Excretion (OCR A Level Biology)

Exam Questions

3 hours34 questions
1a
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1 mark

Define what is meant by the term ‘excretion’.

1b
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4 marks

Complete the table to give examples of metabolic waste products and the sources from which they originate.

Metabolic waste product Source
Urea The ornithine cycle (in the liver)
Carbon dioxide  
  Deamination of amino acids (in the liver)
Uric acid  
Bile pigments  
1c
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4 marks
(i)

Describe the effect of carbon dioxide on the body if it is allowed to accumulate.

[2]

(ii)
Describe the effect of ammonia on the body if it is allowed to accumulate.

[2]

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2a
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3 marks

An important role of the liver is to break down toxic substances and produce excretory waste.

The diagram below shows the external view of the liver.

ocr-a-5-2e-sq-liver-diagram

Complete the table below to show whether the blood vessels labelled A to C are carrying oxygenated or deoxygenated blood.

 

  Name of blood vessel Carrying blood to Carrying oxygenated or deoxygenated blood
A Hepatic artery The liver  
B Hepatic vein The heart  
C Hepatic portal vein The liver  
2b
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2 marks

As shown in the diagram, the liver is connected directly to the gall bladder.

Describe the function of the gall bladder in relation to excretion.

2c
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4 marks
(i)

The liver is an organ.

Explain what is meant by the term organ.

[2]

(ii)
Name the type of cell that makes up the majority of the liver.

[1]
(iii)

Functions of the cell named in part (ii) include the formation of urea and storage of glycogen.

State one other function of the cell named in part (ii).

[1]

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3a
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3 marks
(i)

One of the main functions of the liver is to store glucose as glycogen.

State one feature of glycogen that makes it an effective storage molecule.

[1]

(ii)
Describe the effect on blood glucose levels of glycogen being stored in the liver.
[2]
3b
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6 marks
(i)

Another function of the liver is the production of urea.

Name the process by which the amino group is removed from an amino acid in the first stage of the formation of urea.

[1]

(ii)
Complete the flow diagram below to describe how urea is formed.

The amino group of an amino acid is removed via ____________.

The amino group combines with a __________ atom to form ammonia.

        ↓

Ammonia is combined with __________ to form urea.

[3]

(iii)
Describe what happens to urea once it has been formed.

[2]

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4a
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4 marks

Describe the two key functions of the kidneys.

4b
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6 marks

The image below shows a cross section of a kidney.

--ocr-a-5-2e-sq-kidney-diagram

(i)
Name the structures or areas labelled A, B and C.

[3]

(ii)

The area of the kidney labelled A contains the Bowman’s capsule. 

Identify which nephron structures are found in the area labelled A.

[2]

(iii)
State the function of the structure labelled C.
[1]
4c
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3 marks

A process called ultrafiltration takes place in the Bowman’s capsule of the kidney.

Describe the process of ultrafiltration.

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5a
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4 marks
(i)

The kidneys are vital organs with a variety of roles within the body. Their failure is very dangerous and can be fatal.

State two reasons that the kidneys may fail.

[2]

(ii)
Describe two outcomes of kidney failure.
[2]
5b
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4 marks

Renal dialysis is a potential treatment for kidney failure.

The image below shows a haemodialyser; the piece of equipment that acts as an artificial kidney during renal dialysis.

ocr-a-5-2e-sq-dialysis-diagram

(i)
Name one other potential treatment for kidney failure.
[1]
(ii)
Describe how a haemodialyser is used as an artificial kidney to treat a patient with kidney failure.
[3]
5c
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2 marks
(i)
State one benefit of a kidney transplant as a treatment for kidney failure.

[1]

(ii)
State one disadvantage of a kidney transplant as a treatment for kidney failure.
[1]

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1a
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2 marks

A student dissected a kidney. Fig. 1.1 shows one half of the dissected kidney.q1a-paper-3-nov-2020-ocr-a-level-biology

Fig. 1.1


Draw a simple diagram of the kidney in Fig. 1.1 in the space below.

On your diagram, label the pelvis, medulla and cortex.

1b
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3 marks

A photomicrograph of a stained section of kidney tissue is shown in Fig. 1.2.

q1b-paper-3-nov-2020-ocr-a-level-biology

Fig. 1.2

(i)
State one function of the distal convoluted tubule.

