AQA GCSE Biology Biology Paper 2 (Foundation), June 2025: Question 4

10 marks · Standard Demand difficulty · Extended Answer

Plot and interpret water balance data, identify kidney processes, and evaluate kidney transplants versus dialysis.

Practise this question

Question

Question 04 begins with introductory text and Table 2 comparing water gained and lost by a person on a day with no exercise. Water gained includes food (550 cm³), drink (1540 cm³), and metabolism (410 cm³), totalling 2500 cm³. Water lost includes urine (1600 cm³), faeces (140 cm³), sweat (420 cm³), and breathing (340 cm³), totalling 2500 cm³. Figure 7 shows two bar charts: 'Water gained' with bars for food, drink, and metabolism, and 'Water lost' showing bars for urine and faeces. Part 04.1 asks to complete Figure 7 by plotting and labelling bars for sweat and breathing. Part 04.2 asks what happens to sweat loss on a race day (Decrease, No change, Increase). Part 04.3 asks to match three kidney processes (removes water from blood, takes excess water out of the body, takes water back into the blood) to their names (Coordination, Excretion, Filtration, Reabsorption). Part 04.4 gives facts about dialysis and kidney transplants and asks for an evaluation of a kidney transplant instead of dialysis for 4 marks.
Question text

04 It is important to maintain the water balance of the body.

The volume of water a person gained and lost was measured on a day the person

did no exercise.

Table 2 shows how much water the person gained and lost by different methods

on the day.

Table 2

Water gained Water lost

Method Volume in cm3 Method Volume in cm3

Food 550 Urine 1600

Drink 1540 Faeces 140

Metabolism 410 Sweat 420

Total 2500 Breathing 340

19 Total 2500

Figure 7 shows some of the data from Table 2.

Figure 7

04.1 Complete Figure 7.

[2 marks]

You should:

• plot the data for sweat and for breathing from Table 2

• label each bar.

04.2 On another day, the person ran in a long-distance race.

What would happen to the volume of water lost by sweating on the day of the race?

[1 mark]

Tick ( ) one box.

Decrease

No change

Increase

04.3 The kidneys control the amount of water in the body.

Draw one line from each process in the kidneys to the name of that process.

[3 marks]

04.4 A person with kidney failure can be treated by dialysis or by a kidney transplant.

For dialysis:

• a person needs 3 dialysis sessions each week

• each session can last 6 to 8 hours

• each session has to happen in a hospital.

For a kidney transplant:

• a suitable donor is needed

*20•*a surgical operation is needed.

Evaluate the use of a kidney transplant instead of dialysis for treating kidney failure.

Include your own knowledge in your answer.

[4 marks]

Extra space

Mark scheme

Show the mark scheme The mark scheme for Question 4 lists: 04.1: 1 mark for plotting bars at 420 and 340 (within ± 0.5 small square), 1 mark for correctly labelling each bar. 04.2: 'increase' (1 mark). 04.3: line matching 'Removes water from blood' to 'Filtration', 'Takes excess water out of the body' to 'Excretion', and 'Takes water back into the blood' to 'Reabsorption' (3 marks, 1 per correct line). 04.4: 4-mark level of response table (Level 2: 3-4 marks for a strongly linked judgment supported by points for and against; Level 1: 1-2 marks for relevant unlinked points). Indicative content lists pros of transplant (no regular hospital visits, long-term solution, flexible lifestyle, diet freedom, cheaper long term) and cons (organ rejection risk, need for immunosuppressants, surgery risks, donor availability).

Question 4

AO /

Question Answers Extra information Mark

Spec. Ref.

04.1 bars plotted at 420 and 340 allow a tolerance of ± ½ a small 1 AO2

square 4.5.3.3

allow bars touching

ignore width of bars

ignore shading

bars correctly labelled 1

AO /

Spec. Ref.

04.2 increase 1 AO3

4.5.2.4

AO /

Question Answers Mark

Spec. Ref.

04.3 AO1

4.5.3.3

do not accept more than one line from a box on the left

AO /

Spec. Ref.

04.4 Level 2: A judgement, strongly linked and logically supported by a 3–4 AO3

sufficient range of correct reasons, is given. 4.5.3.3

Level 1: Relevant points are made. They are not logically linked. 1–2

No relevant content 0

Indicative content

in favour of a kidney transplant

• no need for regular / long hospital visits

• could last for rest of lifetime

• flexible lifestyle eg as can go on holidays

• may not live near a hospital or reference to transport costs

• no risk of infection from frequent piercing of skin

or

no risk of infection from blood exposed to equipment

• no need for controlled diet

• maintains correct concentration of substances in blood / body

• cheaper in long term

against a kidney transplant

• may be rejected

• need to keep taking anti-rejection drugs or immunosuppressants

• (suitable) donor may not be available

or

donor may need tissue matching

• risk from surgery (anaesthetic or infection)

• recovery from surgery may take a long time

• may need replacing eventually

For Level 2, points for and against a kidney transplant must

be given.

