AQA GCSE Biology Biology Paper 1 (Higher), 2024: Question 2

14 marks · Standard Demand difficulty · Extended Answer

Explain how cystic fibrosis affects digestion, body mass, gas exchange and oxygen supply, using knowledge of genes, human organs, alveoli and respiration.

Practise this question

Question

The question page is headed Question 02 and states that cystic fibrosis, CF, is an inherited disorder caused by a faulty gene. Part 02.1 asks where in a cell the CF gene would be found for 1 mark; part 02.2 lists organs affected by CF as the lungs, pancreas and small intestine, and shows a simple labelled outline diagram of the human body with organs marked A to F, asking which letters identify those three organs from four multiple-choice options. Part 02.3 explains that the pancreas produces digestive enzymes and CF reduces the amount reaching the small intestine, then asks for a 6-mark explanation of why a person with CF has difficulty digesting food and difficulty gaining body mass, with lined space for an extended answer. Part 02.4 asks for three features of alveoli that maximise gas exchange for 3 marks, and part 02.5 asks for a 3-mark explanation of how reduced oxygen entering the blood from the alveoli will affect the human body.
Question text

02 Cystic fibrosis (CF) is an inherited disorder caused by a faulty gene.

02.1 Where in a cell would the CF gene be found?

[1 mark]

CF affects many organs in the body.

The main organs affected are:

• the lungs

• the pancreas

• the small intestine.

02.2 Figure 2 shows organs of the human body.

Figure 2

Which letters in Figure 2 show the lungs, the pancreas and the small intestine?

[1 mark]

Tick ( ) one box.

A, D and E

A, E and F

B, C and D

B, C and F 8

02.3 The pancreas produces several digestive enzymes.

CF reduces the amount of each enzyme that reaches the small intestine.

Explain why a person with CF has:

• difficulty digesting food

• difficulty gaining body mass.

[6 marks]

02.4 Gas exchange happens in the alveoli in the lungs.

Describe three features of the alveoli that help maximise gas exchange.

[3 marks]

02.5 CF reduces the amount of oxygen that can enter the blood from the alveoli.

Explain how a reduced amount of oxygen entering the blood will affect the

human body.

[3 marks]

Mark scheme

Show the mark scheme The mark scheme for Question 2 is shown in a table. For 02.1, the answer is nucleus, with chromosome allowed; for 02.2, the correct option is A, D and E. For 02.3, a level-of-response grid awards 1 to 6 marks, with indicative content including reduced lipase, amylase or protease causing less breakdown of fats, starch and proteins into fatty acids and glycerol, glucose and amino acids, and reduced absorption leading to less building material, less storage and less energy for gaining body mass. For 02.4, accepted features are large surface area, large capillary network or good blood supply, and thin or one-cell-thick walls. For 02.5, marking points include less aerobic respiration causing less energy released and effects such as less muscle contraction, reduced metabolism, increased breathing rate or heart rate, or anaerobic respiration leading to lactic acid and muscle fatigue.

Question 2

AO /

Question Answers Extra information Mark

Spec Ref.

02.1 nucleus allow chromosome 1 AO1

ignore in the DNA 4.1.1.2

4.1.2.1

AO /

Spec Ref.

02.2 A, D and E 1 AO1

4.2.2.2

AO /

Question Answers Mark

Spec Ref.

02.3 Level 3: Relevant points (reasons / causes) are identified, given in 5–6 AO2

detail and logically linked to form a clear account.

Level 2: Relevant points (reasons / causes) are identified, and 3–4 AO2

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

fully clear.

Level 1: Points are identified and stated simply, but their relevance 1–2 AO1

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

No relevant content 0 4.2.2.1

4.4.2.1

Indicative content: 4.4.2.3

Difficulty digesting food

• less / no lipase

• (so) less / no fat broken down

o into fatty acids

o into glycerol

• less / no carbohydrase / amylase

• (so) less / no carbohydrate / starch broken down

o into glucose / sugar

• less / no protease

• (so) less / no protein broken down

o into amino acids

Difficulty gaining body mass

• less / no absorption

o of small / soluble molecules

o of fatty acids

o of glycerol

o of glucose / sugar

10 o of amino acids

• fewer molecules or fewer amino acids available for building

protein / muscle / cells / tissues

• less fat stored

• less respiration

• less energy

• (so less energy) for building new molecules / cells / tissues

For Level 3 details of difficulty digesting foodMARKSCHEMEand– difficulty gaining– –

body mass are needed.

