Antibiotics (Cambridge O Level Biology)

Exam Questions

52 mins17 questions
1a
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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.  

1b
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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. 

1c
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2 marks

A different patient was prescribed antibiotics for a skin infection.

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

He decided, at that point, to stop taking the antibiotics.

Explain why this was not advisable.

1d
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1 mark

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

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 the type of microorganism that produces penicillin.

1b
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2 marks

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
(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, 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
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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1 mark

MRSA strain is a strain of bacteria often referred to as a 'superbug'. The SA part of the abbreviation 'MRSA' stands for Staphylococcus aureus, a species of bacteria.

Suggest what the 'R' of MRSA stands for. 

3c
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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.

3d
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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

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

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