Drugs in Medicine (Cambridge (CIE) IGCSE Biology)

Exam Questions

58 mins17 questions
1a
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2 marks

Define the term, 'drug'.

1b
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1 mark

Identify the organ that is the primary site of drug metabolism.

1c
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1 mark

State the name of the group of drugs that are used to treat the symptoms or causes of a disease.

1d
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1 mark

State the name of the class of drugs that is used to treat bacterial infections.

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2a
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2 marks

Fig. 1 shows events in the use of an antibiotic drug.

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Fig. 1

Explain what Fig. 1 depicts.  

2b
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1 mark

A patient in a doctor's surgery is diagnosed with the influenza virus and asks for antibiotics to be prescribed. 

Explain why the doctor would deny this request and suggest other treatments. 

2c
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2 marks

A different patient is prescribed antibiotics for a skin infection.

After a few days, the patient has completed 3/4 of the dose and feels better, having experienced relief from the symptoms of the infection.

He decides to stop taking the antibiotics.

Explain why this is not advisable.

2d
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1 mark

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State the name of the small circular loop of DNA that can be passed between bacterial cells and can carry antibiotic resistance genes.

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1a
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1 mark

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Microbiologists test strains of bacteria for antibiotic resistance.

They do this by soaking paper discs in antibiotics and placing them on bacteria growing in Petri dishes.

The paper discs in the centre of Petri dishes E and F in Fig. 1 have been soaked in penicillin. 

cie-igcse-2018-s1-oct-p4-q2a-antibiotics

Fig. 1

State the type of microorganism that produces penicillin.

1b
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2 marks

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State and explain the evidence from Fig. 1 that suggests that the bacteria in dish F are resistant to penicillin.

1c
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7 marks

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(i)

Explain how bacteria become resistant to antibiotics and how humans can reduce the problem of antibiotic resistance. 

[6]

(ii)

Explain why viral infections cannot be treated with antibiotics.

[1]

1d
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3 marks

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Some bacteria and viruses cause disease but many are useful to the biotechnology industry.

Explain why bacteria are useful in biotechnology.

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2a
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1 mark

Some scientists investigated the effect of two antibiotics (methicillin and penicillin) on the growth of two different bacteria.

They used filter paper discs soaked in antibiotic solution and placed the discs on two agar plates, one had been spread with bacteria A and the other with bacteria B.

The filter paper discs were prepared as follows:

  1. Control

  2. Penicillin

  3. Methicillin

Fig. 1 shows the results from the investigation:

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Fig. 1

Suggest what the paper disc might have been soaked in for the control.

2b
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4 marks

Describe and explain the results in Fig. 1.

2c
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2 marks

Predict and explain the appearance of a petri dish that is used to grow a strain of bacteria, Bacteria C, which possesses resistance to methicillin and penicillin.

2d
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3 marks

DNA analysis of the three strains of bacteria (A, B and C) suggests an evolutionary link between them.

Bacteria C is thought to have evolved from one of the other two strains.

(i)

Suggest how bacteria C may have evolved from the other strains.

[1]

(ii)

Predict and explain whether Bacteria C is more likely to have evolved from Bacteria A or Bacteria B.

[2]

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3a
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3 marks

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Antibiotics have been widely used through the 20th and 21st centuries but are losing their effectiveness in medical and veterinary disease treatment. 

Table 1 shows some of the reasons.

Place a tick (✓) in the boxes that are genuine factors why antibiotics can lose their effectiveness in combatting medical and veterinary diseases. 

Table 1

factor

contributes to antibiotics becoming less effective?

 doctors prescribing antibiotics for viral infections

 

 large scale use of antibiotics as disease prevention

 

 doctors prescribing antibiotics for bacterial infections

 

 bacteria evolving defence mechanisms

 

 antibiotics 'wearing out' through overuse

 

 patients always finishing their course of antibiotics

 

3b
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2 marks

Scientists developing new antibiotics sometimes find a molecule that does not kill the bacteria outright, but merely stops them from reproducing.

Explain why this is generally acceptable in the development of new antibiotics. 

3c
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2 marks

Suggest why antibiotics tend to be effective against bacterial cells but not against animal cells.

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4a
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2 marks

A study in a large country analysed levels of three different antibiotics (A, B and C) in stream water leading towards and away from a large urban household waste dumpsite.

Prior to passing the dumpsite, the stream passes through a large urban township with limited sanitation. 

The levels of antibiotics are found in Table 1.

Table 1

Antibiotic

Level in stream water after dumpsite / arbitrary units

Level in stream upstream of the dumpsite / arbitrary units

A

12

10

B

34

8

C

2

3

Calculate the percentage increase of antibiotic B detected as the stream flows from the township and past the dumpsite. 

4b
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2 marks

Suggest two ways in which antibiotics may have found their way into the water as shown in Table 1.

4c
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2 marks

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Suggest two possible risks of antibiotics entering the environment such as in sewage and wastewater.

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