AQA GCSE Combined Science: Trilogy Biology Paper 1 (Foundation), June 2025: Question 6

12 marks · Standard Demand difficulty · Extended Answer

Answer questions about chickenpox transmission, why antibiotics cannot treat it, the composition and testing of vaccines, and explain how vaccination provides immunity.

Practise this question

Question

Question 6 consists of five parts about chickenpox and vaccination. Part 06.1 asks for one way chickenpox spreads from an infected person (1 mark). Part 06.2 asks why chickenpox cannot be treated with antibiotics (1 mark). Part 06.3 asks what a vaccine contains that causes immunity (1 mark). Part 06.4 asks to give three reasons why a new vaccine must be tested (3 marks). Part 06.5 asks students to explain how a chickenpox vaccine gives immunity, referring to how the body responds to the vaccine and to chickenpox pathogens entering after vaccination (6 marks).
Question text

06 Chickenpox is an infectious disease that affects young children.

06.1 One symptom of chickenpox is small blisters on the skin.

Suggest one way chickenpox spreads from an infected person to other people.

[1 mark]

06.2 Chickenpox is caused by a type of pathogen that cannot be treated with antibiotics.

Give the reason why chickenpox cannot be treated with antibiotics.

[1 mark]

A vaccine that could be used to protect against chickenpox has been produced.

06.3 What does a vaccine contain that causes a person to become immune

to a disease?

[1 mark]

06.4 Give three reasons why a new vaccine must be tested.

[3 marks]

06.5 Explain how a vaccine for chickenpox gives immunity against the disease.

You should refer to how the body responds to:

*30•*the vaccine

• chickenpox pathogens that enter the body after vaccination.

[6 marks]

Extra Space

Mark scheme

Show the mark scheme Mark scheme for Question 6. 06.1 accepts touch/contact with contaminated surfaces/skin/blisters or droplets/air/coughs/sneezes for 1 mark. 06.2 accepts that chickenpox is caused by a virus (1 mark). 06.3 accepts inactive, dead, or weakened pathogen, virus, bacteria, or antigens (1 mark). 06.4 gives 1 mark each for toxicity/side-effects/safety, efficacy/if it works, and dose (3 marks total). 06.5 is a 6-mark level-of-response question detailing primary response (white blood cells stimulated to produce specific antibodies and memory cells) and secondary response (faster destruction of pathogen due to quicker, higher-rate production of antibodies). Total for Question 6 is 12 marks.

AO /

Question Answers Extra information Mark

Spec. Ref.

06.1 touch / contact (with allow through droplets / air / 1 AO2

contaminated surfaces / skin / coughs / sneezes 4.3.1.1

blisters) ignore sexual intercourse

AO /

Spec. Ref.

06.2 (chickenpox) is caused by a allow antibiotics (only) treat 1 AO2

virus bacterial infections 4.3.1.8

allow chickenpox is not caused

by bacteria

ignore antibiotic resistance

AO /

Spec. Ref.

06.3 inactive / dead / weakened allow inactive / dead / weakened 1 AO1

(named) pathogen virus / bacteria / fungi / 4.3.1.7

microorganism

allow proteins / antigens (from

the pathogen)

allow the mRNA (from the

pathogen)

AO /

Spec. Ref.

06.4 (for) toxicity or check not allow check for side-effects 1 AO1

poisonous / harmful allow to check it is safe 4.3.1.9

ignore to check it is not

dangerous

(for) efficacy or to see if it works 1

(for) dose or how much is 1

needed

allow interaction with other

drugs

allow to find out when a booster

vaccination would be needed

allow to find out how long it 19

offers protection against the

pathogen for

AO /

Question Answers Mark

Spec. Ref.

06.5 Level 3: Relevant points (reasons / causes) are identified, given in 5–6 AO1

detail and logically linked to form a clear account. 4.2.2.3

4.3.1.6

4.3.1.7

Level 2: Relevant points (reasons / causes) are identified, and 3–4

there are attempts at logical linking. The resulting account is not

fully clear.

Level 1: Points are identified, and stated simply but their relevance 1–2

is not clear and there is no attempt at logical linking.

No relevant content 0

Indicative content

how a vaccine works (primary):

• white blood cells stimulated / respond

• (by) producing antibodies

• (antibodies) are specific to microorganism / microbe / virus /

chickenpox

• (antibodies) bind with antigens

• reference to memory cells

when chickenpox virus enters the body (secondary):

o virus / pathogen is destroyed faster / quickly

o (because) production of correct antibodies

o (because) antibodies are produced sooner

o (because) rate of antibody production is faster

o (because) more antibodies produced

It is acceptable for students to refer to virus / chickenpox /

microorganism / microbe for pathogen throughout

For Level 3 primary and secondary responses must be considered

Total Question 6 12

How to answer it

Chickenpox, Vaccines & Immunity Study Guide

AQA GCSE Combined Science: Trilogy • Biology Paper 1 • Infection and Response

What this question tests

This question assesses core recall and application from Topic 4.3 (Infection and Response):

  • Transmission modes: How pathogens pass between individuals (direct contact and droplet infection).
  • Antibiotic specificity: Understanding that antibiotics only kill bacteria and are ineffective against viruses.
  • Vaccine components: What a vaccine actually introduces into the body.
  • Drug/Vaccine testing: The three main clinical trial criteria (toxicity, efficacy, and dose).
  • Extended 6-mark explanation: Structuring a full account comparing the primary response to a vaccine with the rapid secondary immune response upon actual infection.
Question 06.1 • 1 Mark

Transmission of Chickenpox

Suggest one way chickenpox spreads from an infected person to other people.

