AQA GCSE Combined Science: Trilogy Biology Paper 1 (Higher), 2023: Question 7

14 marks · Standard Demand difficulty · Short Answer

Investigate antibiotic resistance in Staphylococcus aureus and compare treatments using stem cells and antibiotics around a bone implant.

Practise this question

Question

The page shows a biology question about antibiotics and bacterial resistance, with several parts labelled 07.1 to 07.8. It includes a Petri dish diagram labelled Figure 9 showing five paper discs A, B, C, D and E placed on a circular agar plate with a key stating that a clear area around a disc shows where bacteria have been killed; discs C and E have no clear zones while others do. Lower down, Figure 10 is a scatter graph with the y-axis labelled area of infection divided by total tissue area and the x-axis showing four treatments: unreactive solution, antibiotic solution, stem cells only, and stem cells containing antibiotic. The question also describes an experiment about treating infected bone implants and asks about variables, advantages of stem cells from fat tissue, how antibiotic enters stem cells, the range of results for stem cells only, and an evaluation of the student’s conclusion.
Question text

07 Antibiotics are drugs used to treat bacterial infections.

Mutations in bacteria produce new strains.

Some strains of bacteria are resistant to antibiotics.

07.1 Where do mutations happen in a bacterial cell?

[1 mark]

A scientist investigated which antibiotics (A, B, C, D and E) killed

Staphylococcus aureus (S. aureus) bacteria.

This is the method used.

1. Grow S. aureus bacteria in a Petri dish.

2. Cut five small discs of paper.

3. Soak each paper disc in a different antibiotic solution.

4. Put the five paper discs into the Petri dish.

5. Keep the Petri dish at 37 °C for 24 hours.

Figure 9 shows the results.

A clear area around a disc shows where the bacteria have been killed.

Figure 9

07.2 The scientist concluded:

‘S. aureus is resistant to antibiotics C and E’.

Explain the evidence for this conclusion.

Use Figure 9.

[2 marks]

07.3 The scientist later discovered that S. aureus is not resistant to antibiotic E.

Suggest how the method was developed and showed that S. aureus is not resistant

to antibiotic E.

[2 marks]

Broken bones are sometimes repaired using a metal implant.

The area around an implant can become infected with S. aureus bacteria.

The infection is usually treated with a long-term course of antibiotics.

Long-term use of antibiotics has led to the development of antibiotic resistant bacteria.

Research is being carried out into alternative treatments.

Stem cells from bone marrow and from fat tissue have antimicrobial properties.

A scientist investigated the effect of four treatments on the area of infection around

metal implants. Each treatment was injected into the area around the implant.

The four treatments were:

• unreactive solution

• antibiotic solution

• stem cells from fat tissue

*25* • stem cells from fat tissue containing antibiotic.

Each treatment was tested on 5 patients where an infection had developed around

their metal implant.

After 7 days of treatment, the scientist calculated the ratio:

area of infection : total tissue area

07.4 What was the independent variable in this investigation?

[1 mark]

Tick ( ) one box.

The ratio of area of infection : total tissue area

The treatment injected around the implant

The type of antibiotic used

The type of bacterial infection 27

07.5 Suggest one advantage of using stem cells from fat tissue, rather than using

stem cells from bone marrow.

[1 mark]

07.6 Stem cells containing antibiotic were produced by growing the cells for 24 hours in a

solution containing the antibiotic.

How did the antibiotic enter the stem cells from the solution?

Give a reason for your answer.

[2 marks]

Tick ( ) one box.

By active transport

By diffusion

By osmosis

By translocation

Reason

Figure 10 shows the results.

Figure 10

07.7 What is the range of results for the treatment with stem cells only?

[1 mark]

From 29to

07.8 A student looked at the results and concluded:

‘Injections of stem cells containing antibiotic should be used

to treat all implant-related infections’.

Evaluate the student’s conclusion.

Use Figure 10.

[4 marks]

Mark scheme

Show the mark scheme Mark scheme for AQA GCSE Combined Science: Trilogy Biology Paper 1 (Higher), 2023: Question 7

Question 7

AO /

Question Answers Extra information Mark

Spec. Ref.

07.1 any one from: 1 AO2

• plasmid do not accept nucleus 4.1.1.1

• chromosome 4.1.2.1

• DNA / genes allow alleles 4.3.1.8

allow genetic material

AO /

Spec. Ref.

if no letters are given assume

07.2 they are referring to antibiotics C AO2

and E

AO3

no clear area (around C and E) 1

4.3.1.8

(so) no bacteria killed (by allow (so) antibiotic did not work 1

antibiotic)

AO /

Spec. Ref.