AO /

Spec Ref.

02.4 large surface / area allow large surface / area to 1 AO1

volume (ratio) 4.1.3.1

4.2.2.2

(large) capillary network allow many capillaries 1

or

good / efficient blood supply

walls are thin ignore references to membranes 1

or ignore alveoli are thin

walls are one cell thick ignore alveoli are one cell thick

do not accept thin cell walls

ignore references to alveoli

being moist

MARKignore steep concentrationSCHEME– – –

gradient

AO /

Spec Ref.

02.5 less (aerobic) respiration allow (more) anaerobic 1 AO2

respiration 4.4.2.1

4.4.2.2

(so) less energy (released) do not accept less energy 1 4.4.2.3

produced / made / created

(results in) less muscle 1

contraction

or

(results in) reduced metabolism allow relevant named metabolic

or processes

(results in) increased breathing allow (results in) person getting

rate / depth out of breath

or

(results in) increased heart rate

OR

(more) anaerobic respiration (1)

(so) lactic acid produced (1)

(results in) muscle fatigue allow muscle ache / cramp /

or tiredness / pain

(results in) less muscle

contraction

or

(results in) increased breathing allow (results in) person getting

rate / depth out of breath

or

(results in) increased heart rate

12 (1)

Total Question 2 14

How to answer it

Cystic Fibrosis: Genes, organs and gas exchange

What this question tests

This question checks your knowledge of where genes are found, how to read a labelled diagram, and how cystic fibrosis affects digestion and gas exchange. You also need to explain effects in a logical chain: cause → effect → result in the body.

Question 2 overall

Topic focus: inherited disorder, organs, enzymes, alveoli, and oxygen transport

💡 Key knowledge

  • Genes are found on chromosomes in the nucleus.
  • CF mainly affects the lungs, pancreas, and small intestine.
  • Digestive enzymes break down large food molecules into small soluble molecules.
  • Alveoli need a large surface area, a good blood supply, and thin walls for fast diffusion.
  • Less oxygen in the blood means less aerobic respiration and less energy released.

🧠 Exam technique

  • For 1-mark recall questions, give the exact biological term.
  • For explanation questions, link ideas clearly using words like so, therefore, and because.
  • When a question asks for three features, give three separate points, not one long sentence.
  • Use the command word: describe = say what the features are; explain = say how/why they cause an effect.

❌ Common errors

  • Saying the gene is in the DNA only, without stating nucleus or chromosome.
  • Mixing up the organs in the diagram.
  • Writing general statements like “food is digested badly” without naming enzymes or products.
  • For alveoli, writing about moisture or steep concentration gradient is not needed here.

Part (a): Where is the CF gene found?

Exam part: 02.1 | Marks: 1

✅ Correct answer

nucleus

The mark scheme also allows chromosome. “DNA” alone is not enough for full credit here.

💡 Key knowledge

In GCSE Biology, genes are sections of DNA found on chromosomes, which are in the nucleus.

🧠 Exam technique

If a question asks “where in a cell?”, the safest answer is usually nucleus. If you want to add detail, you can say on a chromosome in the nucleus.

Part (b): Identifying organs on the diagram

Exam part: 02.2 | Marks: 1

✅ Correct answer

A, D and E

These letters show the lungs, pancreas and small intestine.

💡 Key knowledge

  • CF mainly affects the lungs because sticky mucus builds up there.
  • The pancreas makes digestive enzymes.
  • The small intestine is where digestion is completed and nutrients are absorbed.

❌ Common errors

  • Choosing letters that point to the wrong organ shapes.
  • Not matching the organ names to the diagram carefully.

Part (c): Explain why CF causes difficulty digesting food and gaining body mass

Exam part: 02.3 | Marks: 6

✅ What a full-mark answer should include

  • Less digestive enzyme reaches the small intestine.
  • Less lipase means less fat is broken down into fatty acids and glycerol.
  • Less amylase / carbohydrase means less starch is broken down into sugars (glucose).
  • Less protease means less protein is broken down into amino acids.
  • Because food is not digested properly, fewer small soluble molecules are available to be absorbed.
  • With less absorption, fewer nutrients are available for growth, repair and energy, so body mass is harder to gain.

💡 Key knowledge

Why digestion is affected

  • The pancreas makes several digestive enzymes.
  • CF reduces the amount of enzyme reaching the small intestine.
  • This means large insoluble food molecules are not broken down as effectively.

