AQA AS Level Biology Paper 1, June 2025: Question 9

10 marks · Medium difficulty · Short Answer

Answer questions on the evolution of antibiotic resistance in Staphylococcus aureus, including naming the type of selection, explaining allele frequency increase, and calculating the rise in MRSA cases per 100,000.

Practise this question

Question

Exam question starting with a passage describing the emergence and evolution of penicillin-resistant Staphylococcus aureus (PRSA) and methicillin-resistant S. aureus (MRSA), detailing the action of beta-lactamase encoded by the blaZ gene and case statistics from 2022 to 2023. Five sub-questions follow: 09.1 asks to name the type of natural selection (1 mark); 09.2 asks to explain why over 80% of S. aureus became penicillin-resistant by the late 1960s (3 marks); 09.3 asks to suggest two reasons why beta-lactam-inhibiting enzymes make PRSA difficult to treat (2 marks); 09.4 provides populations for England in 2022 (5.644 × 10^7) and 2023 (5.672 × 10^7) and asks to calculate the increase in MRSA cases per 100,000 population (2 marks); and 09.5 asks to suggest and explain two reasons why hospital patients are at greater risk of MRSA infection (2 marks).
Question text

09 Read the following passage.

Penicillin-resistant Staphylococcus aureus (PRSA) bacteria have evolved by

natural selection. From 1941, penicillin was used extensively to treat

S. aureus infections. The first case of PRSA was reported in 1942. By the late

1960s, more than 80% of S. aureus bacteria were resistant to penicillin.

Many antibiotics have a beta-lactam ring in their chemical structure, which 5

inhibits the synthesis of bacterial cell walls. PRSA have an allele of a gene

blaZ that codes for an enzyme called beta lactamase. This enzyme hydrolyses

beta-lactam rings in antibiotics such as penicillin.

The evolution of PRSA resulted in the development of new antibiotics, such as

methicillin in 1960. However, by 1961, methicillin-resistant S. aureus (MRSA) 10

were identified. In 2022, 675 cases of MRSA were reported in England.

However, in 2023, the number of cases of MRSA rose to 787. Patients in

hospitals are at greater risk of MRSA infections than the general population.

Use the information in the passage and your own knowledge to answer the

following questions.

09.1 Penicillin-resistant Staphylococcus aureus (PRSA) have evolved by natural selection

(lines 1–2).

Name the type of natural selection.

[1 mark]

09.2 By the late 1960s, more than 80% of S. aureus were resistant to penicillin (lines 3–4).

Explain why.

[3 marks]

09.3 Many antibiotics have a beta-lactam ring in their chemical structure, which inhibits

synthesis of bacterial cell walls (lines 5–6).

*26Suggest* two reasons why this makes infections caused by PRSA difficult to treat.

[2 marks]

09 4 In 2022, the population of England was 5.644 ×107

.

In 2023, the population of England was 5.672 ×107

Use information in lines 10–12 to calculate the increase in MRSA cases per 100 000

population.

Show your working.

[2 marks]

Increase in MRSA cases per 100 000 population28

09.5 Patients in hospitals are at greater risk from MRSA infections than the general

population (lines 12–13).

Suggest and explain two reasons why.

[2 marks]

Mark scheme

Show the mark scheme Mark scheme for question 09: 09.1 awards 1 mark for 'Directional'. 09.2 awards 3 marks for mentioning antibiotic selection pressure killing non-resistant bacteria, resistant bacteria surviving/reproducing to pass on the blaZ/resistance allele, and increased allele frequency (reject 'gene' for 'allele'). 09.3 awards 2 marks for stating PRSA is resistant to/destroys many antibiotics, bacteria can still synthesise cell walls, or new antibiotics are needed. 09.4 awards 2 marks for '0.19' or '0.2', with 1 mark for intermediate values 1.19596 and 1.3875. 09.5 awards 2 marks for weaker immune systems, higher exposure/close contact, or proximity to MRSA sufferers.