 [1]

(ii)
Describe the function of the structures labelled A in Fig. 1.2.

 [1]

(iii)
Suggest which lumen, B or C, has the highest concentration of urea. Explain your answer.
 [1]
1c
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6 marks

Water reabsorption in the kidney is controlled by the endocrine and nervous systems.

Aldosterone and ADH are hormones that act on the kidney.

Aldosterone causes sodium ions to be pumped from the collecting duct cells into tissue fluid.

Describe how the endocrine and nervous systems work together to increase water reabsorption from the collecting duct.

1d
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2 marks

Diuretics are drugs that decrease the reabsorption of water into the blood from the kidney.

Diuretics can change the concentration of ions and other molecules in the blood.

Some diuretics are used to treat high blood pressure.

The table below lists three different diuretics, X, Y and Z, and some of their effects in the body.

  Without a
diuretic
With a diuretic
X Y Z
Rate of urine
production
(ml min–1)
1 3 13 8
Blood chloride ion
concentration
(mmol dm–3)
60 15 150 150
Blood potassium ion
concentration
(mmol dm–3)
15 60 12 25
Blood glucose
concentration
(mmol dm–3)
6 6 9 8



(i)
Suggest which of the diuretics, X, Y or Z, would be the most effective at reducing a person’s blood pressure. Explain your choice.

diuretic.......................................................................
explanation...............................................................
[1]
(ii)
Suggest which of the diuretics, X, Y or Z, would be the most appropriate for use by a person with type II diabetes. Explain your choice.

diuretic...........................................................................
explanation..................................................................
[1]

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2a
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2 marks

Fig. 22.1 is a cross-section of part of the cortex of a mammalian kidney.

insert-fig-22-1

Image courtesy of Doc. RNDr. Josef Reischig, CSc. Licensed under CC BY-SA 3.0. Reused and distributed under conditions found at: https://creativecommons.org/licenses/by-sa/3.0

Fig 22.1

(i)
Which letter identifies the region with the highest hydrostatic pressure?
[1]
(ii)
Which two letters identify regions that do not contain plasma proteins?
[1]
2b
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5 marks

Studies of the cell surface membranes of the distal convoluted tubule have provided the following evidence:

  • Sodium-potassium pumps:
    • move potassium ions from the blood to the tubule fluid
    • move sodium ions from the tubule fluid to the blood
    • use ATP in these processes.
  • Sodium-calcium co-transport proteins:
    • move calcium ions from the tubule fluid to the blood
    • move sodium ions into the tubule fluid
    • use the electrochemical gradient of sodium ions to drive this process.
(i)
Using this information and your own knowledge, compare the processes occurring in the proximal and distal convoluted tubules.
[3]
(ii)
Nephrogenic diabetes insipidus is a disease of the kidney that affects the regulation of water potential in the blood. One cause is lithium poisoning. Lithium ions enter the kidney tubules through sodium channels.

This prevents the cells of the collecting duct from responding to ADH in the blood.

State and explain one symptom you would expect to observe as a result of nephrogenic diabetes insipidus.
[2]
2c
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5 marks

Fig. 22.2 shows a podocyte from the kidney. The many gaps between the microscopic processes form fenestrations in the Bowman’s capsule.
q22c-paper-1-june-2017-ocr-a-level-biology

Fig. 22.2

(i)
Explain why podocytes are usually unable to undergo mitosis.

[3]

(ii)
Studies show that after damage by infection or injury, it is possible for nephron tissues to be regenerated. Adult stem cells are involved in this process.

What features of adult stem cells make them suitable for regeneration of tissues in the kidney?

[2]

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3a
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6 marks

The process of ultrafiltration in the kidney shares similarities with the formation of tissue fluid.

Describe the similarities and differences between ultrafiltration and the formation of tissue fluid.

3b
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5 marks

A person’s glomerular filtration rate (GFR) provides an indication of the health of their kidneys. The GFR is a measure of the volume of blood that can be filtered by the kidneys every minute.

GFR can be estimated by monitoring the blood concentration of creatinine, which is a breakdown product of creatine phosphate in muscles.

(i)
Suggest two characteristics of a patient that must be taken into account when using this GFR measurement to diagnose kidney damage.

Explain why each characteristic must be considered.

