AQA GCSE Combined Science: Trilogy Biology Paper 1 (Foundation), 2020: Question 4

14 marks · Standard Demand difficulty · Short Answer

Match two infectious diseases to their types of pathogen and answer questions about body defences, immune response, HIV, and AIDS.

Practise this question

Question

An exam page with Question 4 about pathogens and infectious disease. Part 04.1 shows a matching task with two diseases, Gonorrhoea and Measles, and four pathogen types in boxes: Bacterium, Fungus, Protist, and Virus; the student must draw one line from each disease to the correct pathogen type for 2 marks. Part 04.2 asks for two ways the body prevents pathogens entering the body, with two numbered answer lines for 2 marks. Part 04.3 is a 6-mark extended response asking how the immune system defends the body against disease after pathogens enter the body, with several blank lines. Lower on the page, 04.4 asks for one reason antibiotics cannot be used to treat HIV infections, worth 1 mark. Part 04.5 asks for two ways to prevent the spread of HIV, with two numbered answer lines for 2 marks. Part 04.6 asks why people with AIDS may die from a different infection such as a chest infection, with three tick-box options: HIV damages the immune system, Pathogens enter the body more easily, and People with AIDS are immune to HIV, worth 1 mark.
Question text

04 Pathogens cause infectious diseases.

04.1 Draw one line from each disease to the type of pathogen that causes the disease.

[2 marks]

Disease Type of pathogen

Bacterium

Gonorrhoea

Fungus

Protist

Measles

Virus

The body defends itself against pathogens in different ways.

04.2 Give two ways that the body prevents pathogens entering the body.

[2 marks]

04.3 If pathogens do enter the body the immune system tries to destroy the pathogens.

Describe how the immune system defends the body against disease.

[6 marks]

04.4 Give one reason why antibiotics cannot be used to treat HIV infections.

[1 mark]

04.5 Give two ways to prevent the spread of HIV.

[2 marks]

04.6 Some people with a HIV infection develop AIDS.

Some people with AIDS may die from a different type of infection, such as a

chest infection.

Why do people with AIDS die from a different type of infection?

[1 mark]

Tick ( ) one box.

HIV damages the immune system.

Pathogens enter the body more easily.

People with AIDS are immune to HIV.

Mark scheme

Show the mark scheme The mark scheme page lists accepted answers for Question 04.1 to 04.6. For 04.1, Gonorrhoea must be linked to Bacterium and Measles to Virus; extra lines lose a mark. For 04.2, any two body defences gain marks, including skin as a barrier, mucus in the trachea or bronchi, mucus in the nose, cilia in the trachea or bronchi or respiratory tract, and hydrochloric acid in the stomach, with notes allowing scabs or tears in some cases. For 04.3, a 6-mark response must describe white blood cells detecting antigens or pathogens, phagocytes engulfing and digesting pathogens, lymphocytes producing antibodies that attach to pathogens and cause clumping, antitoxins destroying toxins, and memory cells leading to a faster later response; the mark scheme distinguishes Level 1 and Level 2 answers. For 04.4, the accepted reason is that HIV is a virus and antibiotics do not kill viruses. For 04.5, any two HIV prevention methods gain marks, such as avoiding sexual intercourse, using a condom, not sharing needles, using antiretroviral drugs, and screening blood for transfusions, with an extra note that not exchanging body fluids can earn a mark. For 04.6, the correct tick-box answer is that HIV damages the immune system.

AO /

Question Answers Extra information Mark

Spec. Ref.

04.1 extra line(s) from a disease negates that mark AO1

4.3.1.2

1 4.3.1.3

04.2 ignore references to the immune AO1

response 4.3.1.6

any two from: 2

• skin (acts as a barrier)

• mucus in trachea / bronchi allow mucus in airways

allow mucus unqualified if

neither idea given

• mucus in nose

• cilia (in trachea / bronchi / ignore references to hairs

respiratory tract)

• (hydrochloric) acid in stomach

allow scab forms (if you cut

yourself)

allow tears

AO /

Question Answers Mark

Spec. Ref.

14 Level 2: Scientifically relevant facts, events or processes are

04.3 4-6 AO1

identified and given in detail to form an accurate account.

4.2.2.3

4.3.1.1

Level 1: Facts, events or processes are identified and simply 1–3

4.3.1.6

stated but their relevance is not clear.