Question Marking Guidance Mark Comments

Directional; 1

09.1 (1 x

AO1)

1. (Use of) penicillin/antibiotic creates selection

pressure

OR

Penicillin/antibiotic kills susceptible/non-resistant 3

S. aureus/bacteria; (1 x

09.2

AO1, 2

2 and 3. Reject ‘gene’

2. (Resistant S. aureus/bacteria) are more likely to x AO2)

for ‘allele’ once

survive and reproduce to pass on

blaZ/penicillin-resistance/beta lactamase allele;

3. Increased frequency of (blaZ) allele (in s

offspring/next generation);

1. (PRSA) can be resistant to many antibiotics

1. Accept ‘most’ for

many

OR

Many antibiotics destroyed (by PRSA)

OR

2 max

Many antibiotics ineffective (against PRSA);

09.3 (2 x

AO2)

2. Bacteria would be able to synthesise cell walls

and continue reproducing;

3. New/different antibiotics needed

OR

No new antibiotics in recent years;

Correct answer, of 0.19 / 0.2 = 2 marks;;

Incorrect but shows 1.19596 and 1.3875 (accept

any correct rounding) = 1 mark 2

09.4 (2 x 17

OR AO2)

Incorrect but shows 675 ÷ (5.644 ×107 ÷ 100 000)

and 787 ÷ (5.672 ×107 ÷ 100 000) = 1 mark;

1. Weaker immune systems so more susceptible

OR

More likely to be infected as close contact with

large numbers of people; 2 max

09.5 (2 x

AO2)

2. More likely to be infected as close contact with

large numbers of people;

3. More MRSA sufferers so more likely to come

into contact with it;

How to answer it

Natural Selection & Antibiotic Resistance in Staphylococcus aureus

WHAT THIS QUESTION TESTS

This question assesses fundamental biological concepts from Genetics, Variation, and Interdependence:

  • Types of Natural Selection: Identifying directional selection acting against non-resistant phenotypes.
  • Evolutionary Mechanism: Explaining allele frequency changes using correct selection terminology (selection pressure, differential survival, reproduction, allele inheritance).
  • Bacterial Structure & Mode of Action: Applying passage details to explain why broad-spectrum resistance targeting beta-lactam rings makes bacterial infections hard to treat.
  • Standardised Rate Calculations: Handling standard form (×10⁷) to calculate and compare rates per 100 000 population.
  • Transmission & Susceptibility: Evaluating healthcare environments and patient vulnerability to opportunistic hospital-acquired pathogens.
PART 09.1 • 1 MARK

Type of Natural Selection

Identifying the evolutionary mechanism acting on bacterial populations

✅ Correct Answer

Directional (selection)

Mark scheme: 1 mark for stating "Directional".

💡 Key Knowledge

Directional selection occurs when environmental conditions change (e.g. introducing penicillin). Individuals with an extreme phenotype (resistance) possess a selective advantage, causing the mean of the population to shift towards that extreme over generations.

❌ Common Errors

  • Writing stabilising selection (which maintains intermediate phenotypes in an unchanging environment).
  • Writing disruptive selection (which favours both phenotypic extremes).
PART 09.2 • 3 MARKS

Increase in Penicillin Resistance

Explaining the rapid rise of resistant alleles by natural selection

✅ Correct Answer Structure

  1. Selection pressure: Penicillin/antibiotic creates a selection pressure OR kills non-resistant / susceptible S. aureus bacteria.
  2. Differential survival & reproduction: Resistant bacteria with the blaZ / resistance allele survive, reproduce, and pass on this allele to offspring.
  3. Allele frequency: Frequency of the resistant / blaZ allele increases in the population over generations.

🧠 Exam Technique: "Gene" vs "Allele"

Always write allele, not gene! The mark scheme specifically states: "Reject 'gene' for 'allele' once".

Bacteria do not "develop resistance to survive"; mutations occur randomly, and the antibiotic acts as the environmental filter selecting for pre-existing mutant alleles.

