1 affected / 3 normal : 1 cystic fibrosis (allow if included)
(Mark scheme allows this but marks already allocated above)
(c) (1 mark)
Award mark for:
• 25% / 1 in 4 / 0.25 (1)
Accept: '25 percent' or '25'
Reject: '1 in 4' if question asks specifically for percentage
Accept: ¼ if conversion shown
(d) (2 marks)
Award marks as follows:
• Thick mucus traps bacteria / pathogens / microorganisms (1)
• Mucus cannot be cleared / cilia cannot move mucus / bacteria are not removed from airways (1)
• (So) bacteria can multiply / bacteria remain in lungs (1)
Maximum 2 marks
Accept: 'mucus blocks airways allowing bacteria to grow'
(e) (1 mark)
Award 1 mark for any of the following:
• Difficult to get the gene into all lung cells / lung cells (1)
• Lung cells are constantly replaced / new cells don't have the gene (1)
• Immune system may attack the vector / virus used to deliver gene (1)
• Effect is temporary / treatment needs to be repeated (1)
Accept any valid difficulty
Accept: 'hard to deliver gene to target cells'
Question 4
(a) (2 marks)
Award marks as follows:
• As sugar concentration increases, percentage change in mass decreases / becomes more negative (1)
• Relationship is negative correlation / inverse relationship (1)
Accept: 'the higher the sugar concentration, the more mass is lost'
Accept: description of the pattern in words
Reject: 'they are inversely proportional' (not proportional)
(b) (3 marks)
Award 1 mark for each of the following, up to 3 marks:
• Water moves into the potato cells / into the potato cylinder (1)
• By osmosis (1)
• From a dilute solution / from high water potential / from high water concentration to a more concentrated solution / to lower water potential / to lower water concentration (1)
• Through a partially permeable membrane / through the cell membrane (1)
• Because water concentration in the potato cells is lower than in distilled water / water potential in cells is lower than outside (1)
Award maximum 3 marks
Must include 'osmosis' for full marks
Accept: 'from high to low concentration' if context indicates water
(c) (2 marks)
Award marks as follows:
• 0.50% / 0.5% (1)
• Because there is no change in mass / this is where the sugar concentration inside cells equals outside / this is the isotonic point (1)
Accept: 'around 0.5%' or 'between 0.25% and 0.75%'
Reject: answer without explanation
(d) (1 mark)
Award mark for:
• To remove water from the outside / surface of the cylinder (1)
• So only water inside the cylinder is measured / to make measurements accurate (1)
Accept either point for 1 mark
(e) (2 marks)
Award marks as follows:
• Length affects surface area (to volume ratio) (1)
• Different surface areas would mean different rates of osmosis / different amounts of water gain/loss (1)
• (So) results would not be comparable / would introduce another variable (1)
Maximum 2 marks
Accept: 'surface area affects rate of osmosis'
Question 5
(a) (3 marks)
Award marks as follows:
• At 1 hour, number of bacteria ≈ 10 (thousand) / 10,000 (1)
• At 3 hours, number of bacteria ≈ 80 (thousand) / 80,000 (1)
• Number of times divided = 3 (1)
Working:
10 → 20 → 40 → 80 (three divisions)
or 80/10 = 8, and 2³ = 8, so 3 divisions
Accept: clear working showing understanding of binary fission
Accept: ±5 thousand in readings from graph
Must show method for full marks
(b) (3 marks)
Award 1 mark for each of the following, up to 3 marks:
• The graph levels off / rate of increase slows / reaches plateau / stationary phase (1)
• Because nutrients/food are used up / waste products accumulate (1)
• Because space/resources become limited (1)
• (So) rate of reproduction decreases / rate of reproduction = rate of death (1)
Maximum 3 marks
Must describe the pattern (1 mark) and provide explanation (up to 2 marks)
(c) (2 marks)
Award marks as follows:
• The cell wall cannot be synthesized / formed / made / built (1)
• The cell bursts / lyses / cannot maintain shape / water enters by osmosis causing cell to burst (1)
Accept: 'without cell wall, cell membrane cannot withstand pressure'
Accept: 'cell wall provides structural support'
Reject: 'cell wall is destroyed' (antibiotic prevents synthesis, doesn't destroy)
(d) (4 marks)
Award 1 mark for each of the following, up to 4 marks:
• Variation exists / some bacteria have mutations (1)
• Some bacteria have alleles / genes that make them resistant to antibiotics (1)
• When antibiotics are used, non-resistant bacteria die / are killed (1)
• Resistant bacteria survive and reproduce (1)
