Drugs in Medicine (CIE IGCSE Biology: Co-ordinated Sciences (Double Award))

Exam Questions

47 mins14 questions
1a
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2 marks

Define the term drug.

1b
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1 mark

State the term used to refer to drugs that are used to treat the symptoms or causes of disease.

1c
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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 a possible result of antibiotic use when treating an infection.

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Fig. 1

Explain the events shown in Fig. 1.

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. 

2c
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1 mark

Bacterial cells can pass alleles for antibiotic resistance from one individual to another via small loops of DNA.

State the name of the small loops of DNA that can be passed between bacterial cells.

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1a
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2 marks

Extended Tier Only

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. 

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Fig. 1

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

1b
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7 marks

Extended Tier Only

(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]

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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 (C), which possesses resistance to methicillin and penicillin.

2d
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3 marks

Extended Tier Only

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

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

(i)

State the name of the genetic change that allows new strains of bacteria to evolve from other strains.

[1]

(ii)

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

[2]

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3a
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3 marks

Extended Tier Only

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

Place a tick (✓) in the boxes that explain why antibiotics can lose their effectiveness in combatting disease.

Table 1

factor contributes to antibiotics becoming less effective?
 antibiotics being used to treat viral infections  
 large-scale use of antibiotics as disease prevention  
 doctors prescribing antibiotics for bacterial infections  
 mutations occur in bacteria  
 patients become resistant to 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.

Suggest why these molecules might be effective in the treatment of bacterial infection.

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 site.

Prior to passing the site the stream passes through a large urban area with limited sanitation.

The levels of antibiotics are found in Table 1.

Table 1

Antibiotic Levels in stream water after waste site / arbitrary units Level in stream upstream of the  waste site / 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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1 mark

Suggest how antibiotics may have entered the water, as shown in Table 1.

4c
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2 marks

Extended Tier Only

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

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