Exam code: 8465
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Define health.
Health is defined as a state of physical, mental and social well-being, and not merely the absence of disease.

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Factors including .......... , .......... and life situations can affect both physical and mental health.
Factors including diet, stress and life situations can affect both physical and mental health.
True or False?
Ill health only affects the person who is sick and has no impact on others.
False.
Ill health affects not only the sufferer but also their family members and the contribution that individual can make to society.
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Define health.
Health is defined as a state of physical, mental and social well-being, and not merely the absence of disease.
Factors including .......... , .......... and life situations can affect both physical and mental health.
Factors including diet, stress and life situations can affect both physical and mental health.
True or False?
Ill health only affects the person who is sick and has no impact on others.
False.
Ill health affects not only the sufferer but also their family members and the contribution that individual can make to society.
Define communicable disease.
A communicable disease is an infectious disease caused by a pathogen that can be transferred from a diseased host to a healthy organism.
Give three ways in which communicable diseases can be spread.
Communicable diseases can be spread by:
Direct contact
Water
Air
True or False?
Pathogens can infect plants as well as animals.
True.
Pathogens cause communicable diseases in both plants and animals.
Non-communicable diseases, such as heart disease, cancer and diabetes, are the leading cause of .......... in the world.
Non-communicable diseases, such as heart disease, cancer and diabetes, are the leading cause of death in the world.
What is the difference between a communicable and a non-communicable disease?
A communicable disease is caused by a pathogen and can be passed from one organism to another. A non-communicable disease is not infectious and cannot be passed between organisms.
True or False?
Constant stress can increase the risk of cardiovascular issues such as high blood pressure.
True.
Being under constant stress can lead to cardiovascular issues, including high blood pressure, which increases the risk of coronary heart disease.
Define risk factor.
A risk factor is an aspect of a person's lifestyle, or a substance in their body or environment, that has been shown to be linked to an increased rate of a disease.
True or False?
Exposure to a risk factor guarantees that a person will develop the associated disease.
False.
Exposure to a risk factor increases the chance of developing a disease but does not guarantee it. For example, a smoker has a much higher risk of lung cancer but is not certain to develop it.
What is the difference between a correlation and a causal mechanism when linking a risk factor to a disease?
A correlation shows a relationship between a risk factor and a disease. A causal mechanism goes further — it provides a proven biological explanation for how the risk factor actually causes the disease.
.......... is a risk factor for Type 2 diabetes, while .......... is a risk factor for liver and brain damage.
Obesity is a risk factor for Type 2 diabetes, while alcohol is a risk factor for liver and brain damage.
Give three ways in which smoking is a risk factor for disease.
Smoking is a risk factor for:
Lung disease and lung cancer
Cardiovascular disease
Harm to unborn babies
True or False?
Carcinogens and ionising radiation are risk factors for developing cancer.
True.
Carcinogens and ionising radiation are both risk factors that can increase the likelihood of developing cancer.
Why do scientists use scatter diagrams when studying risk factors for disease?
Scientists use scatter diagrams to identify correlations between two variables — for example, to determine whether a factor such as obesity is associated with an increased risk of developing a disease such as Type 2 diabetes.
Scientists .......... populations to determine risk factors for different diseases without having to investigate every individual.
Scientists sample populations to determine risk factors for different diseases without having to investigate every individual.
True or False?
The chance of developing cardiovascular disease is higher in individuals who have a poor diet, do not exercise, and smoke.
True.
Many diseases result from the interaction of multiple risk factors. A poor diet high in cholesterol, lack of exercise and smoking all independently increase the likelihood of cardiovascular disease.
Define coronary heart disease (CHD).
Coronary heart disease is a condition in which layers of fatty material (plaque) build up inside the coronary arteries, reducing blood flow to the heart muscle.
What is the difference between angina and a heart attack in coronary heart disease?
