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 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
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).
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.
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.
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.
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)
- Reduced Blood Flow: Fatty material narrows the coronary artery, reducing blood flow to the heart muscle (cardiac tissue).
- Deprivation of Reactants: Less oxygen and less glucose reach the heart muscle cells.
- Reduced Aerobic Respiration: Less aerobic respiration can occur, releasing less energy / ATP for muscle contraction.
- Anaerobic Respiration: Heart muscle respires anaerobically, resulting in a build-up of lactic acid.
- Cardiac Symptoms: Lactic acid causes muscle fatigue and angina / chest pain (or ultimately a heart attack).
- 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).
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.