❌ Common Errors & Mark Losses

  • Stating that bacteria "become immune" to antibiotics (bacteria do not have immune systems).
  • Claiming that penicillin "causes" the mutation to occur.
  • Failing to explicitly state that the frequency of the allele increases in the next generation.
Mark Allocation: 3 marks total (1 × AO1, 2 × AO2). All three linked stages (pressure → survival/inheritance → allele frequency rise) are essential for full marks.
PART 09.3 • 2 MARKS

Difficulty in Treating PRSA Infections

Application of passage details regarding beta-lactam rings

✅ Correct Answers (Any two of the following)

  • PRSA is resistant to many / most antibiotics OR many antibiotics are hydrolysed / destroyed / ineffective against PRSA.
  • Bacteria can still synthesise cell walls and continue to reproduce / divide.
  • New or alternative antibiotics are required (which are scarce or have not been developed recently).

💡 Key Knowledge

Penicillins and related cephalosporins contain a beta-lactam ring that binds transpeptidase enzymes, preventing peptidoglycan wall cross-linking. Because the blaZ gene produces beta-lactamase, it inactivates all beta-lactam-based drugs, severely limiting treatment options.

🧠 Exam Technique

The prompt specifically references lines 5–6: "Many antibiotics have a beta-lactam ring...". This is your clue that PRSA produces an enzyme breaking this common structure, meaning resistance extends across an entire class of antibiotics, not just penicillin alone.

PART 09.4 • 2 MARKS

Rate Calculation: Increase in MRSA Cases

Standardising epidemiological data per 100 000 population

📐 Step-by-Step Calculation

Step 1: Calculate rate in 2022 (per 100 000 population)
Cases = 675  |  Population = 5.644 × 10⁷ = 56 440 000
Rate 2022 = (675 ÷ 56 440 000) × 100 000 = 675 ÷ 564.4 = 1.19596...
Step 2: Calculate rate in 2023 (per 100 000 population)
Cases = 787  |  Population = 5.672 × 10⁷ = 56 720 000
Rate 2023 = (787 ÷ 56 720 000) × 100 000 = 787 ÷ 567.2 = 1.38751...
Step 3: Calculate the increase in rate
Increase = 1.38751... - 1.19596... = 0.19155...
Step 4: Final Answer

0.19 (or 0.2)

Mark Scheme:
• Correct final answer of 0.19 or 0.2 gives 2 marks automatically.
• Working showing intermediate values 1.19596 and 1.3875 scores 1 mark if final subtraction is incorrect.

❌ Common Calculation Traps

  • Finding simple case increase: Merely doing 787 - 675 = 112 ignores the population change and per 100 000 conversion (scores 0).
  • Power of ten errors: Misinterpreting 5.644 × 10⁷ as 5,644,000 instead of 56,440,000.
  • Premature rounding: Rounding 1.196 and 1.388 too early can introduce truncation errors in tight margin questions.
PART 09.5 • 2 MARKS

Hospital Infection Vulnerability

Suggest and explain why hospitalised patients are at higher risk

✅ Correct Answer Pairs (Need Suggestion + Explanation)

Any two complete pairs from:

  • Vulnerability: Patients have weaker immune systems / open wounds / surgery sites so they are more susceptible to opportunistic infection.
  • Transmission: Patients are in close contact with medical staff / many visitors so they are more likely to pick up transmitted bacteria.
  • Pathogen density: Higher concentration of infected patients / MRSA carriers in a confined area so greater chance of transmission.

🧠 Exam Technique: "Suggest and Explain"

Notice the command words: Suggest AND explain. A naked suggestion (e.g. "patients are sick") will score zero. You must link the condition to the outcome with connecting phrases like "so / therefore / because...".

❌ Common Errors

  • Omitting the link: Writing "hospitals have ill people" without connecting to weakened immunity or increased infection risk.
  • Confusing virus transmission with bacterial antibiotic resistance.
  • Vague statements like "hospitals are dirty" (unacceptable scientific terminology).

Topics

Biology · Practical skills · 3.4 Genetic information, variation and relationships between organisms · 3.2 Cells · Data analysis

Question and mark scheme from the AQA AS Level Biology examination, Paper 1, June 2025. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.