AQA A-Level Biology Paper 2, June 2025: Question 6

10 marks · Medium difficulty · Short Answer

Identify structures of a motor neurone, explain how demyelination affects reflex response times, explain how atropine increases heart rate via the parasympathetic nervous system, and calculate the required dosage of atropine using lean body weight.

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Question

Question 06 contains four parts. Part 06.1 shows Figure 2, a diagram of a myelinated motor neurone with labels A (cell body), B (axon), C (node of Ranvier), and D (Schwann cell/myelin sheath), asking to name labels A to D (2 marks). Part 06.2 describes osmotic demyelination syndrome (ODS) and asks to explain why it can increase reflex response times (3 marks). Part 06.3 explains that the parasympathetic nervous system uses acetylcholine and atropine is an anticholinergic drug, asking how atropine causes an increase in heart rate in patients with bradycardia (3 marks). Part 06.4 gives an equation to calculate Lean Body Weight: LBW = (9.27 × 10³ × TBW) / ((6.68 × 10³) + (216 × BMI)), and asks to calculate the dosage of atropine in mg (0.01 mg per kg LBW) for a patient with TBW = 115.2 kg and BMI = 41, giving the answer to 3 significant figures (2 marks).
Question text

06.1 Figure 2 shows a drawing of a myelinated motor neurone.

Figure 2

Name the parts labelled A to D.

[2 marks]

A

B

C

D

06.2 Osmotic demyelination syndrome (ODS) results in destruction of the myelin sheath of

neurones in the brain.

ODS can increase reflex response times.

Explain why.

[3 marks]

06.3 The parasympathetic nervous system (PNS) uses acetylcholine as its

neurotransmitter. Atropine is an anticholinergic drug that attaches to postsynaptic

receptors.

*14Atropine can be used to increase the heart rate in patients with bradycardia (a slower*

than normal heart rate).

Use the information provided to explain how atropine causes an increase in the heart

rate.

[3 marks]

06.4 One study has suggested that the atropine dosage for severely obese male patients

should be 0.01 mg kg–1 of lean body weight (LBW).

LBW is determined by using this equation.

LBW = 9.27 × 103 × TBW

(6.68 × 103) + (216 × BMI)

where TBW = total body weight

BMI = body mass index

Calculate the suggested dosage of atropine, in mg, for a severely obese male patient

whose:

• TBW = 115.2 kg

• BMI = 41

Give your answer to 3 significant figures.

Show your working.

[2 marks]

Answer mg

Mark scheme

Show the mark scheme Mark scheme for Question 06: 06.1 awards 2 marks for 4 correct or 1 mark for 2-3 correct: A: Cell body/soma/dendrite; B: Axon/axoplasm; C: Node of Ranvier; D: Schwann cell. 06.2 awards 3 marks for: 1. No/less saltatory conduction / depolarisation doesn't occur from node to node; 2. Impulses slowed; 3. Affects relay neurones/transmission to motor neurone/effector. 06.3 awards 3 marks for: 1. Less acetylcholine binds to receptors; 2. Fewer impulses/depolarisation at synapse before SAN / less inhibition by acetylcholine; 3. Refers to sinoatrial node (SAN). 06.4 awards 2 marks for correct answer of 0.687 mg (with 1 mark partial credit for correct figures without rounding or correct substitution).

Question Marking Guidance Mark Comments

A. Cell body 4 correct = 2 marks

2–3 correct = 1 mark

OR 0–1 correct = 0 marks

Soma

For B ignore cytoplasm

OR

For D accept shwan(n),

Dendron/dendrite(s) 2 scwan(n), scwaan and

06.1 (2 x phonetic spellings of

B. Axon AO1) schwann but reject

‘swan’

OR

Axoplasm

C. Node of Ranvier

D. Schwann cell;;

1. No/less saltatory conduction 1 and 2. Ignore

‘messages’ or ‘signals’

OR

1 and 2. Accept ‘action

Depolarisation/impulses doesn’t occur from potential(s)’ for

node to node ‘depolarisation/impulses’

OR 2. Accept ‘impulse(s)

take longer to travel’

Depolarisation/impulses/ions pass to

other neurones Mark points 1 and 3 can

still be awarded if

OR answer indicates nerve

impulses travel faster

Depolarisation/impulses occurs along whole

06.2 (3 x

length (of axon);

AO2)

2. (Nerve) impulses slowed;

3. (Affects/involves) relay neurones (in brain)

OR

(Affects transmission) to motor neurone/s

OR

(Involves) muscle/effector/neuromuscular– A-LEVEL BIOLOGY – 7402/2 –

junction;

1 and 2. Accept

1. Less/no acetylcholine binds (to receptors);

neurotransmitter or

abbreviations for e.g.

