AQA GCSE Biology Biology Paper 1 (Higher), 2024: Question 1
14 marks · Standard Demand difficulty · Short Answer
Answer questions about coronary heart disease, CPR, statins and stents, and interpret and plot data on how smoking affects cardiovascular disease risk.
Practise this questionQuestion
Question text
01 A person has coronary heart disease.
01.1 Which blood vessels are affected by coronary heart disease?
[1 mark]
Tick ( ) one box.
Arteries
Capillaries
Veins
A person’s heart stops beating.
The person stops breathing.
A first-aider pushes down on the person’s chest.
Pushing down on the person’s chest puts pressure on the heart.
01.2 Explain why putting pressure on the heart helps the person.
[2 marks]
01.3 The first-aider also forces air into the person’s lungs by blowing into their mouth.
Describe how forcing air into the person’s lungs helps the person.
[1 mark]
01.4 The person’s heart starts to beat again and the person starts breathing.
The person has a high level of cholesterol in their blood.
Name one type of drug that would decrease the level of cholesterol in the
person’s blood.
[1 mark]
01.5 A doctor decides that the person needs to have a stent fitted.
Explain how a stent works to treat coronary heart disease.
[2 marks]
Table 1 shows the effect of smoking on the risk of developing different
cardiovascular diseases.
Table 1
Percentage (%) increase in risk
Cardiovascular
compared to people who have
disease
never smoked
E 14
F 20
G 29
H 70
01.6 Give two conclusions that can be made from the data in Table 1.
[2 marks]
01.7 Complete Figure 1.
You should:
• label the y-axis
• add the correct scale to the y-axis
• plot the data from Table 1
• label each bar.
The bar for cardiovascular disease 5E has been plotted for you.
[4 marks]
Figure 1
01.8 Describe one lifestyle factor that can increase the risk of cardiovascular disease.
Do not refer to smoking in your answer.
[1 mark]
Mark scheme
Show the mark scheme
Question 1
AO /
Question Answers Extra information Mark
Spec Ref.
01.1 arteries 1 AO1
4.2.2.2
4.2.2.4
AO /
Spec Ref.
01.2 pushes / moves blood 1 AO2
4.2.2.2
to get oxygen around the body allow description of getting 1 4.4.2.1
oxygen around the body, such
as through blood vessels
or
to get oxygen to a named organ
do not accept to get oxygen to
the lungs
ignore reference to restarting
the heart
ignore reference to the
pacemaker
AO /
Spec Ref.
01.3 provides oxygen (for respiration) allow idea of carbon dioxide 1 AO2
triggering breathing to restart 4.2.2.2
4.4.2.1
AO /
Spec Ref.
01.4 statin(s) MARKallow named statinSCHEME– – 1 – AO1
4.2.2.4
AO /
Spec Ref.
01.5 (stent) opens / widens (blocked allow (stent) keeps (blocked 1 AO1
blood) vessel blood) vessel open 4.2.2.4
allow a description of the blood
vessel being opened
ignore type of blood vessel
ignore unblocks (blood) vessel
to allow (more) blood to flow 1
or 7
to allow (more) glucose / oxygen
to the heart (cells / tissue /
muscle)
AO /
Spec Ref.
01.6 ignore smoking causes 2 AO3
(cardiovascular) disease 4.2.2.6
any two from:
• smoking increases the (%) allow not smoking decreases
risk of all types of the risk of all types of
(cardiovascular) disease (cardiovascular) disease
• smoking increases the (%) allow if you smoke, you are
risk of having (disease) H most likely to get (disease) H
more than any other type of
(cardiovascular) disease
• smoking increases the (%) allow if you smoke, you are
risk of having (disease) E less least likely to get (disease) E
than any other type of
(cardiovascular) disease
allow a comparison of the effect
of smoking on the risk of two
(cardiovascular) diseases
allow two comparisons of the
effect of smoking on the risk of
two (cardiovascular) diseases
MARKforSCHEME2marks – – –
AO /
Spec Ref.
01.7 y-axis labelled ‘Percentage / % 1 AO2
increase in risk (compared to 4.2.2.6
people who have never
smoked)’
correct scale of 1 cm = 5% on 1
y-axis
all bars plotted correctly allow a tolerance of ±½ small 1
square
ignore bars touching
ignore width of bars
all bars correctly labelled 1
AO /
Spec Ref.
01.8 ignore obesity AO1
any one from: 1 4.2.2.6
• poor diet allow descriptions of poor diet
eg diet high in (saturated) fat /
cholesterol
ignore diet unqualified
• lack of exercise allow descriptions of lack of
exercise
allow high alcohol intake
allow other correct lifestyle
factors such as having a
stressful job
Total Question 1 14
How to answer it
Coronary Heart Disease and Risk Factors
This question checks if you can identify the correct blood vessel, explain basic CPR/first aid ideas using clear biology, know a treatment for high cholesterol, describe how a stent works, interpret a table, complete a simple bar chart, and name a lifestyle risk factor for cardiovascular disease.
Which blood vessels are affected by coronary heart disease?
✅ Correct answer
Arteries
The coronary arteries supply the heart muscle.
💡 Key knowledge
- Coronary heart disease affects the coronary arteries.
- These arteries can become narrowed by fatty deposits.
- Reduced blood flow means less oxygen reaches the heart muscle.
🧠 Exam technique
For a 1-mark multiple choice question, the examiner wants the single correct option. Tick arteries, not capillaries or veins.
❌ Common errors
- Choosing veins because they carry blood back to the heart.
- Choosing capillaries because they are the smallest vessels.
- Forgetting this is about the vessels supplying the heart itself.
Explain why putting pressure on the heart helps the person.
✅ Correct answer
Putting pressure on the heart pushes / moves blood so that it can get oxygen around the body.
