Exam code: 3430
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Define micro-organism.
A living organism too small to be seen with the naked eye.

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Define pathogen.
A micro-organism that causes disease.
Are most micro-organisms harmful or harmless?
Harmless. Most micro-organisms perform vital functions and contribute positively to ecosystems and human life.
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Define micro-organism.
A living organism too small to be seen with the naked eye.
Define pathogen.
A micro-organism that causes disease.
Are most micro-organisms harmful or harmless?
Harmless. Most micro-organisms perform vital functions and contribute positively to ecosystems and human life.
Give three vital natural processes that micro-organisms take part in.
Nutrient recycling
Decomposition
Symbiotic relationships with other organisms
Give three useful applications of beneficial micro-organisms.
Food fermentation
Genetic engineering
Antibiotic production
Name the four types of organism that can act as pathogens.
Bacteria
Viruses
Fungi
Protists
Which types of organism can pathogens infect?
Plants, animals and humans.
Micro-organisms that cause disease are called ________.
Micro-organisms that cause disease are called pathogens.
Micro-organisms are living organisms that are too ________ to be seen with the naked eye.
Micro-organisms are living organisms that are too small to be seen with the naked eye.
True or False?
All micro-organisms cause disease.
False.
Most micro-organisms are harmless and many are essential to life. Only pathogens cause disease.
True or False?
Some micro-organisms are used to produce antibiotics.
True.
Antibiotic production is one of several industrial and medical uses of beneficial micro-organisms.
Why is the balance between beneficial and harmful micro-organisms important?
Hygiene, sanitation and disease control must remove pathogens without destroying the beneficial micro-organisms that maintain public health and environmental stability.
Name the four groups of micro-organism that include pathogens.
Bacteria
Viruses
Protists
Fungi
Describe the basic structure of a bacterial cell.
A cell wall
A cell membrane
Cytoplasm
No distinct nucleus
Describe the basic structure of a virus.
Genetic material, either DNA or RNA, surrounded by a protein coat.
Some viruses also have an outer envelope.
Why are all viruses pathogenic?
They can only exist inside the living cells of other organisms, which they take over in order to make copies of themselves.
How do pathogenic bacteria damage the body?
They reproduce very quickly and produce toxins that damage cells.
Define communicable disease.
A disease that can transfer from a diseased host to a healthy organism, i.e. an infectious disease.
Name the six ways pathogens can be spread, as listed in the specification.
By contact
By aerosol, droplets in the air
By body fluids
By water
By insects
By contaminated food
Give an example of a disease spread by aerosol and one spread by insects.
Aerosol: the common cold or influenza
Insects: malaria or dengue fever
Give two examples of diseases spread by contaminated food or water.
Any two of:
Cholera
Typhoid
Dysentery
Salmonella
Give two examples of diseases spread by body fluids.
HIV
Hepatitis
A bacterial cell has a cell wall, cell membrane and cytoplasm but no distinct ________.
A bacterial cell has a cell wall, cell membrane and cytoplasm but no distinct nucleus.
A virus consists of genetic material surrounded by a ________ coat.
A virus consists of genetic material surrounded by a protein coat.
True or False?
All bacteria are pathogens.
False.
Many bacteria, fungi and protists are harmless and do not cause disease. Only some species are pathogenic.
True or False?
Viruses are considered living organisms.
False.
Viruses do not carry out the life processes themselves. They take over a host cell's machinery to replicate.
Give one example each of a bacterial, viral and protist disease.
Bacterial: tuberculosis or cholera
Viral: measles or HIV
Protist: malaria
Name the four defences against disease listed in the specification.
Intact skin forming a barrier against micro-organisms
Blood clots to seal wounds
Phagocytes ingesting micro-organisms
Lymphocytes producing antibodies and antitoxins
How does intact skin defend the body against disease?
It forms a physical barrier covering almost the whole body, making it difficult for pathogens to get in.
How do blood clots help defend the body?
They seal wounds by forming a scab, which prevents pathogens from entering through the break in the skin.
Define phagocyte.
A type of white blood cell that engulfs and digests pathogenic cells.
Define lymphocyte.
A type of white blood cell that produces antibodies and antitoxins.
Define antitoxin.
A protein produced by lymphocytes that neutralises the toxins produced by bacteria.
How do antibodies help destroy pathogens?
They clump the pathogens together so they cannot move easily.
They also release chemicals that signal to phagocytes that those cells must be destroyed.
What is skin flora and how does it protect the body?
The community of micro-organisms living on the skin surface.
They compete with invading pathogenic bacteria, preventing them from becoming established.
________ are white blood cells that engulf and digest pathogens.
Phagocytes are white blood cells that engulf and digest pathogens.
