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.

Practise this question

Question

Four-part exam question about Clostridium difficile, antibiotic resistance, disaccharides, and aseptic techniques. Question 02.1 asks to explain how antibiotic use led to resistant strains (3 marks). Question 02.2 names another disaccharide made of two glucose molecules (1 mark). Question 02.3 asks to describe aseptic techniques to transfer 0.3 cm3 of culture onto an agar plate (3 marks). Figure 2 shows a bar chart comparing growth rates of non-resistant and antibiotic-resistant C. difficile with and without trehalose. Question 02.4 asks to use Figure 2 to evaluate whether more trehalose in the diet could be a factor in increased infections (3 marks).
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 Mark scheme detailing acceptable answers for questions 02.1 through 02.4. For 02.1, points include natural selection, survival, and reproduction of resistant bacteria. For 02.2, maltose is the correct answer. For 02.3, accepted aseptic techniques include washing hands/surface, flaming necks, and lifting agar plate lids at an angle. For 02.4, points for and against trehalose being a factor based on growth rates and limitations of lab vs. human contexts.

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).

Question 0.2.1 [3 marks]

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.
Mark Scheme Guidance: 3 marks total (3 × AO1). Accept "gene" for "allele". Reject reference to immunity or antibiotics causing resistance production.
Question 0.2.2 [1 mark]

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 .

Mark Scheme Guidance: 1 mark (AO1). Reject maltase.
Question 0.2.3 [3 marks]

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.

Mark Scheme Guidance: Max 3 marks (3 × AO1) chosen from standard aseptic procedures listed in the official mark scheme.
Question 0.2.4 [3 marks]

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.

Mark Scheme Guidance: Max 3 marks (3 × AO3). To achieve full marks, candidates should cite points supporting the trend alongside critical evaluation of the experimental design or missing data. Max 2 marks if arguments are given for only one side (For or Against).

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.