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 questionQuestion
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
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
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?
✅ 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
✅ 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
✅ 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
- State the cause: CF reduces digestive enzymes reaching the small intestine.
- Explain digestion: fewer enzymes means less fat, starch and protein are broken down.
- Name the products: fatty acids + glycerol, glucose / sugars, amino acids.
- Explain absorption: fewer small soluble molecules are absorbed.
- Link to body mass: fewer nutrients are available for growth, repair and respiration.
- 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
✅ 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
✅ 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
- Less oxygen enters the blood.
- So there is less aerobic respiration, so less energy is released.
- 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.