Lymphocytes produce antibodies and ________, which neutralise bacterial toxins.
Lymphocytes produce antibodies and antitoxins, which neutralise bacterial toxins.
True or False?
Phagocytes and lymphocytes are both types of white blood cell.
True.
Both are white blood cells, but they defend the body in different ways.
True or False?
Blood clotting only prevents blood loss.
False.
Clotting also prevents pathogens entering the body through the wound.
Explain why a deep cut increases the risk of infection.
The intact skin barrier is broken, so pathogens can enter the body directly until a blood clot seals the wound.
Compare how phagocytes and lymphocytes destroy pathogens.
Phagocytes physically engulf and digest the pathogen
Lymphocytes produce antibodies that clump pathogens together and mark them for destruction
Define antigen.
A molecule that is recognised by the immune system, found projecting from the surface of a cell membrane and specific to that type of cell.
Define antibody.
A protein made by lymphocytes that is complementary in shape to a specific antigen.
What happens when lymphocytes detect a foreign antigen?
They are triggered to secrete antibodies that are specific to that antigen.
State the two functions of antibodies.
They attach to antigens and clump the pathogens together so they cannot move easily
They release chemicals that signal to phagocytes that those cells must be destroyed
Why is each antibody specific to one antigen?
Its shape is complementary to the shape of that particular antigen, so it will not fit any other.
Why might you feel ill for a few days after being infected?
It takes a few days for a lymphocyte to identify the specific antibody needed and then clone itself to produce antibodies in large quantities.
Explain the difference between an antigen, an antibody and an antitoxin.
Antigen: a molecule on the surface of a cell
Antibody: a protein made by lymphocytes, complementary to an antigen
Antitoxin: a protein that neutralises bacterial toxins
Why does clumping pathogens together help the body?
The clumped pathogens cannot move easily, so they are more easily destroyed by phagocytes.
An antibody has a shape that is ________ to the antigen it acts against.
An antibody has a shape that is complementary to the antigen it acts against.
Antibodies are produced by white blood cells called ________.
Antibodies are produced by white blood cells called lymphocytes.
True or False?
One antibody can act against many different pathogens.
False.
Each antibody is specific to one antigen, because its shape is complementary to that antigen alone.
True or False?
Lymphocytes can recognise which antigens are foreign to the body.
True.
They 'read' the antigens on cell surfaces and identify any that do not belong to the body.
Why do you catch colds repeatedly despite having had them before?
Cold viruses mutate, so their antigens change.
The existing antibodies no longer fit, so a new immune response is required each time.
What does a lymphocyte do once it has identified the correct antibody?
It clones itself many times, so antibodies can be produced in large quantities.
At what stage of life are people most commonly vaccinated?
In childhood, with parents deciding whether their child is vaccinated.
Name three factors that influence a parent's decision about vaccination.
The science behind the vaccine
Media representation
The perceived risks and benefits
Define herd immunity.
The protection that arises when a large proportion of a population is vaccinated, making it unlikely that an unvaccinated individual will become infected.
Besides protecting the individual, what else does a vaccine achieve?
It reduces the chance that an infected person spreads the pathogen to others, helping to prevent the disease spreading through the population.
Name three diseases whose cases have been drastically reduced or eradicated by vaccination.
Any three of:
Smallpox
Measles
Mumps
Tetanus
Give three arguments against vaccination that reduce uptake.
Any three of:
Vaccines may only be effective for a limited time
Vaccination does not always give immunity
Vaccines may be difficult to access or must be paid for
Concerns about side effects or other conditions
What was the MMR vaccine controversy?
A 1998 study of 12 children concluded the MMR vaccine might cause autism.
One of the doctors was later found to be advising parents suing the vaccine manufacturers, and extensive later research has found no such link.
What was the consequence of the media coverage of the MMR study?
A wave of parents refused the MMR vaccine, lowering uptake and reducing the chance of achieving herd immunity.
Which three diseases does the MMR vaccine protect against?
Measles
Mumps
Rubella
When a large proportion of a population is vaccinated, the resulting protection is called ________ immunity.
When a large proportion of a population is vaccinated, the resulting protection is called herd immunity.
________ is a disease that has been eradicated worldwide by vaccination.
Smallpox is a disease that has been eradicated worldwide by vaccination.
True or False?
Research has confirmed a link between the MMR vaccine and autism.
False.
Despite extensive research since 1998, no link has been found. The original study has been thoroughly discredited.
True or False?
Low vaccination uptake reduces the chance of achieving herd immunity.
True.
Herd immunity requires a large proportion of the population to be vaccinated.
Explain how herd immunity protects someone who cannot be vaccinated.
If most people around them are immune, the pathogen has few hosts to spread through.
