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 questionQuestion
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
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.
Part (a): Matching diseases to pathogen type
2 marks
✅ Correct answers
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.
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.
Part (c): How the immune system defends the body against disease
6 marks
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:
- State white blood cells defend the body.
- Explain phagocytes.
- Explain antibodies.
- Explain antitoxins.
- 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.
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.
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.
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.
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.