AQA A-Level Biology Paper 1, June 2022: Question 2
10 marks · Medium difficulty · Short Answer
Explain antibiotic resistance in Clostridium difficile, identify a disaccharide formed from two glucose molecules, describe aseptic technique for transferring bacterial culture, and evaluate the effect of trehalose using graph data.
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Question text
02.1 Clostridium difficile is a bacterial species that causes disease in humans.
Antibiotic-resistant strains of C. difficile have become a common cause of infection
acquired when in hospital.
Explain how the use of antibiotics has led to antibiotic-resistant strains of bacteria
becoming a common cause of infection acquired when in hospital.
[3 marks]
02.2 Scientists suggested that factors, other than antibiotic use, led to the increase in
antibiotic-resistant C. difficile infections. One suggested factor is people eating more
trehalose in their diet.
Trehalose is a disaccharide formed from two glucose molecules.
Name another disaccharide formed from two glucose molecules.
[1 mark]
Scientists investigated the effect of trehalose on the growth rate of C. difficile.
They grew populations of non-resistant and antibiotic-resistant C. difficile on separate
agar plates with:
• no carbohydrate added
• trehalose added.
They measured the growth rate of the C. difficile.
Figure 2 shows the scientists’ results.
Figure 2
02.3 Describe how the scientists could use aseptic techniques to transfer
0.3 cm3 of C. difficile in liquid culture from a bottle onto an agar plate.
[3 marks]
02.4 Use Figure 2 to evaluate whether more trehalose in the diet could be a factor in the
increased number of antibiotic-resistant C. difficile infections.
*08* [3 marks]
Mark scheme
Show the mark scheme
Question Marking Guidance Mark Comments
1. (Some bacteria have) alleles 3 1 and 2 Reject reference to immunity only
for resistance; (3 x once
2. (Exposure to) antibiotics is the AO1) 1. and 3. Accept gene for allele
selection pressure 1. Reject if antibiotics cause production of
resistance gene/allele
OR
Non-resistant bacteria die
2. Accept strain for bacteria
OR
Resistant bacteria
survive/reproduce;
02.1 3. Ignore antibiotics prescribed when not
3. More antibiotics used in needed OR antibiotic course is not finished
hospital (compared with
3. Ignore defence system, for immune
elsewhere)
system
OR
3. Accept proportion/percentage for
frequency
Patients have weakened
immune systems
OR
(So) high frequency of
resistance allele (in bacterial
population);
Maltose; 1 Reject maltase
02.2 (AO1) Accept phonetic spelling eg
– A-LEVEL BIOLOGY – –
moltose/maltosse/maltoze/moltoes/maltoez
1. Wash hands with soap 3 max 1. Ignore sterilise hands OR surfaces
OR (3 x 1. Accept sanitise for disinfect
AO1)
Disinfect surfaces; 1. Accept antiseptic /antimicrobial/alcohol
(wipes)
2. Use sterile pipette/syringe (to
1. and 7 Accept a named type of
transfer bacteria);
disinfectant
3. (Remove bottle lid and) flame
2. Reject loop
neck of bottle;
2. Accept use unopened pipette/syringe for
4. Lift lid of (agar) plate at an sterile
02.3 angle;
4. Accept lift lid slightly OR keep lid over
5. Work close to upward air plate
movement; 4. Ignore work quickly with lid off 7
6. Use sterile spreader; 5 Reject air movements sterilise air
7. Place pipette/spreader into 5 Accept convection current for air
disinfectant (immediately after movement
use); 6. Accept loop for spreader
6. Examples of sterilising technique eg,
flame OR–A-LEVEdip in alcohol and flameL BIOLOGY––OR dip
in disinfectant and rinse (in sterile water)
For 3 max Max 2 if only ‘For’ or
only ‘Against’ marks
1. Resistant bacteria grow faster with trehalose; (3 x
2. (So) resistant bacteria (likely to) increase in AO3) 1, 2, 3 ,4 and 5
frequency in the population/people; Accept C.