The unvaccinated person is therefore unlikely to ever come into contact with it.
What does a vaccine contain? (Higher Tier Only)
Antigens derived from a disease-causing organism.
This may be specific antigens, parts of antigens, or non-active micro-organisms such as dead or weakened virus particles.
Describe how a vaccine protects against infection. (Higher Tier Only)
The antigens are introduced into the body, usually by injection.
Lymphocytes produce complementary antibodies against those antigens.
Memory cells are created and remain in the blood.
If the live pathogen is later encountered, the memory cells respond quickly, destroying it before illness develops.
Why does a vaccine not make you ill? (Higher Tier Only)
The antigens or micro-organisms are rendered harmless, so they cannot cause illness but can still provoke an immune response.
How are the particles used in vaccines produced? (Higher Tier Only)
Bacterial or viral particles are grown in a laboratory and then rendered harmless.
Which cells produce the antibodies in response to a vaccine? (Higher Tier Only)
Lymphocytes, a type of white blood cell.
Why is the immunity given by a vaccine long-lasting? (Higher Tier Only)
Memory cells are produced and remain in the blood for a long time, ready to respond if the antigen is met again.
How can vaccines protect against both bacteria and viruses? (Higher Tier Only)
Both types of pathogen carry antigens on their surface.
A vaccine containing those antigens triggers the same lymphocyte and memory cell response, whichever pathogen they came from.
A vaccine contains ________ derived from a disease-causing organism. (Higher Tier Only)
A vaccine contains antigens derived from a disease-causing organism.
After vaccination, ________ cells remain in the blood ready to respond to a future infection. (Higher Tier Only)
After vaccination, memory cells remain in the blood ready to respond to a future infection.
True or False?
A vaccine contains live, active pathogens. (Higher Tier Only)
False.
Vaccines contain antigens, parts of antigens, or dead or weakened micro-organisms, which cannot cause illness.
True or False?
A vaccine works by giving the body ready-made antibodies. (Higher Tier Only)
False.
The vaccine provokes the body's own lymphocytes to make antibodies and memory cells.
What happens when a vaccinated person meets the live pathogen? (Higher Tier Only)
The memory cells recognise the antigen immediately and produce antibodies quickly and in large quantities, destroying the pathogen before symptoms develop.
Define memory cell. (Higher Tier Only)
A cell that remains in the body after an antigen has been encountered, allowing antibodies to be produced very quickly if the same antigen is met again.
Why do you feel ill the first time you catch a disease? (Higher Tier Only)
It takes several days to find the specific lymphocyte, which must then clone itself before producing antibodies.
The pathogen multiplies during this delay, causing symptoms.
How does the immune response differ on a second encounter with the same antigen? (Higher Tier Only)
Antibodies are produced:
More quickly
In larger concentrations
Why is the secondary immune response so much faster? (Higher Tier Only)
Memory cells are already present.
They detect the antigen, clone themselves and produce the specific antibody without the delay of finding the right lymphocyte.
Why does a person usually show no symptoms on a second infection? (Higher Tier Only)
The pathogen is eliminated before it can multiply enough to cause illness.
In what two ways can memory cells be produced? (Higher Tier Only)
Following a natural infection
Following vaccination
Why is the memory cell response described as highly specific? (Higher Tier Only)
Memory cells only recognise the one antigen they were formed against.
They give no protection against a different pathogen.
How long can memory cells remain in the blood? (Higher Tier Only)
Many years, which is why the immunity gained from an initial immune response can be long-term.
Describe the shape of a graph comparing primary and secondary immune responses. (Higher Tier Only)
The primary response is slow and low, with a delay before antibodies appear.
The secondary response is much faster and much higher, because memory cells are already present.
________ cells remain in the blood after an infection has gone. (Higher Tier Only)
Memory cells remain in the blood after an infection has gone.
The presence of memory cells means a person is said to be ________ to that pathogen. (Higher Tier Only)
The presence of memory cells means a person is said to be immune to that pathogen.
True or False?
Being immune to one disease protects you against all others. (Higher Tier Only)
False.
The memory cell response is highly specific to the antigen that produced it.
Explain why you can catch flu repeatedly despite having memory cells. (Higher Tier Only)
Flu viruses mutate, changing their antigens.
Existing memory cells no longer recognise them, so a completely new immune response is needed.
Define antibiotic.
A chemical drug that kills bacteria or prevents their growth, originally produced by living organisms such as fungi.
How do antibiotics cure a bacterial disease?
They kill the infecting bacteria or prevent them from growing and reproducing, by disrupting structures and processes specific to bacterial cells.
Why do antibiotics not kill viruses?
Antibiotics target processes and structures that are specific to bacterial cells. Viruses do not have them.
