9700_m18_qp_22
A paper of Biology, 9700
Questions:
6
Year:
2018
Paper:
2
Variant:
2

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The main cause of tuberculosis (TB) in humans is the bacterium Mycobacterium tuberculosis. Most cases of the disease involve the lungs. The bacterium can enter cells and remain inactive in a latent state. However, the bacterium can become active to produce symptoms of the disease. In a person with active TB, the pathogen can be present in airborne droplets that are exhaled. Generally, a healthy person who inhales these droplets has effective defence mechanisms in the gas exchange system to prevent infection. One example of a defence mechanism against pathogens in the gas exchange system involves the action of macrophages. State the location in the body where macrophages have their origin. Describe the mode of action of a macrophage. It is sometimes possible for M. tuberculosis to survive within macrophages. Suggest one way in which M. tuberculosis may survive within a macrophage. A healthy person has other defence mechanisms in the gas exchange system to prevent bacteria entering cells. Describe these defence mechanisms and explain how bacteria in inhaled air are prevented from entering cells of the gas exchange system. In people with a weakened immune system, M. tuberculosis can infect other organs and tissues, such as the kidneys and joints. Suggest how the bacteria may spread from the lungs to other organs. TB in humans can be caused by another species of bacterium, M. bovis. State the mode of transmission of this pathogen to humans. The standard treatment for TB continues for six months and initially involves the use of four different antibiotics. If no antibiotic resistance is detected, the treatment is reduced to two of the four antibiotics. The two antibiotics used are rifampicin and isoniazid. Suggest the benefits of beginning the treatment with four different antibiotics. Multidrug-resistant TB (MDR-TB) occurs if resistance develops to rifampicin and isoniazid. The treatment for MDR-TB can last up to 30 months and involves different antibiotics to the standard treatment. Table 2.1 shows the number of reported cases of TB and MDR-TB in the South-East Asia region between 2005 and 2014, as published by the World Health Organization (WHO). Table 2.1 year total number of reported cases of TB total number of reported cases of MDR-TB 1 947 603 2 104 673 2 202 149 2 287 803 1 717 2 328 230 2 560 2 332 779 4 263 2 358 127 6 615 2 331 455 14 957 2 297 033 18 384 2 580 605 17 386 State the trends shown in Table 2.1. TB is a disease of global importance. Discuss the factors influencing the trends shown in Table 2.1.
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The unicellular fungus Kluyveromyces lactis is found in dairy products. It is a safe microorganism to culture for the extraction of the enzyme lactase. Lactase catalyses the breakdown of lactose, a sugar found in milk. The reaction catalysed by lactase is summarised in . CH2OH OH OH OH H H H O O H H CH2OH OH OH OH OH H H H O H H CH2OH OH OH OH H H O H H H lactose galactose CH2OH OH OH OH OH H H H O H H product S lactase + + R Describe the reaction that is catalysed by lactase. Use to help you. In your answer, identify R and product S. On a commercial scale, immobilised lactase can be used to produce lactose-free milk. One of the products of the reaction shown in acts as an inhibitor of lactase. This is an example of product inhibition. Suggest why product inhibition is useful in K. lactis when lactase is acting as an intracellular enzyme, but can be a disadvantage when extracted lactase is used free in solution for the production of lactose-free milk. Suggest how using immobilised lactase in a commercial application helps to reduce the problem of product inhibition. The first large-scale production of lactose-free milk with an immobilised enzyme used lactase trapped in cellulose triacetate fibres. Suggest one feature of cellulose triacetate that makes it useful as an immobilising material. For a commercial application using an enzyme, the progress of the enzyme-catalysed reaction needs to be studied. Outline how the progress of an enzyme-catalysed reaction can be investigated experimentally.
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In a dividing cell, DNA replication occurs before mitosis. Steps in DNA replication are outlined in . Complete by filling in the gaps using the most appropriate terms. Helicase enzyme allows the DNA double helix to unwind and the hydrogen bonds between the two strands to break, exposing the four bases, (A), (T), (C) and (G). An enzyme molecule attaches to each of the two separated parental strands. The two enzyme molecules move in opposite directions, each catalysing the formation of a new strand of DNA. This enzyme is known as . DNA , the monomers of DNA, are activated with two additional phosphates and are free in the nucleus for the synthesis of the new strands. The bases of the DNA monomers form hydrogen bonds with the bases on each separated parental strand of DNA, according to the rules of . One DNA strand is synthesised continuously and the other is synthesised in sections known as Okazaki fragments. The fragments are joined by an enzyme, , which catalyses the formation of phosphodiester bonds. The result of replication is two DNA molecules, each one containing an original parental strand and a newly synthesised strand. This type of replication is described as . is a photomicrograph of root tip cells at different stages in the cell cycle. A cell in interphase is labelled. cell in interphase J K L Name the stage of mitosis shown in each of cells J, K and L in . Write your answer in the space next to each letter on . Explain how it is possible to deduce that the labelled cell in interphase shown in is in late, rather than early, interphase. Describe the stage of mitosis shown in cell J.