difficile/strain for
3. Resistant bacteria (likely to) outcompete bacteria
non-resistant bacteria;
2. Accept ‘percentage/
Against proportion’ for
‘frequency’
4. In laboratory not in people;
5. Other disaccharides (in the diet) might affect 5. Accept
bacteria; carbohydrate OR
02.4 polysaccharide OR
6. Other bacterial species (in the body) might
affect bacteria; sugar, for
disaccharide
7. No stats test to see if difference/increase is
significant; 7. Accept ‘is not due
to chance’ for ‘is
8. No data for both resistant and non-resistant
significant’
bacteria growing together;
9. No data for different concentrations of trehalose; 7. Ignore standard
deviation/SD (as not a
stats test)
7 Reject ‘to see if
results are significant’
How to answer it
Clostridium difficile and Antibiotic Resistance Study Guide
What this question tests
This exam question tests your knowledge of natural selection and antibiotic resistance mechanisms, basic carbohydrate biochemistry (disaccharides), standard microbiological aseptic techniques, and the ability to critically evaluate scientific data and experimental limitations (AO3).
Antibiotic Resistance and Selection Pressure
✅ Correct Answer Structure
- Point 1: Pre-existing genetic variation (alleles for resistance) already present in the bacterial population.
- Point 2: Antibiotics act as a selection pressure, killing non-resistant bacteria while resistant strains survive and reproduce.
- Point 3: High usage of antibiotics in hospitals creates an environment where resistant alleles increase in frequency.
💡 Key Knowledge
Antibiotics do not cause mutations to create resistance. Mutations are random; antibiotics merely select for pre-existing resistant variants by killing off competition.
🧠 Exam Technique
Ensure you link the use of antibiotics directly to differential survival and reproduction. Use precise terminology like selection pressure and allele frequency rather than vague statements about bacteria "getting used" to drugs.
❌ Common Errors
- Stating that "antibiotics cause bacteria to mutate/become resistant."
- Claiming that patients develop immunity to antibiotics.
- Failing to mention pre-existing resistance alleles.
Carbohydrate Biochemistry
✅ Correct Answer
Maltose (or phonetic spellings like maltose/moltose)
💡 Key Knowledge
Maltose is a disaccharide formed by the condensation of two alpha-glucose molecules joined by a glycosidic bond (specifically a 1,4-glycosidic bond).
❌ Common Errors
Confusing the disaccharide with the enzyme ending in -ase ( maltase ). The question asks to name a disaccharide, so the suffix must be -ose .
Microbiological Aseptic Techniques
✅ Correct Answer Steps
- Step 1: Disinfect work surfaces and wash hands before starting to eliminate contaminating microorganisms.
- Step 2: Use a sterile pipette or syringe to accurately transfer 0.3 cm³ of bacterial culture.
- Step 3: Flame the neck of the culture bottle and lift the agar plate lid only slightly at an angle to prevent entry of airborne contaminants. Work close to a Bunsen burner flame to utilize upward convection currents.
💡 Key Knowledge
Aseptic technique protects both the operator from pathogenic bacteria like C. difficile and prevents the culture from becoming contaminated with environmental microbes.
🧠 Exam Technique
Action verbs matter! Always specify how equipment is kept sterile (e.g., using sterile pipettes, flaming bottle necks, lifting lids minimally).
❌ Common Errors
Writing vague statements like "sterilize the air" or "keep the Petri dish wide open." Air currents cannot be sterilized entirely; you must use convection currents and restricted exposure times instead.
Evaluating Scientific Data (Figure 2)
✅ Evaluation Arguments (For & Against)
For the hypothesis:
- Antibiotic-resistant C. difficile grows significantly faster in the presence of trehalose.
- This selective advantage means resistant strains are likely to increase in frequency and outcompete non-resistant strains in people consuming high trehalose diets.
Against the hypothesis (Limitations):
- The investigation was done in a laboratory petri dish, not inside the human body.
- No statistical test was performed to prove the differences in growth rates are statistically significant rather than due to chance.
- No data provided regarding other dietary sugars, bacterial species interactions, or varying concentrations of trehalose.
🧠 Exam Technique
For a 3-mark "evaluate" question based on a graph, top-mark responses must balance evidence supporting the conclusion with valid methodological limitations or missing variables shown in the data.
Topics
Biology · Practical skills · Required Practicals · 3.1 Biological molecules · 3.4 Genetic information, variation and relationships between organisms · Data analysis · AS practicals (1–6)
Question and mark scheme from the AQA A-Level Biology examination, Paper 1, June 2022. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.