AQA GCSE Biology Biology Paper 1 (Foundation), June 2023: Question 7

19 marks · Standard Demand difficulty · Extended Answer

Identify heart chambers, compare blood vessel structures, plot blood flow against coronary artery blockage percentage, and explain the effects and treatments of coronary heart disease.

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Question

Question 7 covers the circulatory system and coronary heart disease across nine parts. It includes: Figure 5 showing a cross-section of the human heart with chambers labelled A, B, C, and D; Figure 6 showing cross-sections of an artery and vein with elastic and muscle tissue indicated; Table 6 showing percentage coronary artery blockage (0 to 80%) against blood flow (100 down to 2 cm³/minute); and Figure 7 showing a grid for plotting blood flow against percentage blockage. Questions ask to identify chambers, state pacemaker location, compare vessel structures, describe trends, plot a graph, read a value at 35% blockage, explain the physiological effects of a blocked artery in an extended 6-mark answer, and explain one medical treatment.
Question text

07 This question is about the circulatory system.

Figure 5 shows the human heart.

Figure 5

07.1 Which part of the heart receives oxygenated blood from the lungs?

[1 mark]

Tick ( ) one box.

A B C D

07.2 Which part of the heart pumps deoxygenated blood to the lungs?

[1 mark]

Tick ( ) one box.

A B 33 C D

07.3 A group of cells called the pacemaker controls the resting heart rate.

Where in the heart is the pacemaker found?

[1 mark]

Tick ( ) one box.

Left atrium

Left ventricle

Right atrium

Right ventricle

07.4 Figure 6 shows a cross section of an artery and of a vein.

Figure 6

Describe two ways that the structure of an artery is different from the structure

of a vein.

[2 marks]

07.5 In coronary heart disease, the coronary arteries become narrower.

A build-up of fatty material can cause a blockage in a coronary artery.

Table 6 shows how a blockage in a coronary artery affects blood flow.

Table 6

Percentage (%) of coronary 3

Blood flow in cm /minute

artery that is blocked

0 100

10 64

20 42

50 8

80 2

Describe the trend shown in Table 6.

[1 mark]

07.6 Complete Figure 7.

You should:

• use a suitable scale for the y-axis

• plot the data from Table 6

• draw a line of best fit.

[4 marks]

Figure 7

07.7 Predict the blood flow in a coronary artery with a 35% blockage.

Use Figure 7.

[1 mark]

Blood flow =36 cm3/minute

07.8 Explain the effect of a partly blocked coronary artery on the human body.

[6 marks]

07.9 There are different treatments for a blockage in a coronary artery.

Explain how one treatment for a blockage in a coronary artery works.

[2 marks]

Mark scheme

Show the mark scheme The mark scheme outlines answers for parts 07.1 to 07.9: 07.1 is A; 07.2 is C; 07.3 is right atrium; 07.4 allows thicker muscle, thicker elastic tissue, narrower lumen, or lack of valves for an artery; 07.5 gives 1 mark for negative correlation/trend; 07.6 awards 4 marks across scale, accurate plotting, and a smooth curved line of best fit; 07.7 awards 1 mark for reading from the student's line (allow 18-24); 07.8 is a 3-level 6-mark scheme focusing on reduced blood/oxygen/glucose, decreased aerobic respiration, increased anaerobic respiration, and muscle fatigue/pain; 07.9 gives 2 marks for pairing a treatment (stent, statin, transplant, artificial heart, bypass) with its mechanism.

Question 7

AO /

Question Answers Extra information Mark

Spec Ref.

07.1 A 1 AO1

4.2.2.2

AO /

Spec Ref.

07.2 C 1 AO1

4.2.2.2

AO /

Spec Ref.

07.3 right atrium 1 AO1

4.2.2.2

AO /

Spec Ref.

allow converse if clearly

07.4 AO1

referring to a vein

4.2.2.2

any two from: 2

• (artery) has a thicker muscle

(tissue) if neither mark awarded

allow 1 mark for artery

• (artery) has a thicker elastic has a thicker wall

(tissue)

allow description of lumen

• (artery) has a narrower lumen

• (artery) does not contain

valves

AO /

Spec Ref.

07.5 as the percentage of the allow converse 1 AO2

(coronary) artery that is blocked 4.2.2.2

allow the greater the blockage,

increases, blood flow decreases

the less blood flows

allow negative correlation or

inversely proportional

allow as one increases, the

other decreases

24 AO /

Spec Ref.

07.6 scale on y-axis must take up at least 50% of 1 AO2

axis 4.2.2.2

all points plotted allow 3 or 4 correct plots for 1 2

mark

allow a tolerance of ± ½ small

square

correct curved line of best fit ignore line joined point to point 1

with straight lines

ignore extrapolation

AO /

Spec Ref.