[4]
(ii)
If kidney damage is suspected, the patient’s urine is likely to be tested for the protein albumin. 

Explain why the presence of albumin in the urine indicates kidney damage.
[1]

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4a
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4 marks

Cirrhosis of the liver can result from long-term liver damage. Alcohol or other toxins can cause this damage.

Scientists have suggested that cirrhosis can be detected by taking samples of body fluids and testing them for two different molecules: C-reactive protein and copeptin.

The liver produces these two molecules, and increased levels can indicate liver damage due to cirrhosis.

Different bodily fluids from a patient suspected of having cirrhosis were tested for C-reactive protein and copeptin.

Fig. 17.1 is a graph of the results.

q17-paper-1-june-2017-ocr-a-level-biology

Fig. 17.1

Different bodily fluids have different concentrations of the different molecules.

(i)
Calculate the order of magnitude by which concentration of copeptin in the faeces is higher than the concentration of C-reactive protein in the saliva.
Show your working.

Answer = ................................ molecules cm-3  [2]

(ii)
Suggest why blood and faeces have the highest concentrations of C-reactive protein and copeptin.

[2]

4b
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5 marks

Fig. 17.2 is an image of a Kupffer cell from the liver.

Hz_pgIxM_picture1

Fig. 17.2

(i)

The diameter of the Kupffer cell in the image is 9.1 cm. Assuming it is spherical, calculate the actual volume of this cell. Note that a cm ruler has been added to Fig. 17.2.

Give your answer to four significant figures. Show your working.

[3]

(ii)
Which type of microscope has been used to obtain this image? Explain your answer.
[2]

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5a
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3 marks

Fig. 17.1 is a diagram of the external view of a mammalian liver.

q17a-paper-1-specimen-ocr-a-level-biology

Fig. 17.1

Identify, with reasons, each of the blood vessels labelled A – C in Fig. 17.1.

A .........................................

B .........................................

C .........................................

5b
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5 marks

One of the main functions of the liver cells is the formation of urea by the ornithine cycle, an outline of which is shown in Fig. 17.2.

q17b-paper-1-specimen-ocr-a-level-biology

Fig. 17.2

(i)
Step 1 of the cycle takes place in the organelle represented by D.
Identify organelle D.

[1]

(ii)
During the cycle ornithine moves into organelle D and citrulline moves out of the organelle.
Suggest the method by which these molecules move into and out of the organelle during the cycle. Give reasons for your choice.

[2]

(iii)
How has the ammonia that is used in step 1 been formed?

[1]

(iv)
Identify the compound labelled X in Fig. 17.2.

[1]

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1a
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6 marks

The image below shows a light micrograph of a section of human liver tissue.ocr-a-5-2h-sq-liver-tissue

(i)
Identify the structure labeled M in the image.

[1]

(ii)
The measured length of structure M is 0.4 cm.

Calculate the actual length of structure M in µm, giving the answer to three significant figures.

[3]

(iii)
Suggest and explain one way in which the cells lining structure M are adapted to carry out their function.

[2]

1b
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5 marks

The structure labelled N in the image from part (a) can become blocked by a blood clot or tumour, a condition called Budd-Chiari syndrome.

(i)
Explain why symptoms that may arise in a patient with a blockage in structure N include abdominal swelling and pain.

[3]

(ii)
The spleen is an organ that is responsible for filtering pathogens and old or damaged red blood cells from the blood. It is linked to the liver via the portal vein system as shown in the diagram below:
ocr-a-5-2h-sq-liver-diagram
Suggest and explain the impact that Budd-Chiari syndrome may have on the spleen.

[2]

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2a
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4 marks

One of the main functions of the mammalian liver is the formation of urea via the ornithine cycle.

An outline of the ornithine cycle is shown below.ocr-a-5-2h-sq-ornithine-cycle

(i)
The stage of the ornithine cycle that occurs in the mitochondria is referred to as a rate-limiting step.

Explain what this means.

[2]

(ii)
Adenosine monophosphate (AMP) is a nucleotide consisting of a phosphate group, a ribose sugar and one adenine base.

Describe the two reactions that would take place at stage 2 on the diagram to produce AMP from ATP.

[2]

2b
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5 marks

If there is a problem with the ornithine cycle, the level of ammonia in the blood will rise, causing hyperammonemia.

