9700_m19_qp_22
A paper of Biology, 9700
Questions:
6
Year:
2019
Paper:
2
Variant:
2

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In 2015, the World Health Organization (WHO) published the Global Technical Strategy for Malaria 2016–2030. The aim of this global strategy, which follows on from the 2008 Global Malaria Action Plan (GMAP), is to make progress in the control and elimination of malaria. Both the global strategy and GMAP aim to reduce: • the case incidence (number of new cases each year) of malaria • the mortality rate (number of deaths each year) from malaria. shows data for the four countries in the WHO Western Pacific Region that had the highest proportion of cases of malaria in 2015. For each of these four countries, the percentage change in the case incidence and the percentage change in the mortality rate over the five-year period from 2010 to 2015 are shown. –100 –80 –60 –40 –20 +20 +40 +60 +80 +100 percentage change Lao People’s Democratic Republic (Lao PDR) Cambodia case incidence mortality rate Solomon Islands Papua New Guinea Key With reference to , describe the progress made in the control of malaria in the four countries between 2010 and 2015. All the countries shown in supplied households at risk of malaria with insecticide-treated nets (ITNs). This is one of the recommendations in the GMAP and the global strategy. Describe and explain the role of ITNs. Another recommendation of the global strategy is to carry out rapid diagnostic testing (RDT) of individuals who may have malaria. This involves testing human blood samples for the presence of proteins specific to Plasmodium. Test sticks can be used. Table 3.1 contains information about two RDT test sticks. Table 3.1 test stick Plasmodium protein tested for species of Plasmodium that produce the protein pLDH (parasite lactate dehydrogenase) P. vivax P. falciparum P. ovale P. malariae HRP-2 (histidine-rich protein 2) P. falciparum only Some details of the design of these RDT test sticks are shown in . area with immobilised monoclonal antibodies area containing mobile monoclonal antibodies labelled with a coloured dye direction of movement of blood sample test window blood sample added to this area The immobilised monoclonal antibodies in the test window are not visible. If the blood sample contains a Plasmodium protein that can be detected by the RDT test stick: • the mobile monoclonal antibodies bind to one part of the protein • the immobilised monoclonal antibodies bind to another part of the protein • a coloured line in the test window indicates a positive result for the protein. With reference to Table 3.1 and , explain why test stick 1 and test stick 2 will contain different mobile monoclonal antibodies. Two blood samples were removed from a person. One sample was added to test stick 1 and the other sample was added to test stick 2. With reference to Table 3.1 and , explain what can be diagnosed for this person from a positive result for test stick 1 and a negative result for test stick 2.
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Human prolactin (hPRL) is a globular protein. It is a single polypeptide composed of 199 amino acids. The protein is transported in the bloodstream and has an effect only on cells that have a cell surface membrane protein known as PRLR. One effect of hPRL is to stimulate cells in the mammary glands to produce breast milk. Cells that have been stimulated by hPRL need more glucose and therefore the passive uptake of glucose increases. State one reason why the cells in the mammary glands that have been stimulated by hPRL need more glucose. An experiment was carried out to investigate the movement of glucose and hPRL across Visking tubing membrane. • A short section of Visking tubing, tied at both ends and containing distilled water, was placed into a beaker containing a solution of glucose and hPRL. • After 20 minutes, separate samples of the solution in the Visking tubing and the solution in the beaker were each tested for the presence of protein and reducing sugar. A summary of the methods used, the experimental results and the deductions made are shown in Table 5.1. Table 5.1 sample method used colour obtained after testing deduction solution in Visking tubing biuret solution added to sample protein absent from solution in Visking tubing solution in beaker protein present in solution in beaker solution in Visking tubing Benedict’s solution added to sample and mixture heated in a water-bath reducing sugar present in solution in Visking tubing solution in beaker reducing sugar present in solution in beaker Complete the column in Table 5.1 headed colour obtained after testing. With reference to the deductions made in Table 5.1, explain the movement of hPRL and reducing sugar across Visking tubing membrane. Outline how glucose crosses the cell surface membranes of the cells of the mammary glands. The production of milk by the cells of the mammary glands involves the action of several different enzymes. The cell surface membranes of these cells contain the membrane protein PRLR. shows an outline summary of hPRL involvement in the production of breast milk. anterior pituitary cells at the base of the brain synthesis and release of hPRL membrane protein PRLR milk not to scale milk mammary gland cells capillary hPRL Explain why the production of breast milk can be described as an example of a cell signalling process.
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