• The allele for resistance is passed to offspring (1)
• Over time, the proportion of resistant bacteria increases / resistant bacteria become more common (1)
Maximum 4 marks
Must include: variation, selection pressure, survival of resistant, reproduction
Accept: 'natural selection' or 'survival of the fittest' if explained
Question 6
(a) (2 marks)
Award marks as follows:
• 6CO₂ + 6H₂O → C₆H₁₂O₆ + 6O₂ (2)
Award 2 marks for fully correct balanced equation with state symbols not required
Award 1 mark for correct equation with minor error (e.g., not balanced, missing numbers)
Accept: carbon dioxide + water → glucose + oxygen (1 mark only)
Reject: equation with incorrect balancing
(b) (2 marks)
Award 1 mark for each of the following:
• Starch (1)
• Cellulose (1)
Reject: 'carbohydrate' (too vague)
Accept: 'cell wall' if clearly referring to cellulose
(c) (2 marks)
Award marks as follows:
• Chlorophyll absorbs red and blue light / light at 430nm, 450nm, 640nm, 660nm (1)
• Chlorophyll does not absorb green light / green light is reflected / transmitted (1)
Accept: reference to wavelengths from graph
Accept: 'low absorption between 500-600nm'
Reject: 'chlorophyll is green' without explanation
(d) (4 marks)
Award 1 mark for each suggestion and 1 mark for explanation (2 marks per factor, maximum 4 marks):
Possible answers:
• Increase light intensity / add artificial lights (1)
- More energy for photosynthesis / light is used in photosynthesis (1)
• Increase carbon dioxide concentration / add CO₂ (1)
- Carbon dioxide is a raw material / reactant for photosynthesis (1)
• Increase temperature / add heating (1)
- Enzymes work faster / increases rate of enzyme activity (1)
- But not too high or enzymes denature (accept if stated)
Accept: any two valid factors with explanations
Reject: 'water' alone (plants unlikely to be limited by water in greenhouse)
Maximum 4 marks (2 factors with explanations)
Section B — Extended Response (40 marks)
Question 7 (9 marks)
Level 3 (7-9 marks): A detailed evaluation that analyses the data in Table 3 and makes a justified conclusion about whether smoking is the most important risk factor. Makes comparisons between different risk factors using specific data. Considers limitations of the data and/or other factors that might affect lung cancer risk. Answer is coherent, logically structured and uses scientific terminology accurately.
Level 2 (4-6 marks): An evaluation that describes the relationship between smoking and lung cancer using data from the table. Makes some comparison with other risk factors. May identify some limitations but these are not fully developed. Answer has some logical structure and uses scientific terminology appropriately.
Level 1 (1-3 marks): Basic statements about the data with limited evaluation. May simply describe data without comparison. Limited or no use of data to support statements. Answer lacks coherent structure and uses limited scientific terminology.
0 marks: No relevant content.
Indicative content:
Support for smoking being most important:
- Smokers have much higher incidence than non-smokers (78-251 vs 8 per 100,000)
- Clear dose-response relationship: more cigarettes = higher incidence (78 → 127 → 251)
- Heavy smokers (25+/day) have highest incidence of all groups (251)
- Difference between non-smokers and lightest smokers is large (8 → 78, almost 10× increase)
- Smokers have higher incidence than people exposed to radon (251 vs 42) or asbestos (251 vs 65)
Evidence against/limitations:
- Radon and asbestos also increase risk significantly compared to baseline (42 and 65 vs 8)
- Data doesn't show combined effects (e.g., smoking + radon exposure)
- No information about exposure duration/dose for radon and asbestos
- Other risk factors not shown in table (e.g., genetics, air pollution, diet)
- Incidence data doesn't show causation directly
- No information about sample size or uncertainty in data
- Individual variation not shown
Conclusion:
- Evaluation of whether data supports smoking as "most important"
- Consideration that "most important" could mean different things (highest risk, most preventable, affects most people)
Question 8(a) (9 marks)
Level 3 (7-9 marks): A comprehensive discussion covering all three bullet points with detailed explanations of mechanisms. Provides specific examples of barriers, describes how white blood cells destroy pathogens using multiple methods, and explains the immune response to vaccination clearly. Answer is well-organized, coherent and uses scientific terminology accurately throughout.
