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 questionQuestion
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
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
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.
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).
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.
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.
Reasons for Testing New Vaccines
Give three reasons why a new vaccine must be tested.
✅ The "Big Three" Clinical Trial Targets
- Toxicity: To check if it is poisonous / harmful / safe / check for side effects.
- Efficacy: To test whether it actually works (prevents infection / produces antibodies).
- 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.
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:
- Primary Response (to the vaccine): White blood cells detect antigens and produce specific antibodies + form memory cells.
- 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
❌ 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.