Angina results from a partial blockage of the coronary arteries, restricting blood flow and causing severe chest pain. A heart attack results from a complete blockage, preventing aerobic respiration in heart muscle cells.
True or False?
Statins work by widening the lumen of coronary arteries.
False.
Statins reduce the levels of cholesterol in the blood by blocking an enzyme in the liver, slowing the rate of fatty deposit build-up. It is stents that physically widen the lumen of the arteries.
.......... are used to keep the coronary arteries open by increasing the width of the .......... of the artery.
Stents are used to keep the coronary arteries open by increasing the width of the lumen of the artery.
Give one advantage and one disadvantage of using a stent to treat coronary heart disease.
Advantage: Stents are effective at widening the lumen, increasing blood flow, and the procedure is relatively simple surgery.
Disadvantage: There is a risk of blood clots (thrombosis) forming after insertion.
True or False?
Biological heart valves sourced from animals need to be replaced after approximately 12–15 years.
True.
Biological valves from animals such as cows or pigs are effective but typically need to be replaced after 12–15 years. They also carry a risk of immune rejection.
Give two uses of an artificial heart.
An artificial heart can be used to:
Keep patients alive while waiting for a heart transplant
Allow the heart to rest as an aid to recovery
Patients with mechanical heart valves have a lifelong need to take .......... medication to prevent blood clots.
Patients with mechanical heart valves have a lifelong need to take anticoagulant medication to prevent blood clots.
True or False?
Artificial hearts are less likely to be rejected by the immune system than donor hearts.
True.
Artificial hearts are made of plastic and metal, so they are less likely to trigger an immune rejection response compared to a donor heart.
Why do statins need to be taken regularly and long-term to be effective?
Statins block an enzyme in the liver that produces cholesterol. If they are not taken consistently, the liver resumes normal cholesterol production, allowing fatty deposits to continue building up in the blood.
Define homeostasis.
Homeostasis is the regulation of the internal conditions of a cell or organism to maintain optimum conditions for function in response to internal and external changes.
Give three conditions that are regulated by homeostasis in the human body.
Homeostasis regulates:
Blood glucose concentration
Body temperature
Water levels
True or False?
Homeostasis is under voluntary (conscious) control in the human body.
False.
Homeostasis is under involuntary (automatic) control. The brain stem and spinal cord maintain internal conditions without conscious effort.
In a homeostatic control system, .......... detect changes in the environment, .......... centres process this information, and .......... bring about a corrective response.
In a homeostatic control system, receptors detect changes in the environment, coordination centres process this information, and effectors bring about a corrective response.
What is the normal core body temperature in humans, and why must it be kept within a narrow range?
The normal core body temperature is 37 °C. It must be kept within a narrow range because a change of more than 2 °C can be fatal — enzymes would not function optimally.
True or False?
Homeostasis maintains a constant body temperature because enzymes would stop working if the temperature changed too much.
True.
Homeostasis maintains body temperature at about 37 °C because enzymes have an optimum temperature. A large change in temperature would cause enzymes to denature, stopping cell functions.
How does the body produce a large amount of dilute urine versus a small amount of concentrated urine?
When blood water content is too high, the kidneys reabsorb less water, producing a large amount of dilute urine. When blood water content is too low, the kidneys reabsorb more water, producing a small amount of concentrated urine.
Three internal conditions regulated by homeostasis are blood glucose concentration, body .......... and .......... levels.
Three internal conditions regulated by homeostasis are blood glucose concentration, body temperature and water levels.
True or False?
Effectors in homeostatic control systems can be either muscles or glands.
True.
Effectors are the components that bring about the corrective response in a homeostatic control system. They can be muscles or glands.
Define insulin.
Insulin is a hormone produced by the pancreas that causes cells, particularly in the liver and muscles, to take in glucose from the bloodstream and convert excess glucose into glycogen for storage.
True or False?
Excessively low blood glucose levels can be dangerous to the brain.
True.