Level 2 (4-6 marks): A discussion covering at least two of the three bullet points with some detail. Provides some examples and describes some mechanisms but may lack detail or precision. Some explanation of how defenses work. Answer has reasonable structure and uses scientific terminology appropriately.
Level 1 (1-3 marks): Basic statements about body defenses with limited detail. May list defenses without explaining how they work. Covers only one bullet point in detail or multiple points superficially. Limited coherent structure and use of scientific terminology.
0 marks: No relevant content.
Indicative content:
Physical and chemical barriers:
- Skin: acts as physical barrier / prevents entry of pathogens
- Skin produces antimicrobial secretions / sebum
- Nose: hairs and mucus trap pathogens
- Trachea and bronchi: ciliated epithelial cells waft mucus (containing trapped pathogens) upward
- Stomach: produces hydrochloric acid / low pH kills pathogens
- Eyes: produce tears containing lysozyme (enzyme that kills bacteria)
How white blood cells destroy pathogens:
- Phagocytosis: white blood cells engulf and digest pathogens
- Producing antibodies: specific proteins that bind to antigens on pathogen surface
- Antibodies cause pathogens to clump together / be destroyed / be marked for phagocytosis
- Producing antitoxins: neutralize toxins produced by bacteria
- Lymphocytes recognize specific antigens
- Memory cells remain in blood after infection
Vaccination:
- Vaccination introduces dead/inactive pathogen or antigen
- White blood cells produce antibodies specific to the pathogen
- Memory cells are produced
- If live pathogen enters body later, memory cells recognize it
- Antibodies produced rapidly / in large quantities
- Secondary immune response is faster and stronger
- Pathogen is destroyed before symptoms develop / person becomes immune
Question 8(b) (6 marks)
Level 3 (5-6 marks): A detailed evaluation considering both advantages and disadvantages of using bacteriophages as an alternative to antibiotics. Makes reasoned judgements about the potential of this treatment. Uses scientific knowledge to support the evaluation. Answer is coherent and logically structured.
Level 2 (3-4 marks): An evaluation identifying some advantages and disadvantages. Some development of points but may lack balance or detail. Some scientific reasoning. Answer has some logical structure.
Level 1 (1-2 marks): Basic statements about bacteriophages with limited evaluation. May simply list advantages or disadvantages without development. Limited scientific reasoning.
0 marks: No relevant content.
Indicative content:
Advantages:
- Specific to bacteria / don't harm human cells / fewer side effects
- Target specific bacterial species / can be targeted at pathogen
- Don't kill beneficial bacteria (e.g., gut bacteria)
- Can work against antibiotic-resistant bacteria
- Bacteriophages evolve alongside bacteria / can overcome resistance
- Naturally occurring / found in environment
- Self-replicating: multiply at site of infection
Disadvantages:
- Very specific / need to identify bacterial species first / takes time
- May need different bacteriophages for different infections
- Limited research / long-term effects unknown
- Not yet licensed/approved for widespread use in many countries
- Immune system might destroy bacteriophages
- Public may be concerned about using viruses as treatment
- May be expensive to develop/produce
- Bacteria could evolve resistance to bacteriophages too
- Bacteriophages might cause release of toxins when bacteria burst
Conclusion/evaluation:
- Could be useful alternative where antibiotics fail
- Need more research before widespread use
- Might be used in combination with antibiotics
Question 9 (10 marks)
Level 3 (8-10 marks): A comprehensive answer that assesses multiple human impacts on ecosystems with specific examples, and discusses detailed strategies for maintaining biodiversity. Shows clear understanding of ecological concepts. Makes reasoned judgements about the effectiveness of strategies. Answer is well-organized, coherent and uses scientific terminology accurately throughout.
