AQA GCSE Combined Science: Trilogy Biology Paper 1 (Foundation), June 2025: Question 5

10 marks · Standard Demand difficulty · Short Answer

Identify heart structures, explain the role of mitochondria in heart muscle, and suggest symptoms and surgical risks related to a hole in the heart.

Practise this question

Question

Question 5 shows Figure 10, a schematic block diagram of the heart showing the right side (chambers F and E, blood vessel A) and left side (chambers C and D, blood vessel B), with arrows showing blood flow. Question 05.1 asks to match blood vessels A and B to their names (Aorta, Pulmonary artery, Pulmonary vein, Vena cava). Question 05.2 asks where the natural pacemaker is located among C, D, E, or F. Question 05.3 asks to explain why heart muscle cells contain many mitochondria. Figure 11 shows an anatomical drawing of the heart with a hole labeled in the septum between the ventricles. Question 05.4 asks for two symptoms of having a hole in the heart, and Question 05.5 asks for two risks of an operation using a mesh patch to repair the hole.
Question text

05 The heart is an organ that pumps blood around the body.

Figure 10 is a model of the heart and shows the direction of blood flow.

Figure 10

05.1 Draw one line from each blood vessel shown in Figure 10 to the name of the

blood vessel.

[2 marks]

05.2 Heart rate is controlled by a group of cells.

The group of cells acts as a pacemaker.

Where would the pacemaker be located in Figure 10?

[1 mark]

*26Tick (* ) one box.

C D E F

05.3 Heart muscle cells contain many mitochondria.

Explain why heart muscle cells contain many mitochondria.

[3 marks]

A small number of people are born with a ‘hole in the heart’.

Figure 11 shows the position of a hole in the heart.

Figure 11

05.4 The hole allows some blood from the right side of the heart to mix with blood in the left

side of the heart.

Suggest two symptoms of having a hole in the heart.

[2 marks]

05.5 In an operation to repair a hole in the heart:

• a flexible tube is inserted into a blood vessel and guided to the heart

• a mesh patch is passed down the tube

• the mesh patch covers the hole.

Heart tissue grows around the mesh and closes the hole.

Suggest two possible risks of this operation to repair a hole in the heart.

[2 marks]

Mark scheme

Show the mark scheme Mark scheme for Question 5 lists: 05.1: A linked to Vena cava (1 mark) and B linked to Aorta (1 mark). 05.2: F (1 mark). 05.3: (more) respiration in mitochondria (1 mark), which releases more energy (1 mark), so heart muscle contracts (1 mark). 05.4: Any two symptoms from fast/increased heart rate, fast/increased breathing rate, tiredness/fatigue, pale/blue skin, heart attack, difficulty exercising, difficulty gaining weight (2 marks). 05.5: Any two surgical risks from heavy/internal bleeding, infection, damaging blood vessels, damaging the heart, risk from anaesthetic, risk of rejection (2 marks).

AO /

Question Answers Mark

Spec. Ref.

05.1 AO1

4.2.2.2

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

AO /

Question Answers Extra information Mark

Spec. Ref.

05.2 F 1 AO1

4.2.2.2

AO /

Spec. Ref.

05.3 1 AO2

(more) respiration (in do not accept anaerobic

mitochondria) respiration

(which) releases more energy allow (muscles) need more 1 AO2

energy

do not accept energy produced

/ made / created

do not accept provides more

energy for respiration

(so the heart) muscle contracts 1 AO1

4.2.2.2

4.4.2.1

4.1.1.2

AO /

Spec. Ref.

05.4 any two from: 2 AO3

4.2.2.2

• fast / increased heart rate allow irregular heartbeat

• fast / increased breathing ignore shortness of breath

(rate)

• tiredness allow fatigue

• pale skin allow blue skin (due to poor

oxygenation)

allow cold / cool skin (to the

touch)

allow cyanosis

• heart attack allow blood clots

allow chest pain

allow stroke

• difficulty exercising

• difficulty gaining weight

allow increased sweating

allow frequent chest infections

allow swelling in legs / feet /

abdomen

AO /

Spec. Ref.

05.5 any two from: 2 AO3

4.2.2.2

• heavy / internal bleeding

• infection allow named infection e.g.

MRSA

ignore risk of disease

• damaging blood vessels

• damaging the heart allow blood clots

allow stroke

allow heart attack

allow irregular heartbeat

• risk from anaesthetic

• risk of rejection (of the mesh /

tube)

ignore damage unqualified

Total Question 5 10

Question 6

How to answer it

The Heart: Structure, Pacemaker Cells, Respiration & Heart Defects

📌 What this question tests

This question assesses your recall of heart anatomy (identifying major blood vessels and heart chambers), the role and position of the natural pacemaker, explaining the cellular requirement for mitochondria using precise energy terminology, and applying biological principles to deduce the symptoms and surgical risks associated with a congenital heart defect (septal defect).