✅ Acceptable Answers (Any 1)

  • Touch / direct contact (e.g. touching blisters or contaminated skin/surfaces).
  • Airborne droplets (e.g. coughing or sneezing into the air).

❌ Common Errors & Mark Loss

  • Stating sexual transmission (mark scheme explicitly says: ignore sexual intercourse ).
  • Writing just "by germs" or "by being near them" without identifying the route (droplets or touch).
Mark Scheme Note: Award 1 mark for either direct physical contact or droplet transmission via coughs/sneezes.
Question 06.2 • 1 Mark

Why Antibiotics Cannot Treat Chickenpox

Give the reason why chickenpox cannot be treated with antibiotics.

✅ Acceptable Answers

  • Chickenpox is caused by a virus.
  • Alternative: Antibiotics only kill/treat bacteria (or chickenpox is not caused by a bacterium).

💡 Key Knowledge

Viruses reproduce inside host body cells. Antibiotics work by disrupting bacterial structures (like cell walls) or bacterial metabolism, neither of which affects viruses. Damaging the virus using chemicals often means damaging the host's own tissues.

❌ Common Error

  • Confusing virus resistance with antibiotic resistance. Saying "the virus is immune or resistant to antibiotics" earns 0 marks. Antibiotics simply have no target mechanism in viruses.
Mark Scheme Note: Explicit instruction: ignore antibiotic resistance . Must state it is a virus or antibiotics only work on bacteria.
Question 06.3 • 1 Mark

Components of a Vaccine

What does a vaccine contain that causes a person to become immune to a disease?

✅ Acceptable Answers (Any 1)

  • Inactive / dead / weakened pathogen (or named pathogen: virus).
  • Antigens (or surface proteins from the pathogen).
  • mRNA (from the pathogen).

🧠 Exam Technique

Always pair an adjective like dead, weakened, or inactive with the word pathogen, virus, or microbe. Never write "a small dose of the disease" — a disease is the condition, not the physical substance injected.

Mark Scheme Note: 1 mark for inactive/dead/weakened pathogen or antigens.
Question 06.4 • 3 Marks

Reasons for Testing New Vaccines

Give three reasons why a new vaccine must be tested.

✅ The "Big Three" Clinical Trial Targets

  1. Toxicity: To check if it is poisonous / harmful / safe / check for side effects.
  2. Efficacy: To test whether it actually works (prevents infection / produces antibodies).
  3. Dose: To determine how much is needed / the optimum concentration.

🧠 Revision Mnemonic: T-E-D

Whenever AQA asks why new drugs or vaccines are tested in clinical trials, think TED:

  • Toxicity (Is it safe?)
  • Efficacy (Does it work?)
  • Dose (How much should we give?)

❌ Pitfall to Avoid

Do not write vague statements like "to see if it is dangerous" (Mark scheme: ignore to check it is not dangerous ). Use precise terms: toxicity, safety, or side effects.

Mark Scheme Note: 1 mark per distinct reason: Toxicity / Efficacy / Dosage. Additional acceptable ideas: testing for booster requirements or interactions with other drugs.
Question 06.5 • 6 Marks (Level of Response)

Explaining How a Vaccine Gives Immunity

Explain how a vaccine for chickenpox gives immunity against the disease. Refer to: response to the vaccine, and response when pathogens enter after vaccination.

💡 What Top-Tier (Level 3: 5–6 Marks) Responses Must Contain

The question explicitly gives you two bullet points. To achieve Level 3, you must explain both phases logically:

  1. Primary Response (to the vaccine): White blood cells detect antigens and produce specific antibodies + form memory cells.
  2. Secondary Response (future infection): Memory cells rapidly produce huge quantities of the specific antibody, destroying the virus before symptoms develop.

🧠 Step-by-Step Model Answer Structure

1 Vaccine introduced: Dead or inactive chickenpox virus is injected into the body.
2 Primary response: Antigens on the virus stimulate white blood cells (lymphocytes).
3 Antibody & Memory: White blood cells produce specific antibodies that bind to the chickenpox antigens, and memory cells are made that remain in the blood.
4 Secondary response: If the live chickenpox virus enters the body later, memory cells recognise the antigens immediately.
5 Rapid destruction: Antibodies are produced faster, sooner, and in much greater quantities.
6 Immunity: The pathogen is destroyed before it can cause illness, giving immunity.

❌ Key Misconceptions & Traps

  • "The vaccine fights the disease": No, the vaccine stimulates the body's own white blood cells to respond.
  • Confusing Antibodies and Antigens: Antigens are molecular markers on pathogens; antibodies are Y-shaped proteins made by white blood cells.
  • Saying "Antibodies produce white blood cells": It is always the white blood cells that produce the antibodies!
  • Missing the comparative language: For the secondary response, you must use comparative words: faster, higher concentration, sooner.

📐 Marking Level Descriptors

  • Level 3 (5–6 marks): Both primary response (to vaccine) AND secondary response (re-infection) are clearly explained with correct terminology (antigens, specific antibodies, memory cells).
  • Level 2 (3–4 marks): Good points made about either the vaccine or the re-infection, but linking is incomplete or one aspect is weak.
  • Level 1 (1–2 marks): Isolated points stated (e.g. "makes antibodies", "fights it faster") without logical flow.

Topics

Biology · B3: Infection and Response

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.