Level 2 (5-7 marks): Describes several human impacts and suggests some strategies for maintaining biodiversity. Shows understanding of some ecological concepts. Some development of ideas but may lack detail or specific examples. Answer has reasonable structure and uses scientific terminology appropriately.
Level 1 (1-4 marks): Basic statements about human impacts and/or conservation strategies with limited detail. May simply list impacts or strategies without explanation. Limited understanding of ecological concepts. Limited coherent structure and use of scientific terminology.
0 marks: No relevant content.
Indicative content:
Impact of human activities:
Deforestation:
- Loss of habitat for species / destruction of food chains
- Reduces biodiversity / species become extinct
- Loss of trees reduces carbon dioxide absorption / increases greenhouse gases
- Soil erosion occurs
- Disrupts nutrient cycling
Pollution:
- Toxic substances kill organisms / reduce populations
- Air pollution affects plants (e.g., acid rain damages leaves)
- Water pollution affects aquatic organisms
- Bioaccumulation of toxins through food chains
- Eutrophication from fertilizer runoff
Non-native species:
- Compete with native species for resources
- May have no natural predators / outcompete native species
- Disrupt food chains / webs
- May bring new diseases
- Can cause extinction of native species
Urban development:
- Habitat loss / fragmentation
- Reduces available space for species
- Light and noise pollution affects behavior
- Interrupts migration routes / movement of species
Strategies to maintain biodiversity:
Protection:
- Create nature reserves / protected areas
- Legal protection for endangered species
- Restrict access to sensitive areas
- Control activities allowed in woodland
Habitat management:
- Maintain variety of habitats (e.g., clearings, dense woodland)
- Coppicing / sustainable woodland management
- Create wildlife corridors linking habitats
- Control invasive species
- Plant native species
- Create buffer zones around reserve
Monitoring:
- Regular surveys of species populations
- Monitor habitat quality
- Identify threats early
- Use data to inform management decisions
Education and engagement:
- Educate public about importance of biodiversity
- Involve local community in conservation
- Promote sustainable use of resources
- Encourage visitors to follow codes of conduct
Specific to urban development threat:
- Negotiate with developers for sustainable development
- Require environmental impact assessments
- Create green spaces in development
- Enforce planning restrictions
Evaluation:
- Some strategies more effective than others
- Need combination of approaches
- Requires funding and long-term commitment
- Need cooperation from multiple stakeholders
- Balance conservation with human needs
Question 10 (6 marks)
Level 3 (5-6 marks): A detailed description and explanation covering all three bullet points. Clearly explains filtration in the glomerulus, selective reabsorption in the tubules, and the role of ADH. Links structure to function. Uses scientific terminology accurately. Answer is coherent and logically structured.
Level 2 (3-4 marks): Describes and explains at least two of the three bullet points with some detail. Some links between structure and function. Uses scientific terminology appropriately. Answer has some logical structure.
Level 1 (1-2 marks): Basic description of one or two processes with limited explanation. May not link structure to function. Limited use of scientific terminology. Answer lacks coherent structure.
0 marks: No relevant content.