Excessively low blood glucose levels mean the brain receives insufficient glucose for respiration, which can potentially lead to a coma or even death.
In liver and muscle cells, excess glucose is converted into .......... for storage by the action of insulin.
In liver and muscle cells, excess glucose is converted into glycogen for storage by the action of insulin.
Define glucagon.
(Higher Tier Only)
Glucagon is a hormone produced by the pancreas when blood glucose is too low. It causes glycogen stored in the liver to be converted back into glucose and released into the blood.
True or False?
Insulin and glucagon are both produced by the liver to control blood glucose levels.
(Higher Tier Only)
False.\n\nInsulin and glucagon are both produced by the pancreas, not the liver. The liver is the organ that stores and releases glycogen in response to these hormones.
What causes Type 1 diabetes and how is it treated?
Type 1 diabetes is caused by the pancreas failing to produce sufficient insulin, thought to result from the immune system destroying the insulin-producing cells. It is treated with insulin injections.
How does Type 2 diabetes differ from Type 1?
In Type 2 diabetes, body cells no longer respond to insulin — the person still produces insulin but their cells are resistant to it. Unlike Type 1, it is not caused by a failure to produce insulin.
Common treatments for Type 2 diabetes include a carbohydrate-controlled .......... and an .......... regime.
Common treatments for Type 2 diabetes include a carbohydrate-controlled diet and an exercise regime.
True or False?
Obesity is a risk factor for Type 2 diabetes.
True.
Obesity is a significant risk factor for Type 2 diabetes, partly because a diet high in carbohydrates can lead to over-production of insulin and the development of insulin resistance.
Define testosterone.
Testosterone is the main male reproductive hormone, produced by the testes. It stimulates sperm production and causes secondary sex characteristics to develop during puberty.
What is ovulation and approximately how often does it occur?
Ovulation is the release of a mature egg from the ovary. It occurs approximately every 28 days as part of the menstrual cycle.
True or False?
Oestrogen is produced by the testes.
False.
Oestrogen is the main female reproductive hormone and is produced by the ovaries, not the testes.
Define FSH (follicle-stimulating hormone).
(Higher Tier Only)
FSH is a hormone produced by the pituitary gland that causes an egg to mature inside a follicle in the ovary. It also stimulates the ovaries to produce oestrogen.
When oestrogen levels peak, they stimulate the release of .......... from the pituitary gland, which causes ovulation.
(Higher Tier Only)
When oestrogen levels peak, they stimulate the release of LH from the pituitary gland, which causes ovulation.
What is the role of progesterone in the menstrual cycle?
(Higher Tier Only)
Progesterone maintains the uterus lining. If the egg is not fertilised, progesterone levels fall, causing the lining to break down (menstruation). If fertilisation occurs, progesterone continues to be produced to maintain the lining.
True or False?
Oestrogen inhibits the further production of FSH.
(Higher Tier Only)
True.\n\nOestrogen causes the growth and repair of the uterus lining and also inhibits the production of FSH, preventing further egg maturation once levels are high enough.
After ovulation, the follicle becomes the .......... and begins producing progesterone.
(Higher Tier Only)
After ovulation, the follicle becomes the corpus luteum and begins producing progesterone.
During pregnancy, which structure takes over the production of progesterone from the corpus luteum?
(Higher Tier Only)
The placenta takes over progesterone production once it has developed, and continues to secrete progesterone throughout the pregnancy to maintain the uterus lining.
Define contraception.
Contraception refers to methods used to prevent fertilisation and pregnancy, allowing humans to control their fertility. Methods can be hormonal or non-hormonal.
What is the role of oestrogen in the combined contraceptive pill?
High levels of oestrogen inhibit FSH production, preventing the maturation and release of eggs from the ovaries.
True or False?
The combined contraceptive pill contains only oestrogen.
False.
The combined pill contains both oestrogen and progesterone. There is also a progesterone-only pill, which has fewer side effects.