No relevant content 0

Indicative content

• white blood cells

• detect / identify foreign antigens / cells / pathogens / bacteria

• destroy / kill invading cells

• phagocytes

• engulf invading cells

• digest / kill invading cells

• produce antibodies

• (antibodies) attach to invading cells

• (antibodies) destroy / kill invading cells

• (antibodies) make invading cells clump together

• (so) phagocytes can engulf more cells / pathogens / bacteria

• produce antitoxins

• to destroy toxins

• (so) less tissue damage

• (therefore) don’t feel as ill

• produce memory cells

• (so) immune response (to later exposure) is faster

A description of the ways that white blood cells act is needed for

Level 2.

04.4 any one from: 1 AO1

• HIV is a virus allow HIV is not a bacterium 4.3.1.2

• antibiotics do not kill viruses 4.3.1.8

• antibiotics (are used to) kill

bacteria

04.5 ignore handwashing AO1

ignore social distancing 4.3.1.1

15 any two from: 2 4.3.1.2

• avoid sexual intercourse

• use a condom allow practise safe sex

ignore use protection unqualified

ignore use contraception

unqualified

• do not share needles

• use antiretroviral drugs ignore use medication

unqualified

• screen blood used for

transfusions

allow have regular checks / tests

to see if you have HIV

if no other marks awarded allow

1 mark for do not exchange

body fluids

04.6 HIV damages the immune 1 AO1

system 4.3.1.2

Total 14

How to answer it

Pathogens, Body Defences and HIV

What this question tests

This question tests your knowledge of pathogen types, how the body prevents pathogens entering, how white blood cells defend the body, and facts about HIV, antibiotics and preventing HIV spread. It also checks whether you can give precise exam-style answers and include enough detail for a 6-mark biology explanation.

Question 04.1

Part (a): Matching diseases to pathogen type

2 marks

✅ Correct answers

Gonorrhoea → Bacterium
Measles → Virus

Each correct line = 1 mark.

💡 Key knowledge

  • Gonorrhoea is a bacterial sexually transmitted infection.
  • Measles is caused by a virus.
  • Not all pathogen types on the page will be used.

🧠 Exam technique

  • Only draw one clear line from each disease.
  • The mark scheme says extra lines negate the mark.
  • If you are unsure, eliminate the obviously wrong options first.

❌ Common errors

  • Adding extra lines “just in case”. This can lose the mark.
  • Confusing measles with a bacterial disease.
  • Thinking gonorrhoea is caused by a virus because it is an STI.
Examiner insight: this is mainly recall, but students often lose marks through poor matching technique rather than lack of knowledge.
Question 04.2

Part (b): Ways the body prevents pathogens entering

2 marks

✅ Correct answers

Any two from:

  • Skin acts as a barrier.
  • Mucus in the trachea / bronchi / airways / nose traps pathogens.
  • Cilia in the trachea / bronchi / respiratory tract move mucus away.
  • Hydrochloric acid in the stomach kills pathogens.
  • Tears.
  • Scab forms if you cut yourself.

💡 Key knowledge

  • Skin is a physical barrier.
  • Mucus traps pathogens.
  • Cilia move mucus out of the airways.
  • Stomach acid kills many pathogens swallowed in food or mucus.

🧠 Exam technique

  • Give exactly two distinct ways.
  • Make sure they are about preventing entry, not the immune response after infection.
  • Short, clear statements are enough for 2 marks.

❌ Common errors

  • Talking about antibodies or white blood cells. The mark scheme says to ignore immune response here.
  • Saying just “hairs” instead of cilia.
  • Writing “mucus” with no context can be risky unless clearly linked to nose/airways.
Examiner insight: students lost marks when they described how the body fights pathogens after they enter, instead of how the body stops them getting in.
Question 04.3

Part (c): How the immune system defends the body against disease

6 marks

Model full-mark answer:

White blood cells defend the body against pathogens. Some white blood cells called phagocytes engulf and digest invading pathogens. Other white blood cells produce antibodies that are specific to antigens on the pathogen. These antibodies help to destroy the pathogens and can also cause them to clump together so phagocytes can engulf them more easily. White blood cells also produce antitoxins to neutralise toxins released by bacteria. Some white blood cells become memory cells, so if the same pathogen enters the body again, antibodies are produced more quickly and the immune response is faster.

✅ What gets the marks

  • Reference to white blood cells.
  • Phagocytes engulf/digest pathogens.
  • Antibodies are produced.
  • Antibodies destroy pathogens / attach to pathogens / make them clump together.
  • Antitoxins are produced to neutralise toxins.
  • Memory cells give a faster response next time.