(i)
Treatment for hyperammonemia includes removing protein from the diet.

Suggest why this is an appropriate treatment for hyperammonemia.

[3]

(ii)
Hepatic ischaemia is damage to the liver caused by an inadequate oxygen supply. It may occur as a result of low blood pressure.

Suggest why low blood pressure may also lead to hyperammonemia.

[2]

2c
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5 marks

Keto acid is another product formed during the deamination of an amino acid. Keto acid may enter the Krebs cycle to be respired or converted into glucose.

(i)
Suggest other biological molecules that keto acid may be converted into for storage.

[2]

(ii)
Keto acid enters the Krebs cycle as acetyl coenzyme A.

Describe the stage of respiration that also produces acetyl coenzyme A to be used in the Krebs cycle.

[3]

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3a
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4 marks

The table below shows the concentration of some components of blood, glomerular filtrate and urine.

Component Blood (g 100cm-3) Glomerular filtrate (g 100cm-3) Urine (g 100cm-3)
Glucose 0.12 0.12 0.00
Urea 0.04 0.04 1.74
Amino acids 0.02 0.02 0.00
Large proteins 6.50 0.00 0.00
Inorganic ions (total) 0.75 0.75 Variable, up to 3.30

(i)

Calculate the percentage increase in the concentration of urea in the urine compared to the blood and glomerular filtrate.

[2]

(ii)
Explain the high levels of urea and inorganic ions in urine compared to blood and glomerular filtrate.

[2]

3b
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6 marks

An individual's kidney function can be assessed by measuring their Glomerular Filtration Rate (GFR).

(i)
GFR is estimated based on the concentration of creatinine in the blood plasma. Creatinine is produced naturally by the body and is filtered from the blood by the kidneys.

Use this information to suggest two properties of creatinine.

[2]

(ii)
An individual’s estimated GFR (eGFR) can be calculated using the following formula:

                                 eGFR = GFR x   begin mathsize 16px style fraction numerator 1.73 over denominator body space surface space area end fraction end style            . 

A man has a GFR of 67 cm3min-1 and a body surface area of 2.03 m2.

Calculate the eGFR for this man, giving the answer to three significant figures

[2]



(iii)
An eGFR of below 60 indicates some reduction in kidney function.

Determine what the result from part (ii) indicates about the man’s kidney function.

[2]

3c
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2 marks

Kidney failure can be treated with haemodialysis.

Explain why it is important to maintain a counter-current flow of blood and dialysate throughout the dialysis process.

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4a
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5 marks

The image below shows a cross section of the cortex of a mammalian kidney.

ocr-a-5-2h-sq-kidney-image

(i)
Name two molecules that would be found in region D.

[2]

(ii)
Identify the region that has the highest hydrostatic pressure and explain why.

[3]

4b
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4 marks

Gestational diabetes insipidus is a rare complication of pregnancy caused by excessive vasopressinase activity.

Vasopressinase is an enzyme produced by the kidney which destroys the mother’s ADH (also called vasopressin).

Suggest and explain a symptom that a mother may have as a result of gestational diabetes insipidus.

4c
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3 marks

A synthetic hormone similar to vasopressin, called desmopressin can be used to treat gestational diabetes insipidus.

Suggest how desmopressin can be used to treat this disease.

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5a
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4 marks

Urine can be used for a variety of medical diagnoses.

(i)
Increased levels of protein in the urine can be an indicator of high blood pressure.

Suggest why.

[2]

(ii)
Suggest what white blood cells in urine may indicate.

[2]

5b
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5 marks

Urine can also be tested for the use of anabolic steroids in sport.

The graph below shows tests carried out by the International Olympic Committee (IOC) on athletes between 1986 and 1994.

  • The bars represent the number of urine samples tested.
  • The line shows the percentage of samples testing positive for elevated levels of the steroid testosterone.

eLeeZ0TQ_ocr-a-5-2h-sq-urine-testing-graph

(i)
Calculate the change in the number of samples testing positive for elevated levels of testosterone between 1986 and 1993.

[3]

(ii)
Anabolic steroids are sometimes used by athletes to rapidly build muscle mass.

Explain how anabolic steroids increase muscle mass.

[2]

5c
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3 marks

 Use data from the graph above to evaluate the following statement:

“Steroid abuse in sport has decreased since 1988”.

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