07.7 correct answer from student's allow a tolerance of ± ½ small 1 AO3

line in Figure 7 square 4.2.2.2

if no line drawn on Figure 7,

allow a value from 18 to 24

(cm3/minute)

AO /

Question Answers Mark

Spec Ref.

07.8 Level 3: Relevant points (reasons / causes) are identified, given in 5-6 AO1

detail and logically linked to form a clear account. AO2

4.2.2.2

Level 2: Relevant points (reasons / causes) are identified, and 3-4 4.2.2.4

there are attempts at logical linking. The resulting account is not

4.4.2.1

fully clear.

4.4.2.2

Level 1: Points are identified and stated simply, but their relevance 1-2

is not clear and there is no attempt at logical linking.

No relevant content. 0

Indicative content:

• reduced blood flow to heart (muscle / tissue / cells)

• (so) less oxygen to heart (muscle / tissue / cells)

• (so) less glucose to heart (muscle / tissue / cells)

• (so) less (aerobic) respiration (in heart / body cells)

• (more) anaerobic respiration

• (so) less energy (released)

• (so) less muscle contraction

• (so) less blood / oxygen / glucose around the body (from heart)

or slower flow of blood / oxygen / glucose to body (from heart)

• less carbon dioxide removed from body (muscle / tissue / cells)

• (resulting in) breathlessness

• (resulting in) tiredness

• (anaerobic respiration causes) production of lactic acid

• (build-up of lactic acid) causes muscle fatigue / pain or chest

pain

For Level 3, students must explain the effect of reduced oxygen /

glucose on respiration or energy release and its consequence

AO /

Spec Ref.

07.9 any one pair from: mark as a pair AO1

4.2.2.4

• (insert) stent(s) allow description 1

(to) open (coronary) artery ignore unblock (coronary) artery 1

• (prescribe) statins (1)

(to) reduce (blood) allow to slow down the rate of

cholesterol (1) fatty material deposit

26 • heart (and lung) transplant (1)

(to) replace the diseased

heart with a healthy heart (1)

• use an artificial heart (1)

(to) keep the patient alive allow (artificial heart)

while waiting for a transplant pumps blood around the

(1) body in place of the heart

• (artery / heart) bypass (1) allow description

(to) divert blood around the

blockage (1)

Total Question 7 19

How to answer it

Human Circulatory System & Coronary Heart Disease

📋 What this question tests

This 19-mark question assesses fundamental recall and high-level application from Topic B2: Organisation (Circulatory System):

  • Anatomy of the Human Heart: Identifying atria, ventricles, directional blood flow, and the natural pacemaker.
  • Blood Vessel Adaptations: Structural differences between arteries and veins.
  • Data Handling & Graph Skills: Interpreting correlations, plotting non-linear data accurately, and using curves of best fit.
  • Pathology & Physiology (6-marker): Explaining the chain of cause and effect between narrowed coronary arteries, reduced respiration, and whole-body symptoms.
  • Medical Interventions: Mechanisms of treatments for coronary heart disease (stents, statins, bypass, transplants).
Questions 07.1 – 07.3 3 Marks Total

Heart Anatomy & The Natural Pacemaker

✅ Correct Answers

  • 07.1: A (Left Atrium) [1 mark]
  • 07.2: C (Right Ventricle) [1 mark]
  • 07.3: Right atrium [1 mark]

💡 Key Knowledge: The Heart Layout

  • Anatomical Mirror: Remember the left side of the diagram is the patient's right, and the right side is the patient's left.
  • Atrium = Entrance: Blood enters atria at the top; ventricles pump blood out at the bottom.
  • Chamber Map:
    • D = Right atrium (receives deoxygenated blood via vena cava)
    • C = Right ventricle (pumps deoxygenated blood to lungs via pulmonary artery)
    • A = Left atrium (receives oxygenated blood from lungs via pulmonary vein)
    • B = Left ventricle (pumps oxygenated blood to body via aorta; note its much thicker muscular wall)
  • Pacemaker: A group of specialised cells in the wall of the right atrium that sends electrical impulses.

🧠 Exam Technique

Trace the blood flow with your finger:

Body → Vena Cava → Right Atrium (D) → Right Ventricle (C) → Pulmonary Artery → Lungs → Pulmonary Vein → Left Atrium (A) → Left Ventricle (B) → Aorta → Body.

❌ Common Errors

  • Mixing up left and right because of the mirrored anatomical perspective.
  • Confusing the natural pacemaker location (right atrium) with the ventricle.
Question 07.4 2 Marks

Artery vs. Vein Structure

Describe two ways that the structure of an artery is different from the structure of a vein.

✅ Correct Answers (Choose any two)

  • Artery has a thicker layer of muscle tissue.
  • Artery has a thicker layer of elastic tissue (or simply thicker wall if neither muscle/elastic is credited).
  • Artery has a narrower lumen (central channel).
  • Artery does not contain valves (veins have valves to prevent backflow).