Progesterone stimulates the production of a thick .......... that prevents .......... from reaching any eggs, and also inhibits the .......... and release of mature eggs.
Progesterone stimulates the production of a thick mucus that prevents sperm from reaching any eggs, and also inhibits the maturation and release of mature eggs.
What are barrier methods of contraception? Give two examples.
Barrier methods physically prevent sperm from reaching an egg. Examples include condoms and diaphragms.
True or False?
Condoms are the only contraceptive method that also protects against sexually transmitted infections (STIs).
True.
Condoms are the only contraceptive method that also provides protection against sexually transmitted infections (STIs). Other barrier methods, hormonal methods, and surgical methods do not offer this protection.
What happens during a vasectomy?
The sperm ducts — the tubes connecting the testes to the penis — are cut and tied, preventing sperm from being released during ejaculation. It is a highly effective method of surgical sterilisation.
Spermicidal agents kill or .......... sperm cells, but are only .......... to 80% effective at preventing .......... .
Spermicidal agents kill or disable sperm cells, but are only 70 to 80% effective at preventing pregnancy.
True or False?
Complete abstinence from intercourse is the only 100% effective method of preventing pregnancy.
True.
Complete abstinence is the only method guaranteed to prevent pregnancy. Natural methods that involve avoiding intercourse during fertile periods are not as reliable because fertility cannot be accurately predicted.
What is IVF (In Vitro Fertilisation)?
(Higher Tier Only)
IVF (In Vitro Fertilisation) is a fertility treatment in which eggs are collected from the mother and fertilised by sperm in a laboratory. One or two embryos are then inserted into the mother's uterus.
Why are FSH and LH given as a 'fertility drug' to women with low FSH levels?
(Higher Tier Only)
FSH and LH are given to stimulate the maturation and release of eggs in women whose pituitary gland does not produce sufficient FSH naturally. This helps them produce eggs for potential fertilisation.
True or False?
During IVF, eggs are fertilised inside the mother's body before being transferred to the uterus.
(Higher Tier Only)
False.
In IVF, eggs are collected from the mother and fertilised by sperm in a laboratory (outside the body). The resulting embryos are then inserted into the mother's uterus.
During IVF, a mother is given .......... and LH to stimulate the maturation of several .......... , which are then collected and fertilised by .......... in the laboratory.
(Higher Tier Only)
During IVF, a mother is given FSH and LH to stimulate the maturation of several eggs, which are then collected and fertilised by sperm in the laboratory.
Describe the steps of IVF treatment in the correct order.
(Higher Tier Only)
The mother is given FSH and LH to stimulate the maturation of several eggs.
Eggs are collected from the mother and fertilised by sperm from the father in the laboratory.
Fertilised eggs develop into embryos.
One or two embryos are inserted into the mother's uterus.
True or False?
IVF treatment has a very high success rate of around 80%.
(Higher Tier Only)
False.
The success rate of IVF is relatively low, at approximately 30%, though advancements in medical technology are helping to increase this figure over time.
Give two ethical concerns associated with IVF treatment.
(Higher Tier Only)
Any two from:
More embryos may be produced than are used, raising questions about ownership and their use in research.
Genetic testing of embryos is controversial as it could potentially be misused to select offspring characteristics.
IVF can allow women to conceive at a later age than would be naturally possible, which some find ethically questionable.
True or False?
Fertility treatment can lead to multiple births, which poses increased risks to both the babies and the mother.
(Higher Tier Only)
True.
Because several embryos may be implanted during treatments such as IVF, the risk of multiple births (e.g. twins or triplets) is increased. This raises the risk of miscarriage, stillbirth and complications for the mother.
Fertility treatments increase the risk of .......... births, which raises the risk of .......... or stillbirths and poses a greater risk to the .......... .
(Higher Tier Only)
Fertility treatments increase the risk of multiple births, which raises the risk of miscarriage or stillbirths and poses a greater risk to the mother.
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