Question 05.1: Identifying Blood Vessels

Matching vessels A and B to their correct anatomical names (2 marks)

✅ Correct Matches

  • A → Vena cava [1 mark]
  • B → Aorta [1 mark]

💡 Key Knowledge: Tracing the Flow

  • Vessel A carries deoxygenated blood from the body into chamber F (Right Atrium) → it is the vena cava.
  • Vessel B emerges from chamber D (Left Ventricle) and sends oxygenated blood out to the body → it is the aorta.
  • Remember: On heart diagrams, the left side of the diagram is the body's right side!

❌ Common Errors

  • Drawing multiple lines from a single letter box: the mark scheme explicitly warns "do not accept more than one line from a box on the left".
  • Mixing up the pulmonary artery with the aorta (check which ventricle it leads from: Left = Aorta).

🧠 Exam Technique

Use a ruler to draw single, distinct lines. Look at the arrow directions: arrows pointing into the top chambers are veins; arrows pointing out of the bottom chambers are arteries.

Question 05.2: Location of the Pacemaker

Locating the group of cells controlling heart rate (1 mark)

✅ Correct Answer

Box F (Right Atrium) [1 mark]

💡 Key Knowledge: Cardiac Conduction

  • The natural pacemaker is a cluster of specialised cells located in the wall of the right atrium (labelled F).
  • These cells send regular electrical impulses that cause heart muscle to contract.
  • If these fail, an artificial electronic pacemaker can be implanted.

❌ Common Errors

Choosing chamber C (the left atrium) or the ventricles (D / E). The natural pacemaker is strictly located in the right atrium.

Question 05.3: Mitochondria in Heart Muscle Cells

Explain why heart muscle cells contain many mitochondria (3 marks)

✅ Correct Answer (3-Mark Logical Chain)

  1. For (aerobic) respiration to occur [1 mark]
  2. Which releases (more) energy [1 mark]
  3. So the heart muscle can contract (to pump blood) [1 mark]

❌ The #1 Biology Exam Trap

  • NEVER say: "to produce / create / make energy". Energy cannot be created! Saying this completely cancels the mark. Always write "release energy".
  • Do not say anaerobic respiration — the heart relies entirely on continuous aerobic respiration.
  • Do not say "provides energy for respiration" — respiration is the process that releases energy, not consumes it.

🧠 Exam Technique: "Function → Mechanism → Purpose"

Whenever an exam asks why an active cell has many mitochondria, use the standard 3-step formula:

  • Where/How: Site of aerobic respiration
  • What: Releases energy
  • Why: For muscle contraction / active transport

Question 05.4: Symptoms of a Hole in the Heart

Suggest two symptoms when oxygenated and deoxygenated blood mix (2 marks)

✅ Acceptable Symptoms (Any Two)

  • Tiredness / fatigue [1 mark]
  • Fast / increased breathing rate (rapid breathing) [1 mark]
  • Fast / increased heart rate (or irregular heartbeat) [1 mark]
  • Pale skin / blue skin (cyanosis) / cold skin [1 mark]
  • Difficulty exercising [1 mark]
  • Difficulty gaining weight / poor growth [1 mark]

💡 Biological Reason

A septal defect lets deoxygenated blood cross into the left ventricle and enter the aorta. Blood sent to the body carries less oxygen, so cells carry out less aerobic respiration, releasing less energy → resulting in fatigue and compensatory rapid breathing/heart rate.

❌ Common Trap: Vague Language

  • "Shortness of breath" is explicitly marked as IGNORE in the mark scheme! You must state fast / increased breathing rate or difficulty breathing.
  • Writing simply "pain" without context is too vague (the mark scheme accepts chest pain, but not unqualified pain).

Question 05.5: Surgical Risks of Catheter Repair

Suggest two possible risks of inserting a tube and mesh patch (2 marks)

✅ Acceptable Risks (Any Two)

  • Infection (e.g. bacterial infection / MRSA) [1 mark]
  • Heavy / internal bleeding [1 mark]
  • Damaging blood vessels [1 mark]
  • Damaging the heart wall / valves [1 mark]
  • Blood clots / stroke / heart attack [1 mark]
  • Risk from anaesthetic [1 mark]
  • Rejection of the foreign mesh patch [1 mark]

❌ Examiner Pitfalls

  • "Damage" on its own: The mark scheme states "ignore damage unqualified". You must specify what could be damaged (e.g. blood vessels or the heart).
  • "Risk of disease": Too vague — say infection.
Total for Question 05: 10 Marks

Topics

Biology · B1: Cell Biology · B2: Organisation · B4: Bioenergetics

Question and mark scheme from the AQA GCSE Combined Science: Trilogy examination, Biology Paper 1 (Foundation), June 2025. QuestionVault is an independent revision resource; questions remain the copyright of the awarding body.