Total Question 4 10

How to answer it

Water Balance and Treating Kidney Failure

What this question tests

This question assesses key knowledge from AQA Topic 5: Homeostasis and Response. You need to read data from a table and plot a bar chart with correct scale increments, understand water losses during physical exercise, identify the specific functions of the kidney (filtration, reabsorption, excretion), and construct a balanced evaluation comparing kidney transplants with dialysis.

Part 04.1

Plotting Data: Completing the Water Lost Bar Chart

Total marks: 2 | AO2

✅ Correct Answer & Criteria

  • Bar 1 (Sweat): Height plotted precisely at 420 cm³ and labelled Sweat .
  • Bar 2 (Breathing): Height plotted precisely at 340 cm³ and labelled Breathing .
Mark 1: Both bars plotted accurately within ± ½ small square.
Mark 2: Both bars correctly labelled on the x-axis.

📐 Reading the Grid Scale

Carefully check the y-axis before plotting:

  • 100 cm³ = 5 small grid squares.
  • Therefore, 1 small square = 20 cm³.
  • Sweat (420 cm³): Plot 1 small square above 400 cm³.
  • Breathing (340 cm³): Plot 2 small squares above 300 cm³.

❌ Common Errors

  • Assuming each small grid square equals 10 cm³ instead of checking the scale (20 cm³ per square).
  • Drawing bars without x-axis labels beneath them.
  • Plotting freehand lines without a ruler, leading to inaccurate bar heights.

🧠 Exam Technique

  • Use a sharp pencil and a ruler to ensure clean lines within the allowed ± ½ square tolerance.
  • Bar widths do not need to match exactly, but keeping them identical to the existing bars looks neat and avoids confusion.
Part 04.2

Effect of Exercise on Sweat Loss

Total marks: 1 | AO3

✅ Correct Answer

Tick the box next to:

[✓] Increase

1 Mark: Exactly one box ticked indicating "Increase".

💡 Key Knowledge

During a race, muscle contraction demands more energy from cellular respiration. Respiration is exothermic, releasing thermal energy and raising body temperature.

The thermoregulatory centre triggers increased sweating. As sweat evaporates from the skin surface, it removes latent heat, cooling the body down.

Part 04.3

Processes in the Kidneys: Matching Definitions

Total marks: 3 | AO1

Correct Matching:
  • Removes water from the blood ───► Filtration
  • Takes excess water out of the body ───► Excretion
  • Takes water back into the blood ───► Reabsorption

Note: "Coordination" is an unused distractor.

💡 Process Breakdown

  • Filtration: High pressure forces small molecules (water, glucose, ions, urea) out of the blood into kidney tubules.
  • Selective Reabsorption: Useful substances (all glucose, some ions, and necessary water) move back into the blood.
  • Excretion: Unwanted waste and excess water leave the body as urine via the bladder.

❌ Common Errors

  • Drawing multiple lines from one box: The mark scheme specifically states: "do not accept more than one line from a box on the left". If two lines emerge from one box, that mark is cancelled out.
  • Confusing filtration (blood into tubule) with reabsorption (tubule back into blood).
Part 04.4

Evaluation: Kidney Transplant vs Dialysis

Total marks: 4 | AO3

💡 Advantages of a Kidney Transplant

  • Lifestyle freedom: No need to spend 18–24 hours every week tied to a dialysis machine; freedom to work and travel.
  • Dietary freedom: Patients do not have to strictly restrict salt, protein, and fluid intake as required on dialysis.
  • Long-term cost: Cheaper for healthcare systems over time compared to ongoing lifelong dialysis sessions.
  • Overall health: Provides a continuous, steady regulation of blood waste products rather than peaks and troughs.

💡 Disadvantages of a Kidney Transplant

  • Organ rejection: The recipient's immune system may recognize donor antigens as foreign and attack the organ.
  • Immunosuppressant drugs: Must be taken for life, which lowers immunity and leaves the patient vulnerable to other infections.
  • Surgical risks: Involves major surgery, general anaesthetic risks, bleeding, and potential post-op infection.
  • Donor shortage: Long waiting lists for an organ with matching tissue type.

🧠 Structuring an 'Evaluate' Answer (Level 2: 3–4 Marks)

To achieve full 4 marks on an evaluation question, you must provide:

  1. At least one valid reason in favour of a transplant.
  2. At least one valid reason against a transplant (or in favour of dialysis).
  3. Use of own knowledge (e.g., mention of rejection, immunosuppressants, or dietary freedom).
  4. A clear conclusion / judgement that directly weighs the evidence.

✅ Model Full-Mark Answer

"A kidney transplant offers a much better quality of life than dialysis because the patient does not need to visit a hospital three times a week for 6 to 8 hours at a time, and they can eat a normal diet without strict fluid controls. In the long term, transplants are also less expensive for the NHS.

However, a transplant requires major surgery with risks of infection and complications. There is also a shortage of donors, and the patient risks organ rejection, requiring lifelong immunosuppressant medication which increases their susceptibility to illnesses.

Conclusion: Overall, a transplant is the better long-term treatment because it restores normal lifestyle and constant water regulation, provided a suitably matched donor is found."

Topics

Biology · B5: Homeostasis and Response

Question and mark scheme from the AQA GCSE Biology examination, Biology Paper 2 (Foundation), June 2025. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.