2 marks: one for moving blood, one for oxygen delivery.
💡 Key knowledge
- When the heart is compressed, blood is forced out of the heart.
- This keeps oxygenated blood circulating to organs and tissues.
- Accept: blood being pushed through blood vessels.
🧠 Exam technique
To get both marks, include two ideas:
- It moves/pushes blood.
- This helps oxygen reach the body or a named organ.
Short answers can still gain full marks if they include both points clearly.
❌ Common errors
- Saying it helps the person by restarting the heart only — this was ignored by the mark scheme.
- Talking only about the pacemaker.
- Saying oxygen goes to the lungs instead of the body.
Describe how forcing air into the person’s lungs helps the person.
✅ Correct answer
It provides oxygen for respiration.
1 mark: clear mention of oxygen or respiration.
💡 Key knowledge
- Lungs take in oxygen from the air.
- Oxygen is needed for aerobic respiration in body cells.
- Carbon dioxide is removed from the body during breathing.
🧠 Exam technique
Keep it simple: mention oxygen and either respiration or body cells.
❌ Common errors
- Saying it helps the lungs “start working” without mentioning oxygen.
- Talking only about carbon dioxide removal.
- Giving a long explanation but missing the key word oxygen.
Name one type of drug that would decrease the level of cholesterol in the person’s blood.
✅ Correct answer
Statins
“Statin” or a named statin is acceptable.
💡 Key knowledge
- Statins lower blood cholesterol.
- Lower cholesterol means less fatty material can build up in arteries.
🧠 Exam technique
For a 1-mark recall question, the exact drug class is enough. No explanation needed.
❌ Common errors
- Writing “painkillers” or “antibiotics”.
- Giving a process instead of a drug name.
- Spelling is not usually the issue if the drug is clearly recognisable.
Explain how a stent works to treat coronary heart disease.
✅ Correct answer
A stent opens / widens a blocked blood vessel so that more blood can flow to the heart.
2 marks: 1 for opening/widening the vessel, 1 for increased blood flow or more oxygen/glucose to the heart.
💡 Key knowledge
- A stent is used when a coronary artery is narrowed.
- It keeps the artery open.
- This restores blood supply to heart muscle cells.
🧠 Exam technique
To get full marks, describe the effect of the stent and the result:
- Opens/widens the vessel.
- Allows more blood to reach the heart.
You can also say more oxygen or glucose reaches the heart muscle.
❌ Common errors
- Saying it “unblocks the blood vessel” only — too vague unless you explain it opens/widens it.
- Not linking the stent to more blood flow.
- Not mentioning the heart at all.
Give two conclusions that can be made from the data in Table 1.
✅ Correct answers
- Smoking increases the risk of all types of cardiovascular disease.
- Smoking increases the risk of disease H more than any other type.
- Smoking increases the risk of disease E less than any other type.
Any two valid conclusions = 2 marks.
💡 Key knowledge
- Table values: E = 14%, F = 20%, G = 29%, H = 70%.
- Higher percentage means a greater increase in risk compared with people who have never smoked.
🧠 Exam technique
Use comparisons in your answer. Good examples:
- “Smoking increases the risk of all cardiovascular diseases.”
- “Disease H has the greatest increase in risk.”
- “Disease E has the smallest increase in risk.”
The examiner accepted clear comparisons between any two diseases.
❌ Common errors
- Only repeating one data value with no conclusion.
- Saying “smoking causes disease” instead of referring to risk.
- Not comparing the data.
Complete Figure 1.
✅ Correct answer
You should:
- Label the y-axis: Percentage / % increase in risk (compared to people who have never smoked)
- Use a correct scale of 1 cm = 5% on the y-axis.
- Plot all bars correctly for E = 14%, F = 20%, G = 29%, H = 70%.
- Label each bar with the correct disease letter.
4 marks total: axis label, scale, plotting, and labels.
📐 How to plot the bars
- Use the given x-axis categories: E, F, G, H.
- Choose a y-axis scale where 5% is 1 cm.
- Convert each percentage into a height:
- E = 14%
- F = 20%
- G = 29%
- H = 70%
- Draw each bar to the correct height.
- Write the label under each bar.
🧠 Exam technique
For graph questions, always check:
- Axis label includes the quantity and often the unit.
- The scale is even and sensible.
- Bars are the right height and correctly labelled.
If one bar is already drawn, make sure the rest match the same scale.
❌ Common errors
- Forgetting the full y-axis label.
- Using a scale that does not match 5% per 1 cm.
- Plotting bars to the wrong height.
- Not labelling each bar.
Describe one lifestyle factor that can increase the risk of cardiovascular disease.
✅ Correct answers
Any one of these:
- Poor diet
- Lack of exercise
- High alcohol intake
- Other acceptable lifestyle factors, such as having a stressful job
💡 Key knowledge
- Poor diet can mean a diet high in saturated fat or cholesterol.
- Lack of exercise is linked to a higher risk of cardiovascular disease.
- These factors can increase the chance of artery narrowing and heart problems.
🧠 Exam technique
For 1 mark, one clear lifestyle factor is enough. If you choose “poor diet”, you can improve your answer by adding “high in saturated fat” or “high cholesterol”.
❌ Common errors
- Writing obesity — not accepted here as the lifestyle factor itself.
- Giving a non-lifestyle factor.
- Using too much detail but not naming the factor clearly.
Final marks reminder
Key takeaways from the examiner’s marking
- Use the exact science word where possible: arteries, oxygen, statins, stent.
- For 2-mark explanations, give two linked points.
- For data questions, make a comparison rather than just copying numbers.
- For graph questions, get the axis label, scale, and bar heights right.
Topics
Biology · B2: Organisation
Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 1 (Higher), 2024. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.