Note: Converse statements describing the vein are equally acceptable.

🧠 Exam Technique: Comparative Words

Always use comparative words (thicker, narrower, smaller) rather than absolute terms ("arteries have thick walls"). A vein also has muscle and elastic tissue—it just has less of it!

❌ Common Misconception

Stating function instead of structure. Writing "arteries carry blood at high pressure" or "arteries carry oxygenated blood" earns 0 marks because the question explicitly asks for structure.

Questions 07.5 – 07.7 6 Marks Total

Data Skills: Blockage vs. Blood Flow

✅ 07.5: Describe the Trend [1 mark]

"As the percentage of coronary artery that is blocked increases, blood flow decreases."

Also accepted: negative correlation, inversely proportional, or the converse statement.

📐 07.6: Graph Construction [4 marks]

  • 1 Scale (1 mark): Linear scale on y-axis (e.g. 0 to 100 with 20 per major grid division) occupying at least 50% of the grid height.
  • 2 Plotting (2 marks): All 5 points plotted accurately to within ± ½ small square: (0, 100), (10, 64), (20, 42), (50, 8), (80, 2). [3–4 correct = 1 mark; all 5 = 2 marks].
  • 3 Line of Best Fit (1 mark): A continuous, smooth curved line passing close to all points. Do NOT join dot-to-dot with straight lines!

✅ 07.7: Reading from Graph [1 mark]

Value read correctly from the candidate's drawn curve at x = 35%.

Standard acceptable range: 18 to 24 cm³/minute (tolerance of ± ½ small square from student's line).

🧠 Top Tip: Drawing Curve Lines of Best Fit

  • Notice the steep drop at first (100 → 64 → 42) followed by a flattening out (8 → 2). This clearly requires a smooth curve, not a straight line.
  • Rotate the exam paper so your wrist acts as a natural compass pivot to produce a single, non-feathered curve.
Question 07.8 6 Marks

Extended Response: Effect of Blocked Coronary Artery

Explain the effect of a partly blocked coronary artery on the human body. [6 marks]

💡 The Logical Cause-and-Effect Chain

To reach Level 3 (5–6 marks), you must link: Narrowed artery → Reduced supplies → Respiration impact → Whole-body consequences.

✅ Level 3 Indicative Points (Model Flow)

  1. Reduced Blood Flow: Fatty material narrows the coronary artery, reducing blood flow to the heart muscle (cardiac tissue).
  2. Deprivation of Reactants: Less oxygen and less glucose reach the heart muscle cells.
  3. Reduced Aerobic Respiration: Less aerobic respiration can occur, releasing less energy / ATP for muscle contraction.
  4. Anaerobic Respiration: Heart muscle respires anaerobically, resulting in a build-up of lactic acid.
  5. Cardiac Symptoms: Lactic acid causes muscle fatigue and angina / chest pain (or ultimately a heart attack).
  6. Systemic Body Effects: The heart pumps less blood around the body:
    • Less oxygen and glucose reach body tissues → causes tiredness / fatigue.
    • The breathing rate increases to compensate → causing breathlessness.

❌ Where Students Lose Marks

  • Fatal Error 1: Thinking coronary arteries supply blood to the body rather than the heart muscle itself.
  • Fatal Error 2: Saying "respiration produces energy" instead of "releases energy". Energy cannot be created!
  • Stopping Too Early: Stopping at "heart gets less oxygen" without explaining the effect on cellular respiration and the resulting symptoms (tiredness, chest pain, breathlessness).
Mark Scheme Rule: Level 3 requires explaining the effect of reduced oxygen/glucose on respiration OR energy release and its consequences.
Question 07.9 2 Marks

Treatments for Blocked Coronary Arteries

Explain how one treatment for a blockage in a coronary artery works.

Option 1: Stent (Most Common)

  • Treatment (1 mark): Insert a stent (a wire mesh tube).
  • How it works (1 mark): It widens / holds the coronary artery open so blood flow to the heart muscle is maintained.

Option 2: Statins

  • Treatment (1 mark): Prescribe statins (medication).
  • How it works (1 mark): They reduce blood cholesterol levels, slowing down the rate of fatty deposit build-up.

Option 3: Bypass Surgery

  • Treatment (1 mark): Coronary artery bypass surgery.
  • How it works (1 mark): Uses a blood vessel from another part of the body to divert blood around the blocked section.

❌ Watch Out: Examiner Rejection

For a stent, writing "it unblocks the artery" is ignored by examiners! The mark scheme specifically requires stating that it keeps the artery open or widens the lumen.

Topics

Biology · B2: Organisation · B4: Bioenergetics

Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 1 (Foundation), June 2023. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.