07.3 increased the concentration of allow increased the dose of 1 AO3

antibiotic antibiotic

ignore increased the volume of

antibiotic AO2

ignore left it longer

ignore used a different 4.3.1.8

temperature

ignore used a different sized

disc

clear area seen (around disc) mark dependent on describing a 1

or change to the method

bacteria (around disc) killed

AO /

Spec. Ref.

07.4 the treatment injected around 1 AO2

the implant 4.1.2.3

4.3.1.3

4.3.1.8

AO /

Spec. Ref.

07.5 any one from: ignore reference to cost 1 AO3

(stem cells from fat tissue) 4.1.2.3

• easier to obtain allow quicker to obtain 4.2.1

• less invasive allow fewer side effects

allow less painful

ignore reference to rejection

AO /

Spec. Ref.

07.6 by diffusion no marks if incorrect process 1 AO2

selected 4.1.1.2

4.1.2.3

concentration of antibiotic lower allow ‘it’ for antibiotic 1 4.1.3.1

inside cells than in solution allow correct reference to

or concentration gradient

concentration of antibiotic higher

in solution than inside cells

AO /

Spec. Ref.

07.7 0.09 to 0.31 allow 0.31 to 0.09 1 AO2

4.1.2.3

4.3.1.1

4.3.1.3

4.3.1.8

AO /

Spec. Ref.

07.8 any two from: 2 AO3

Pros:

stem cells containing antibiotic

had:

• smallest area of infection (:

total tissue area)

• small(est) range of results

• no overlap with unreactive

solution (suggesting

significant effect)

any two from: 2 AO3

Cons: AO2

• only tested on 5 patients allow small sample size

• some results for antibiotic 4.1.2.3

treatment similar to stem cells 4.3.1.1

containing antibiotic 4.3.1.3

• some results for stem cell 4.3.1.8

treatment similar to stem cells

containing antibiotic

• age / health of patients not

controlled

• only tested on one type of ignore only tested on one

bacterium infection

• only tested on one type of

implant

• only collected results after 7

days

• may lead to antibiotic

resistance (in S. aureus

bacteria)

• rejection of stem cells

• need donors for stem cells

• allergic reaction to antibiotic ignore cost

ignore religion

ignore use of embryonic stem

cells

ignore references to viruses

ignore side effects unqualified

Total Question 7 14

How to answer it

Antibiotics, Resistance and Stem Cell Treatment

What this question tests

This question checks your ability to identify bacterial genetic material, interpret an antibiotic disc experiment, explain how methods can be improved, and evaluate data from a treatment investigation. You need to use correct scientific language, read graphs carefully, and give reasons that link directly to the evidence.

Part (a) – Where mutation happens in a bacterial cell

✅ Correct answer

Any one of:

  • plasmid
  • chromosome
  • DNA / genes

1 mark: name any correct location of genetic material.

💡 Key knowledge

  • Mutations happen in genetic material.
  • In bacteria, that means the chromosome or plasmids.
  • Antibiotic resistance can be caused by a mutation in a gene.

🧠 Exam technique

For 1-mark recall questions, the exact word matters. “DNA” is safe, and “plasmid” or “chromosome” are also accepted.

❌ Common errors

  • “nucleus” is wrong because bacteria do not have a nucleus.
  • “cell wall” is not where mutations happen.

Part (b) – Explaining the result in Figure 9

✅ Correct answer

There was no clear area around C and E, so no bacteria were killed by those antibiotics.

1 mark for identifying no clear area, 1 mark for linking this to no bacteria being killed / antibiotic did not work.

💡 Key knowledge

  • A clear area around a disc is called a zone of inhibition.
  • If there is no clear area, the bacteria are resistant to that antibiotic.

🧠 Exam technique

Use the evidence from the diagram directly. Top answers state what is seen and what it means.

❌ Common errors

  • Writing only “C and E are resistant” without using the figure evidence may miss a mark.
  • Talking about discs A, B or D is not relevant if the question asks about C and E.

Part (c) – Improving the method to show resistance to antibiotic E

✅ Correct answer

Any valid improvement such as:

  • increased the concentration of antibiotic
  • increased the dose of antibiotic
  • left it longer
  • used a different temperature
  • used a different sized disc

And the result should be: a clear area seen around the disc or bacteria around the disc killed.

Marks are for describing a change to the method and then describing the expected outcome.

💡 Key knowledge

To show resistance, you would need the antibiotic to have a stronger effect, then observe whether bacteria are killed.

🧠 Exam technique

  • Write one method change and one expected result.
  • Link your answer to the idea of a clear zone around the disc.

