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 question

Question

The question page is a multi-part GCSE Biology item about coronary heart disease and cardiovascular disease. It includes: a 1-mark multiple-choice question asking which blood vessels are affected by coronary heart disease with options arteries, capillaries and veins; short-answer questions explaining why chest compressions help when the heart has stopped, how rescue breaths help, naming a drug type that lowers blood cholesterol, and explaining how a stent treats coronary heart disease. Lower down is Table 1 showing percentage increase in risk for four cardiovascular diseases labelled E, F, G and H with values 14, 20, 29 and 70 respectively compared with people who have never smoked, followed by a question asking for two conclusions from the table. The final data-handling task asks students to complete Figure 1, a bar chart grid with the bar for disease E already plotted, by labelling the y-axis, adding a suitable scale, plotting the remaining bars and labelling each bar; the last item asks for one lifestyle factor other than smoking that increases cardiovascular disease risk.
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 The mark scheme is a table listing answers, extra information and marks for parts 01.1 to 01.8, with AO and specification references mostly 4.2.2.4 and 4.2.2.6 plus respiration links to 4.4.2.1. Accepted answers include arteries; chest compressions push or move blood to get oxygen around the body; rescue breaths provide oxygen for respiration; statins; and a stent opens or keeps open a blocked blood vessel so more blood, glucose or oxygen reaches the heart muscle. For the smoking data, credit is given for comparative conclusions such as smoking increasing risk for all diseases, H having the greatest increase and E the least; the graph-marking points require a y-axis label referring to percentage increase in risk compared with never-smokers, a correct scale of 1 cm equals 5%, correctly plotted bars and correct labels. The final item accepts lifestyle factors such as poor diet, lack of exercise, high alcohol intake or stress-related factors, while ignoring obesity and vague unqualified diet answers.

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

What this question tests

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.

Part 01.1

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.
Part 01.2

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:

  1. It moves/pushes blood.
  2. 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.
Part 01.3

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.
Part 01.4

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.
Part 01.5

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:

  1. Opens/widens the vessel.
  2. 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.
Part 01.6

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.
Part 01.7

Complete Figure 1.

✅ Correct answer

You should:

  1. Label the y-axis: Percentage / % increase in risk (compared to people who have never smoked)
  2. Use a correct scale of 1 cm = 5% on the y-axis.
  3. Plot all bars correctly for E = 14%, F = 20%, G = 29%, H = 70%.
  4. Label each bar with the correct disease letter.

4 marks total: axis label, scale, plotting, and labels.

📐 How to plot the bars

  1. Use the given x-axis categories: E, F, G, H.
  2. Choose a y-axis scale where 5% is 1 cm.
  3. Convert each percentage into a height:
    • E = 14%
    • F = 20%
    • G = 29%
    • H = 70%
  4. Draw each bar to the correct height.
  5. 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.
Part 01.8

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.