Why do antibiotics not generally harm human cells?
They target features that are specific to bacterial cells, which animal cells do not share.
Which was the first antibiotic, and who discovered it?
Penicillin, discovered in 1928 by Alexander Fleming.
How was penicillin discovered?
Fleming noticed that bacteria left in a Petri dish had been killed by a naturally occurring Penicillium mould, which produces a chemical that prevents bacterial infection.
Antibiotics were originally medicines produced by living organisms such as ________.
Antibiotics were originally medicines produced by living organisms such as fungi.
True or False?
Antibiotics should be taken to treat a common cold.
False.
A cold is caused by a virus, and antibiotics have no effect on viruses.
What is MRSA?
Methicillin-resistant *Staphylococcus aureus, a dangerous bacterial strain resistant to most antibiotics*, which makes it very difficult to treat.
Explain how resistant bacteria such as MRSA arise.
Random mutation makes a few bacteria resistant.
When antibiotics are used, the resistant bacteria survive while the rest die.
They then reproduce with less competition, so the resistance genes spread until the whole population is resistant.
Give three examples of the overuse of antibiotics.
Treating non-serious infections
Routine treatment of animals in agriculture
Patients failing to finish a prescribed course
Why is MRSA most prevalent in hospitals?
Patients there are already in poor health, so the risk of serious infection is much higher, and antibiotics are used heavily.
State four effective control measures for MRSA in hospitals.
Thorough hand washing, especially between patients
Thorough cleaning of wards
Frequent use of alcohol gels
Screening of patients and staff for MRSA
Resistant strains such as MRSA arise as a result of the ________ of antibiotics.
Resistant strains such as MRSA arise as a result of the overuse of antibiotics.
True or False?
Bacteria evolve resistance quickly because they reproduce roughly every 20 minutes.
True.
A very short generation time means natural selection acts over a much shorter period than in most organisms.
Why is the slowing rate of new antibiotic discovery a concern?
As more strains become resistant, there are fewer new antibiotics available to treat infections that existing drugs can no longer control.
Name five ways in which disease can be prevented.
Good hygiene
Access to clean water
An improved diet
Vaccination
Drugs, such as anti-malarials
Give two examples of good hygiene that help prevent disease.
Hand washing before eating and after using the toilet.
Why is access to clean water vital for preventing disease?
Many diseases, such as cholera, are carried in unsanitary water.
How does an improved diet help prevent disease?
Plenty of fresh fruit, vegetables and whole foods supports the immune system.
A poor diet is linked to cardiovascular disease and some cancers.
Give two diseases that vaccination is effective at preventing.
Measles
Whooping cough
Give an example of a drug used to prevent rather than treat disease.
Anti-malarial drugs, taken before and during travel to areas where malaria is present.
What happens when a disease cannot be prevented?
It must be treated, often with medicinal drugs such as antibiotics.
Access to ________ water is vital for preventing diseases such as cholera.
Access to clean water is vital for preventing diseases such as cholera.
________ drugs can be taken to prevent malaria rather than to treat it.
Anti-malarial drugs can be taken to prevent malaria rather than to treat it.
True or False?
Preventing a disease is generally better than treating it.
True.
Prevention avoids the illness entirely, whereas treatment only deals with a disease once someone is already unwell.
True or False?
All diseases can be prevented by lifestyle measures.
False.
Some diseases cannot be prevented, and in other cases the necessary steps are not taken. Those must then be treated.
Explain how hand washing breaks the chain of infection.
It removes pathogens from the hands before they can be transferred to the mouth, to food, or to another person.
What three things are new drugs tested for?
Toxicity: does it have harmful side effects?
Efficacy: does the drug work?
Dose: what is the lowest dose that still has an effect?
Why is extensive, large-scale testing needed even after a drug seems safe?
Some side effects only appear once large numbers of people are taking the drug, so smaller trials may miss them.
Give one argument against testing drugs on live animals.
It can be considered cruel, causing pain and distress. Animals are kept in small, unnatural cages and may be harmed by the drug.
Give one argument in favour of testing drugs on live animals.
Some people consider it necessary to ensure the safety of humans, and laboratories follow strict protocols to meet the animals' basic needs.
Why might new technologies be better than animal testing?
Animal testing is not foolproof, because animals metabolise medicines differently from humans.
Alternatives such as computer models could give more relevant results without using animals.
True or False?
Traditionally, drugs were extracted from plants and microorganisms.
True.
Many early medicines, including penicillin, came from living organisms before drugs were designed in laboratories.
True or False?
The benefits of developing new drugs generally outweigh the risks.
True.
Extensive testing allows large-scale data collection that minimises the risks, while the new treatments save and improve many lives.
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