Indicative content:
Filtration:
- Blood enters glomerulus under high pressure
- Small molecules filtered from blood into Bowman's capsule
- Filter includes: water, glucose, urea, ions/salts
- Large molecules (proteins, blood cells) cannot pass through / remain in blood
- Filtrate moves into tubule
- High pressure created by: narrow efferent arteriole / afferent arteriole wider than efferent
Selective reabsorption:
- Useful substances reabsorbed from tubule back into blood
- All glucose reabsorbed (proximal tubule)
- Some water reabsorbed
- Some ions reabsorbed
- Urea not reabsorbed (waste product)
- Reabsorption by: diffusion, osmosis, active transport
Structure-function adaptations:
- Tubule has large surface area for reabsorption
- Tubule has many mitochondria to provide energy for active transport
- Tubule cells have microvilli to increase surface area
- Close association between tubule and capillaries / blood vessels
- Glomerulus has many capillaries to increase surface area for filtration
- Bowman's capsule surrounds glomerulus to collect filtrate
Role of ADH:
- ADH is a hormone released by pituitary gland
- Controls water reabsorption in collecting duct
- When body is dehydrated / water content low:
- More ADH released
- Collecting duct becomes more permeable to water
- More water reabsorbed
- Urine more concentrated / smaller volume
- When body has excess water:
- Less ADH released
- Collecting duct less permeable to water
- Less water reabsorbed
- Urine dilute / larger volume
- This is negative feedback / homeostatic control
Formation of urine:
- Filtrate remaining in tubule passes to bladder as urine
- Urine contains: water, urea, ions
- Composition varies depending on body's needs
Sample Answers with Examiner Commentary
Question 7 — Sample Answers
Grade 9 (top of Higher) answer
The data in Table 3 provides strong evidence that smoking is the most important risk factor for lung cancer. The incidence rate increases dramatically with smoking, from just 8 cases per 100,000 in non-smokers to 78 in light smokers, and reaches 251 in heavy smokers. This represents over a 30-fold increase, which is substantially higher than the increases seen with radon exposure (42 per 100,000) or asbestos exposure (65 per 100,000). Furthermore, there is a clear dose-response relationship: as the number of cigarettes smoked per day increases, so does the incidence of lung cancer (78 → 127 → 251). This pattern strongly suggests a causal relationship rather than just correlation.
However, there are limitations to concluding that smoking is definitively "the most important" risk factor. First, the data doesn't account for people who might be exposed to multiple risk factors simultaneously. For example, a smoker who also works with asbestos or lives in a radon-affected area would likely have an even higher risk than shown in the table. Second, the term "most important" could be interpreted in different ways. While smoking causes the highest incidence in the exposed population, other factors like genetic predisposition or air pollution are not shown in this data and might be significant. Third, the data for radon and asbestos doesn't specify the level or duration of exposure, making direct comparison difficult. Someone with very high asbestos exposure over many years might have a risk comparable to heavy smokers.
From a public health perspective, smoking could still be considered "most important" because it is the most preventable and affects the largest number of people in the population. The data shows that even light smoking causes a substantial increase in risk, and smoking is a voluntary behavior that can be changed through public health interventions. Overall, while the data provides strong evidence that smoking is a major risk factor causing the highest incidence rates among those shown, it would be more accurate to say smoking is "one of the most important" risk factors rather than absolutely "the most important," as other factors and combinations of factors are not fully represented in this limited dataset.
Mark: 9/9
Examiner commentary: This is an exemplary response that demonstrates Level 3 assessment skills throughout. The candidate uses specific data from the table to support arguments (quotes actual figures and calculates the 30-fold increase), identifies the dose-response relationship, and distinguishes between correlation and causation. The answer considers multiple interpretations of "most important" and evaluates limitations of the dataset, including the lack of information about combined exposures and exposure levels. The response is logically structured, moving from evidence supporting the statement, to limitations, to a nuanced conclusion that appropriately qualifies the claim. Scientific terminology is used accurately throughout. This achieves full marks across all assessment criteria.
Grade 6 (solid pass) answer
The data shows that smoking is an important risk factor for lung cancer. Non-smokers only have 8 cases per 100,000 people but smokers have much higher rates. People who smoke 1-14 cigarettes per day have 78 cases, those smoking 15-24 have 127 cases, and heavy smokers have 251 cases. This shows that the more you smoke, the more likely you are to get lung cancer, which proves smoking causes it.
Smoking gives higher incidence than radon gas (42) and asbestos (65), so smoking seems to be worse than these other risk factors. The highest number in the table is for people smoking 25+ cigarettes per day at 251, which is the most dangerous.
However, the table doesn't show everything. Other things like genetics or pollution could also cause lung cancer but aren't in the table. Also, some people might be exposed to smoking and radon together, which could be even more dangerous. We don't know how long people were exposed to radon or asbestos, so it's hard to compare properly with smoking.
Overall, smoking does appear to be the most important risk factor based on this data because it has the highest numbers and there is a clear pattern of more smoking leading to more cancer.
