AQA GCSE Biology Biology Paper 1 (Foundation), June 2024: Question 8
14 marks · Standard Demand difficulty · Extended Answer
Explain the effects of cystic fibrosis on digestion, growth, and gas exchange, including identifying the location of genes and organ systems.
Practise this questionQuestion
Question text
08 Cystic fibrosis (CF) is an inherited disorder caused by a faulty gene.
08.1 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.
08.2 Figure 7 shows organs of the human body.
Figure 7
Which letters in Figure 7 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
*36* B, C and F 38
08.3 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]
08.4 Gas exchange happens in the alveoli in the lungs.
Describe three features of the alveoli that help maximise gas exchange.
[3 marks]
*38* 2
08.5 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 8
AO /
Question Answers Extra information Mark
Spec Ref.
08.1 nucleus allow chromosome 1 AO1
ignore in the DNA 4.1.1.2
4.1.2.1
AO /
Spec Ref.
08.2 A, D and E 1 AO1
4.2.2.2
AO /
Question Answers Mark
Spec Ref.
08.3 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
o of amino acids 23
• 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.
08.4 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 steepSCHEME–concentration – –
gradient
AO /
Spec Ref.
08.5 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
(1) 25
Total Question 8 14
How to answer it
Cystic Fibrosis: Digestion, Gas Exchange & Respiration
📋 What this question tests
This multi-part question assesses your foundational understanding of human biology and how an inherited condition affects multiple organ systems:
- Cellular structure: Recall where genetic material is located in a human cell.
- Organ identification: Recognising organs of the digestive and respiratory systems from an anatomical diagram.
- Enzymes & digestion (6-marker): Explaining how enzyme blockages prevent chemical breakdown of macronutrients and subsequent absorption, resulting in weight loss.
- Alveolar adaptations: Describing structural adaptations that maximise the rate of gas exchange.
- Cellular respiration: Explaining the physiological effects of reduced oxygen delivery on aerobic respiration, energy release, and body tissues.
Location of the CF Gene
Identifying where genetic material is stored in a human cell
✅ Correct Answer
Nucleus (or chromosome)
❌ Common Errors & Examiner Traps
- Do NOT write "in the DNA": The mark scheme specifically states "ignore in the DNA". DNA is the substance the gene is made from, not the cellular structure/organelle where it is found.
- Writing "cytoplasm" or "mitochondria" (while mitochondrial DNA exists, human nuclear genes like CFTR are in the nucleus).
Identifying Organs Affected by Cystic Fibrosis
Matching letters from the anatomical diagram to the lungs, pancreas, and small intestine
✅ Correct Answer
A, D and E
💡 Anatomical Map of Figure 7
- A: Lungs (respiratory tract)
- B: Stomach
- C: Large intestine (colon)
- D: Small intestine (ileum/duodenum)
- E: Pancreas (tucked below/behind the stomach)
- F: Liver
🧠 Exam Technique
The question specifically lists: the lungs (A), the pancreas (E), and the small intestine (D). Carefully distinguish between C (the outer loop = large intestine) and D (the inner central coils = small intestine).
Enzyme Deficiency: Digestion & Body Mass in CF
Explain why a person with CF has difficulty digesting food and difficulty gaining body mass
✅ Model 6-Mark Answer Structure
The thick mucus in CF blocks pancreatic ducts, reducing enzyme delivery to the small intestine:
- Less protease reaches the gut, so less protein is broken down into amino acids.
- Less lipase reaches the gut, so less lipids/fats are broken down into fatty acids and glycerol.
- Less carbohydrase / amylase reaches the gut, so less starch/carbohydrate is broken down into glucose.
- Fewer small, soluble molecules are available to be absorbed into the bloodstream.
- Fewer amino acids are available for protein synthesis to build new cells, muscle, and tissues.
- Less glucose is absorbed, leading to reduced respiration and thus less energy released for growth and metabolic reactions.
- Fewer fatty acids/glycerol means less fat is stored in adipose tissue.
🧠 Examiner Level Descriptors (How to get 6/6)
- Level 3 (5–6 marks): Clear, detailed points given for both difficulty digesting food and difficulty gaining body mass, logically linked together.
- Level 2 (3–4 marks): Mentions both parts but lacks full logical linking (e.g. names enzymes but fails to connect products to absorption or growth).
- Level 1 (1–2 marks): Isolated simple statements without clear chemical or physiological cause-and-effect.
❌ Common Errors on this 6-Marker
- Only addressing one half: Writing pages about digestion but completely forgetting to explain why they fail to gain body mass caps you at Level 2 (max 4 marks).
- Mismatched enzymes and products: Stating that protease breaks down fat, or lipase produces amino acids. Always pair them correctly!
- Saying "energy is produced / made": Respiration does not make or create energy; it releases energy.
💡 Summary Table: Enzyme, Substrate & Product
- Protease : Proteins → Amino acids (needed for growth & muscle repair)
- Lipase : Lipids/Fats → Fatty acids + Glycerol (needed for fat storage & cell membranes)
- Amylase/Carbohydrase : Starch → Glucose (needed for respiration to release energy)
Alveoli Adaptations for Gas Exchange
Describe three features of the alveoli that help maximise gas exchange
✅ Correct Answer (Pick any 3)
- Large surface area (or large surface area to volume ratio).
- Thin walls / walls are one cell thick (provides a short diffusion distance).
- Rich / efficient blood supply (or large capillary network / many capillaries to maintain a steep concentration gradient).
❌ Severe Examiner Traps
- "Thin cell walls": ⚠️ DO NOT SAY THIS! Animal cells do not have cell walls. You must say the alveolar wall is one cell thick or thin walls.
- "Alveoli are thin": Too vague. The walls are thin, not the entire alveolar sac.
- "Thin cell membrane": Ignored by examiners; cell membranes have a fixed thickness.
- "Moist surface" / "Steep concentration gradient": The mark scheme specifically states ignore references to alveoli being moist and ignore steep concentration gradient (as a feature itself, rather than the blood supply causing it).
Impact of Reduced Oxygen on the Body
Explain how a reduced amount of oxygen entering the blood will affect the human body
✅ Model Answer: Two Valid Routes
- Less aerobic respiration occurs in cells [1 mark].
- So less energy is released [1 mark].
- Leading to less muscle contraction, extreme tiredness/fatigue, or increased breathing rate/heart rate to compensate [1 mark].
- Body switches to more anaerobic respiration [1 mark].
- Lactic acid is produced and builds up [1 mark].
- Causing muscle fatigue / cramping / pain [1 mark].
❌ Critical Language Error
Never say: "less energy is made / created / produced".
Under the First Law of Thermodynamics, energy cannot be created or destroyed. In GCSE Biology, you must strictly state that less energy is released from glucose.
🧠 Exam Technique: Chain of Cause and Effect
For a 3-mark "explain" question, always write a 3-step causal chain:
Reduced O₂ intake → Cellular process affected (respiration) → Physiological symptom (fatigue / muscle weakness)
Writing only symptoms (e.g. "they get tired and breathe faster") without mentioning cellular respiration will cost you 2 out of the 3 marks!
Topics
Biology · B1: Cell Biology · B2: Organisation · B4: Bioenergetics
Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 1 (Foundation), June 2024. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.