💡 Key knowledge

  • Pathogens have antigens on their surface.
  • Antibodies are specific to particular antigens.
  • Phagocytosis means engulfing and digesting pathogens.
  • Antitoxins work against toxins made by pathogens, especially bacteria.
  • Memory cells are why the second response is faster.

🧠 Exam technique

  • This is a level-of-response question, so linked explanation matters.
  • To reach the top level, do more than list facts: explain what each white blood cell action does.
  • A strong structure is:
    1. State white blood cells defend the body.
    2. Explain phagocytes.
    3. Explain antibodies.
    4. Explain antitoxins.
    5. Explain memory cells.
  • Use biological words accurately: engulf, digest, antibodies, antitoxins, memory cells.

❌ Common errors

  • Only saying “white blood cells kill pathogens” with no detail. That is too vague for top marks.
  • Mixing up antibodies and antitoxins.
  • Forgetting to mention phagocytes or memory cells.
  • Describing vaccination instead of the immune response itself.
Mark breakdown: Level 2 = 4–6 marks for a detailed, accurate account. Level 1 = 1–3 marks for simple statements with unclear relevance. Top responses described several white blood cell actions and linked them clearly to destroying pathogens or reducing disease.
Question 04.4

Part (d): Why antibiotics cannot treat HIV

1 mark

✅ Correct answer

Any one of these:

  • HIV is a virus.
  • Antibiotics do not kill viruses.
  • Antibiotics are used to kill bacteria, not viruses.

💡 Key knowledge

  • Antibiotics work against bacteria.
  • HIV is a virus.

❌ Common errors

  • Saying “antibiotics are too weak”.
  • Saying “HIV is not a bacterium” without linking to antibiotics can be less clear, though the mark scheme does allow it if the point is clear.
Question 04.5

Part (e): Ways to prevent the spread of HIV

2 marks

✅ Correct answers

Any two from:

  • Avoid sexual intercourse.
  • Use a condom.
  • Do not share needles.
  • Use antiretroviral drugs.
  • Screen blood used for transfusions.
  • Have regular HIV checks/tests. (Allowed by examiner notes.)
  • Do not exchange body fluids. (Can gain 1 mark if nothing else scores.)

🧠 Exam technique

  • Give two clearly different methods.
  • Best exam-safe pair: use a condom and do not share needles.
  • Be specific: “use protection” is too vague unless clearly meaning safe sex.

❌ Common errors

  • Handwashing is not credited here.
  • Social distancing is not credited here.
  • “Use contraception” is too vague because not all contraception prevents HIV spread.
  • “Use medication” is too vague unless you say antiretroviral drugs.

💡 Key knowledge

  • HIV can spread through sexual contact, shared needles and infected blood.
  • Prevention focuses on reducing contact with infected body fluids.
Examiner insight: many students gave general health advice instead of HIV-specific prevention. The strongest answers named precise methods linked to transmission routes.
Question 04.6

Part (f): Why people with AIDS may die from a different infection

1 mark

✅ Correct answer

HIV damages the immune system.

💡 Key knowledge

  • If the immune system is damaged, the body cannot defend itself well against other pathogens.
  • This means infections that are normally less serious can become dangerous.

❌ Common errors

  • Choosing “Pathogens enter the body more easily”. That is not the key reason in the mark scheme.
  • Choosing “People with AIDS are immune to HIV”. This is incorrect.

Quick full-question recap

💡 Must-know facts

  • Gonorrhoea → bacterium
  • Measles → virus
  • Skin, mucus, cilia, stomach acid help stop entry of pathogens
  • White blood cells: phagocytes, antibodies, antitoxins, memory cells
  • Antibiotics do not work on viruses like HIV
  • Prevent HIV spread with condoms, not sharing needles, screened blood, antiretroviral drugs
  • HIV damages the immune system

🧠 How to maximise marks

  • Be precise with pathogen names and immune system terms.
  • For short questions, give exactly the number of answers asked for.
  • For the 6-marker, explain several processes in sequence.
  • Avoid vague phrases like “fights disease” unless you add how.
  • Use biology vocabulary accurately to show secure knowledge.
Total marks available: 14

Topics

Biology · B3: Infection and Response

Question and mark scheme from the AQA GCSE Combined Science: Trilogy examination, Biology Paper 1 (Foundation), 2020. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.