Mark: 6/9
Examiner commentary: This is a solid Level 2 response that demonstrates sound understanding and makes appropriate use of data. The candidate correctly identifies the dose-response relationship and compares smoking with other risk factors using specific figures from the table. The answer recognizes some limitations, including the absence of other factors and combined exposures. However, the evaluation lacks the depth of a Level 3 response: the candidate doesn't quantify the differences as effectively (e.g., calculating fold-increases), doesn't fully explore what "most important" means in different contexts, and the discussion of limitations is less developed. The conclusion restates the position but doesn't fully acknowledge the nuances or qualify the statement as carefully as a top answer would. The response would benefit from more critical analysis of whether the data truly "proves" causation and deeper consideration of the limitations.
Grade 3 (near miss) answer
Table 3 shows that smoking causes lung cancer. Non-smokers have 8 cases but smokers who smoke 25+ cigarettes have 251 cases which is much more. This proves that smoking is the most important risk factor.
Radon gas also causes lung cancer with 42 cases and asbestos causes 65 cases. These are less than smoking so smoking is worse. The more cigarettes you smoke the more cancer you get.
However not everyone who smokes gets cancer so there must be other factors too like genetics. Some people who don't smoke still get lung cancer (8 cases) so smoking can't be the only cause.
The data shows smoking is the most important because it has the biggest numbers in the table.
Mark: 3/9
Examiner commentary: This response demonstrates Level 1 understanding with some limited progression toward Level 2. The candidate correctly identifies that smoking is associated with higher incidence and makes a basic comparison with other risk factors. However, the answer shows several weaknesses that prevent it reaching higher levels. First, the candidate conflates "causes" with "is associated with" – the data shows correlation and risk, not direct causation in individuals. Second, the evaluation is superficial: pointing out that some non-smokers get cancer is true but doesn't constitute meaningful evaluation of whether smoking is "the most important" risk factor. Third, the candidate doesn't engage meaningfully with the concept of "evaluate" – there's no real weighing of evidence or consideration of limitations beyond a brief mention of genetics. The response would improve significantly by: using data more precisely (e.g., explaining what "8 per 100,000" means), explaining the dose-response relationship more clearly, considering what the data doesn't show (combined exposures, duration, other factors), and providing a more nuanced conclusion rather than simply restating that smoking "has the biggest numbers."
Question 8(a) — Sample Answers
Grade 9 (top of Higher) answer
The human body has multiple mechanisms for defending against pathogens, working at different levels.
The first line of defense consists of physical and chemical barriers that prevent pathogens from entering the body in the first place. The skin provides an effective physical barrier as pathogens cannot penetrate the outer keratinized layer, and it also secretes antimicrobial substances in sebum that kill bacteria. The respiratory system has several defenses: the nose contains hairs and mucus that trap pathogens and dust particles, while the trachea and bronchi are lined with ciliated epithelial cells that waft mucus containing trapped pathogens upward to be swallowed. The stomach then kills these pathogens with its hydrochloric acid, which maintains a pH of around 2 that denatures bacterial enzymes and kills most microorganisms. The eyes produce tears containing lysozyme, an enzyme that breaks down bacterial cell walls.
If pathogens do enter the body, white blood cells provide the second line of defense. Phagocytes carry out phagocytosis, engulfing pathogens and digesting them with enzymes inside the cell. Lymphocytes provide a more specific response by producing antibodies – proteins that are complementary to specific antigens on the pathogen's surface. Each lymphocyte produces antibodies specific to one type of antigen. When antibodies bind to antigens, they cause pathogens to clump together, making them easier for phagocytes to engulf, or they may neutralize the pathogen directly. Lymphocytes also produce antitoxins that neutralize the harmful toxins produced by some bacteria. After an infection, some lymphocytes become memory cells that remain in the blood long-term.
Vaccination exploits this immune memory to provide protection against diseases. A vaccine contains dead or inactive pathogens, or just their antigens, which cannot cause the disease but still trigger an immune response. When the vaccine is injected, lymphocytes recognize the antigens and produce specific antibodies. Crucially, memory cells are also produced. If the person later encounters the live pathogen, these memory cells recognize it immediately and rapidly produce large quantities of antibodies. This secondary immune response is much faster and produces more antibodies than the primary response, so the pathogen is destroyed before it can cause symptoms. This means the person is immune to the disease. Vaccination programs have successfully controlled diseases like measles, polio, and tet