2. Fewer/no impulse(s)/action potentials (at ACh, Ach (as named

synapse before SAN) in question) for

‘acetylcholine’

OR

1. Ignore competitive

Less/no depolarisation by PNS (at synapse inhibition unless it

before SAN) refers to enzyme or

active site, then reject

OR

2. Note: First two

06.3 (3 x

PNS/acetylcholine decreases heart rate options relate to

AO1)

atropine acting at

OR synapse in PNS

before SAN. Last 2

More depolarisation occurs (as acetylcholine is options relate to

inhibitory at SAN) atropine acting

directly on SAN

OR

2. Ignore ‘messages’

Less/no inhibition by PNS/acetylcholine (at or ‘signals’

SAN);

3. (Refers to) SAN;

Correct answer of 0.687 = 2 marks;;

Answer shows 687 (ignore position of decimal point

and preceding / subsequent zeros i.e. incorrect

order of magnitude) = 1 mark

OR

Answer of 0.687 (to more than 3 significant figures

e.g. 0.6874 / 0.68737) = 1 mark 2

06.4 (2 x

OR AO2)

Answer of 0.69 / 0.7 (i.e. to fewer than 3 significant

figures) = 1 mark

OR

Answer of 0.688 (incorrect rounding) = 1 mark

OR – A-LEVEL BIOLOGY – 7402/2 –

Answer of 1.54 (added rather than multiplied by

14 BMI) = 1 mark

OR

Answer of 1.81 x 10-4 (multiplied by (216 x BMI)

rather than added) = 1 mark;

How to answer it

Neurone Anatomy, Reflex Arcs, Heart Rate Control & Dosage Calculations

WHAT THIS QUESTION TESTS

Core syllabus areas covered:

  • Nervous Coordination: Structure of myelinated motor neurones (axon, cell body, myelin sheath, Schwann cell, Node of Ranvier).
  • Nerve Impulse Transmission: Myelination, saltatory conduction, and action potential propagation along reflex pathways.
  • Autonomic Control of Heart Rate: Antagonistic roles of the sympathetic and parasympathetic nervous systems (PNS) on the sinoatrial node (SAN) via acetylcholine (ACh).
  • Mathematical Skills (AO2): Substituting into complex multi-variable clinical formulas, order of operations (BIDMAS), standard form conversions, and rounding correctly to 3 significant figures.
QUESTION 06.1 • 2 MARKS

Identifying Parts of a Motor Neurone

Anatomy of a myelinated motor neurone (Labels A to D)

✅ Mark Scheme Answers

  • A: Cell body (or soma / dendron / dendrite(s))
  • B: Axon (or axoplasm)
  • C: Node of Ranvier
  • D: Schwann cell
Mark allocation:
• 4 correct = 2 marks
• 2 or 3 correct = 1 mark
• 0 or 1 correct = 0 marks

🧠 Exam Technique & Recognition

  • Dendron/Cell Body (A): Look for the large central region containing the nucleus and broad cytoplasmic projections.
  • Axon (B): Points directly to the elongated conductive core inside the myelin sheath (do not say "cytoplasm").
  • Node of Ranvier (C): Points to the unprotected periodic gap between adjacent Schwann cells.
  • Schwann Cell (D): Points to the cell wrapped around the axon that produces the myelin sheath.

❌ Common Misconceptions

  • Confusing Node of Ranvier with synaptic cleft or axon terminal.
  • Spelling: Phonetic spellings of Schwann cell are accepted (e.g., shwan , schwan ), but swan is strictly rejected!
  • Writing "cytoplasm" for B is ignored—it must specifically refer to the axon or axoplasm.
QUESTION 06.2 • 3 MARKS

Osmotic Demyelination Syndrome & Reflex Times

Explaining how myelin destruction increases reflex response times

✅ Mark Scheme Criteria (3 Marks Max)

  • Point 1: No / less saltatory conduction
    OR Action potentials/depolarisation cannot jump from node to node
    OR Depolarisation must occur along the whole length of the axon
  • Point 2: (Nerve) impulses / action potentials are slowed down (take longer to travel)
  • Point 3: Affects/involves relay neurones (in brain)
    OR Affects transmission to motor neurone(s)
    OR Involves effector / muscle / neuromuscular junction

💡 Biological Mechanism

  • Myelin acts as an electrical insulator composed of lipid membranes.
  • In myelinated fibres, ion exchange occurs exclusively at the Nodes of Ranvier, allowing the action potential to "jump" via local circuits (saltatory conduction).
  • Loss of myelin exposes the whole axon membrane, forcing continuous ion movement along the entire axon, substantially slowing transmission speed.
  • Reflex arcs rely on fast relaying from sensory to relay neurones (in the CNS/brain) to motor neurones.