❌ Common errors

  • Giving an answer that does not change the method, such as “test more carefully”.
  • Writing only a result with no method change.
  • Saying “use a different antibiotic” when the question is about making the method show resistance to E.

Part (d) – Independent variable in the implant investigation

✅ Correct answer

The treatment injected around the implant

1 mark for identifying the variable changed by the scientists.

💡 Key knowledge

  • Independent variable = the factor deliberately changed.
  • Here, the treatment type was changed between patients.

❌ Common errors

  • “The ratio” is the dependent result, not the independent variable.
  • “The type of bacteria” was not what was changed.

Part (e) – Advantage of stem cells from fat tissue

✅ Correct answer

Any one of:

  • easier to obtain
  • less invasive
  • quicker to obtain
  • fewer side effects
  • less painful

💡 Key knowledge

Fat tissue can be collected more easily than bone marrow, so it is a simpler source of stem cells.

🧠 Exam technique

Give a practical advantage. If possible, compare fat tissue with bone marrow.

❌ Common errors

  • “Cheaper” is not credited here.
  • “Less rejection” is ignored for this mark.

Part (f) – How the antibiotic entered the stem cells

✅ Correct answer

By diffusion

Reason: the concentration of antibiotic was higher in the solution than inside the cells, so it moved down a concentration gradient.

2 marks: 1 for diffusion, 1 for the concentration gradient explanation.

📐 Step-by-step science idea

  1. Antibiotic is in a solution around the cells.
  2. There is a higher concentration outside the cells.
  3. Particles move from high to low concentration.
  4. This is diffusion.

🧠 Exam technique

If the question asks for the process and a reason, you need both. Name the process first, then explain why it happens.

❌ Common errors

  • Osmosis is wrong because that is only water moving.
  • Active transport is wrong because the question gives a passive movement situation.
  • “Translocation” is not relevant.

Part (g) – Range of results for stem cells only

✅ Correct answer

From 0.09 to 0.31

1 mark for reading the lowest and highest values correctly.

💡 Key knowledge

The range means the spread from the smallest value to the largest value.

📐 How to read it

  1. Look at the stem cells only data points.
  2. Find the lowest result: 0.09.
  3. Find the highest result: 0.31.
  4. Write the range in that order.

❌ Common errors

  • Writing the difference (0.22) instead of the range endpoints.
  • Including the other treatment group by mistake.
  • Mixing up axes and reading the wrong scale.

Part (h) – Evaluating the conclusion about stem cells containing antibiotic

✅ What a good answer includes

Any two valid points, for example:

  • Pros: stem cells containing antibiotic had the smallest area of infection : total tissue area
  • Pros: they had the smallest range of results
  • Pros: there was no overlap with the unreactive solution group, suggesting a significant effect
  • Cons: only tested on 5 patients
  • Cons: some results for antibiotic treatment were similar to stem cells containing antibiotic
  • Cons: age / health of patients not controlled
  • Cons: only tested on one type of bacterium
  • Cons: only tested on one type of implant
  • Cons: only collected results after 7 days
  • Cons: may lead to antibiotic resistance in S. aureus bacteria

2 marks: choose any two relevant evaluation points, ideally balanced between strengths and weaknesses.

💡 Key knowledge

The graph suggests the stem cells containing antibiotic treatment may work best, but the evidence is limited because the trial was small.

🧠 Exam technique

  • Use data from Figure 10 to support your judgement.
  • Explain why the result is promising, but also why the conclusion is not fully secure.
  • Top answers mention sample size, variation, and whether results overlap.

❌ Common errors

  • Just saying “it works” without evidence.
  • Only giving pros or only giving cons.
  • Ignoring the small number of patients.
  • Writing about cost, religion, or embryonic stem cells — these are not needed here.

Quick mark-boosting reminders

💡 Key knowledge

  • Resistance questions often need you to use evidence from a diagram.
  • Diffusion means movement from high to low concentration.
  • Independent variable = what was changed.
  • Range = lowest value to highest value.

🧠 How marks are awarded

  • 1-mark questions: give the exact term.
  • 2-mark explain questions: name the idea and explain it.
  • Evaluation questions: make a judgement and support it with data.

❌ Final traps to avoid

  • Confusing mutation with natural selection.
  • Using osmosis instead of diffusion.
  • Forgetting to quote values from the graph.
  • Giving vague answers like “it’s better” with no reason.

Topics

Biology · Required Practicals · B3: Infection and Response · Biology Required Practicals

Question and mark scheme from the AQA GCSE Combined Science: Trilogy examination, Biology Paper 1 (Higher), 2023. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.