What enzymes do

  • Amylase / carbohydrase breaks starch into sugars, such as glucose.
  • Protease breaks proteins into amino acids.
  • Lipase breaks fats into fatty acids and glycerol.

🧠 Exam technique

Top answers usually follow this pattern:

less enzyme → less digestion → fewer soluble molecules absorbed → less material for growth and respiration → difficulty gaining body mass

The mark scheme says Level 3 needs both parts: difficulty digesting food and difficulty gaining body mass.

❌ Common errors

  • Only saying “food is not digested” without naming enzymes or products.
  • Forgetting to explain body mass in terms of fewer nutrients being absorbed.
  • Writing that “less food is eaten” — the problem is digestion and absorption, not appetite.

📐 How to build a 6-mark answer step by step

  1. State the cause: CF reduces digestive enzymes reaching the small intestine.
  2. Explain digestion: fewer enzymes means less fat, starch and protein are broken down.
  3. Name the products: fatty acids + glycerol, glucose / sugars, amino acids.
  4. Explain absorption: fewer small soluble molecules are absorbed.
  5. Link to body mass: fewer nutrients are available for growth, repair and respiration.
  6. Finish with the result: difficulty gaining body mass.

✅ Model answer

CF reduces the amount of digestive enzyme that reaches the small intestine, so less lipase, amylase and protease are available. This means less fat is broken down into fatty acids and glycerol, less starch is broken down into sugars, and less protein is broken down into amino acids. As a result, fewer small soluble molecules are available for absorption. This means fewer nutrients are taken into the body for growth, repair and respiration, so the person has difficulty gaining body mass.

Part (d): Features of alveoli that maximise gas exchange

Exam part: 02.4 | Marks: 3

✅ Correct answers

  • Large surface area
  • Good / efficient blood supply or large capillary network
  • Thin walls or walls are one cell thick

💡 Key knowledge

  • A large surface area means more oxygen can diffuse in at once.
  • A dense capillary network removes oxygen quickly, helping maintain diffusion.
  • Thin walls give a short diffusion distance.

🧠 Exam technique

For this question, you only need to name the features. You do not need to explain them in detail unless asked.

❌ Common errors

  • Saying “alveoli are moist” — not credited in this mark scheme.
  • Saying “steep concentration gradient” — not credited here.
  • Saying “thin cell walls” is acceptable, but do not confuse this with general “thin membranes”.

Part (e): Effect of reduced oxygen entering the blood

Exam part: 02.5 | Marks: 3

✅ Correct answer points

  • Less aerobic respiration
  • Less energy released
  • This can cause less muscle contraction, muscle fatigue, or an increase in breathing rate / heart rate

The mark scheme also allows the alternative chain: more anaerobic respiration → lactic acid produced → muscle fatigue.

💡 Key knowledge

  • Oxygen is needed for aerobic respiration.
  • Respiration releases the energy needed for muscle contraction and other body processes.
  • If oxygen is low, the body may rely more on anaerobic respiration, which can lead to lactic acid build-up.

🧠 Exam technique

You need a clear chain of reasoning. A strong answer links oxygen shortage to energy shortage, then to body effects such as tired muscles or faster breathing.

❌ Common errors

  • Saying “less energy produced” — the mark scheme prefers less energy released.
  • Stopping after “less oxygen enters the blood” without explaining the effect on the body.
  • Only mentioning one consequence when the question is worth 3 marks.

📐 Best 3-mark chain

  1. Less oxygen enters the blood.
  2. So there is less aerobic respiration, so less energy is released.
  3. This leads to less muscle contraction / muscle fatigue / increased breathing rate / increased heart rate.

✅ Model answer

If less oxygen enters the blood, there will be less aerobic respiration, so less energy is released. This means muscles contract less effectively and the person may feel tired or short of breath. The body may also increase breathing rate and heart rate to try to bring in more oxygen.

Quick recall summary

🎯 One-line answers to remember

  • 02.1: nucleus
  • 02.2: A, D and E
  • 02.4: large surface area, good blood supply, thin walls
  • 02.5: less oxygen → less aerobic respiration → less energy

🧠 How examiners reward marks

  • 1-mark questions need the exact term.
  • 3- and 6-mark questions reward linked explanations, not just single facts.
  • For CF digestion, full marks require both digesting food and gaining body mass.

Topics

Biology · B1: Cell Biology · B2: Organisation · B4: Bioenergetics · B6: Inheritance, Variation and Evolution

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.