❌ Examiner Watch-Outs

  • Never use vague terminology like "messages" or "signals". You must state nerve impulses or action potentials.
  • Do not stop at "impulses are slower"—you must explain why (loss of saltatory conduction) and link it directly to the context (relay neurones in brain or transfer to motor neurones).
QUESTION 06.3 • 3 MARKS

Action of Atropine on Heart Rate

How an anticholinergic antagonist increases heart rate in bradycardia

✅ Marking Guidance (3 Marks Max)

  • 1: Less / no acetylcholine (ACh) binds to postsynaptic receptors;
  • 2: Acetylcholine normally slows/decreases heart rate (causes inhibitory effect at the SAN)
    OR Fewer / no action potentials/depolarisation sent via parasympathetic neurones to SAN
    OR Less/no inhibition of SAN;
  • 3: Explicitly refers to the sinoatrial node / SAN (pacemaker).

🧠 Exam Technique: Structuring the Explanation

Follow a clear 3-step pharmacological reasoning chain:

  1. Competitive binding: Atropine binds to cholinergic receptors, blocking ACh from attaching.
  2. Normal function of PNS: State clearly that the parasympathetic nervous system releases ACh to inhibit the SAN and reduce heart rate.
  3. Net physiological effect: Because the SAN is no longer inhibited by ACh, heart rate increases.

❌ Pitfalls & Guidance

  • Do NOT talk about enzymes or active sites: Atropine binds to receptors on the postsynaptic membrane or SAN cell membrane, not an enzyme active site. Mentioning active sites will lose marks!
  • Name the pacemaker: Many students write "heart" or "cardiac muscle", missing the vital mark for naming the Sinoatrial Node (SAN).
QUESTION 06.4 • 2 MARKS

Calculation: Dosage of Atropine

Determining Lean Body Weight (LBW) and required dosage in mg

📐 Step-by-Step Calculation

Step 1: Write down the given values & formula
Formula: LBW = (9.27 × 10³ × TBW) / [(6.68 × 10³) + (216 × BMI)]
Given: TBW = 115.2 kg, BMI = 41, Dosage rate = 0.01 mg kg⁻¹ of LBW
Step 2: Calculate the Numerator
Numerator = 9.27 × 10³ × 115.2 = 9270 × 115.2 = 1,067,904
Step 3: Calculate the Denominator
(6.68 × 10³) = 6680
(216 × BMI) = 216 × 41 = 8856
Denominator = 6680 + 8856 = 15,536
Step 4: Calculate LBW (Lean Body Weight)
LBW = 1,067,904 / 15,536 ≈ 68.737384... kg
Step 5: Calculate Required Dosage & Round to 3 sig figs
Dosage = 0.01 mg kg⁻¹ × 68.737384... kg = 0.68737384... mg
Rounding to 3 significant figures gives: 0.687 mg
Full Marks: Correct answer of 0.687 alone scores 2 marks.

❌ Common Calculation Traps (1 Mark Partial Credit)

  • Significant Figures Error: Leaving answer unrounded (e.g. 0.6874 ) or over-rounding to 2 s.f. ( 0.69 ) loses 1 mark.
  • Rounding Error: Rounding incorrectly up to 0.688 scores only 1 mark.
  • Order of Operations (BIDMAS):
    • Adding before multiplying: giving an answer of 1.54 (1 mark).
    • Multiplying by (216 × BMI) instead of adding: giving an answer of 1.81 × 10⁻⁴ (1 mark).
  • Forgetting Dosage Factor: Calculating LBW as 68.7 kg but forgetting to multiply by 0.01 mg kg⁻¹.

🧠 Examiner Checklist for Calculations

  • Keep full calculator precision in your working; do not round values mid-calculation.
  • Always re-read the final line of the question prompt: "Give your answer to 3 significant figures."
  • Check unit consistency: TBW is given in kg, dosage is per kg, final answer required in mg. No unit conversion between grams and milligrams was needed here.

Topics

Biology · Practical skills · 3.6 Organisms respond to changes in their internal and external environments (A-level only) · Data analysis

Question and mark scheme from the AQA A-Level Biology examination, Paper 2, June 2025. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.