GCSE Additional Applied Science June 2008 Life Care Paper B

* C U P /T 4 7 7 2 9 * This document consists of 11 printed pages and 1 blank page. SPA (NH/CGW) T47729/4 © OCR 2008 [T/103/3779] OCR is an exempt Charity [Turn over INSTRUCTIONS TO CANDIDATES • Write your name in capital letters, your Centre Number and Candidate Number in the boxes above. • Use blue or black ink. Pencil may be used for graphs and diagrams only. • Read each question carefully and make sure that you know what you have to do before starting your answer. • Answer all the questions. • Do not write in the bar codes. • Write your answer to each question in the space provided. INFORMATION FOR CANDIDATES • The number of marks for each question is given in brackets [ ] at the end of each question or part question. • The total number of marks for this paper is 36. FOR EXAMINER’S USE Qu. Max. Mark 1 12 2 8 3 7 4 6 5 3 TOTAL 36 GENERAL CERTIFICATE OF SECONDARY EDUCATION A324/02 TWENTY FIRST CENTURY SCIENCE ADDITIONAL APPLIED SCIENCE A Life Care (Higher Tier) TUESDAY 17 JUNE 2008 Morning Time: 45 minutes Candidates answer on the question paper. Additional materials (enclosed): None Calculators may be used. Additional materials: Pencil Ruler (cm/mm) H2 © OCR 2008 BLANK PAGE PLEASE DO NOT WRITE ON THIS PAGE3 [Turn over © OCR 2008 Answer all the questions. 1 Fiona is pregnant. (a) The diagram shows Fiona’s reproductive system and the fetus. 4. ............................................... 1. ............................................... 2. ............................................... 3. ............................................... Label the diagram. Choose words from this list. amniotic fluid cervix ovary placenta umbilical cord uterus vagina [4]4 © OCR 2008 (b) Fiona’s body changes during pregnancy. Write down three changes that take place. 1 ................................................................................................................................................ .................................................................................................................................................. 2 ................................................................................................................................................ .................................................................................................................................................. 3 ................................................................................................................................................ ..............................................................................................................................................[3] (c) Fiona regularly visits her midwife throughout the pregnancy. Write down two advantages of these regular visits. 1 ................................................................................................................................................ 2 ............................................................................................................................................[2]5 [Turn over © OCR 2008 (d) The midwife refers Fiona to the hospital for an ultrasound scan. The doctor measures the length of the fetus. It measures 49 cm. He uses this chart to estimate the age of the fetus. Chart of average fetal length against age. 0 0 10 20 30 length of fetus in cm time in weeks 40 50 60 5 10 15 20 25 30 35 40 45 Use the chart to calculate how old the fetus is. age = .................... weeks [1] (e) The doctor is concerned about the position of the fetus. Fiona may need an operation to deliver the baby. The doctor explains all about the operation to Fiona. Explain why it is necessary for Fiona to know all about the operation. .................................................................................................................................................. .................................................................................................................................................. ..............................................................................................................................................[2] [Total: 12]6 © OCR 2008 2 Imran’s ambition is to be an international cricket star. His coach carries out a baseline assessment including calculating Imran’s Body Mass Index (BMI). He will use all this information to design a suitable training programme for Imran. (a) (i) State two other baseline assessments the coach may use on Imran. .......................................................................................................................................... .......................................................................................................................................... ......................................................................................................................................[1] (ii) Imran is 2.0 m tall and has a mass of 76 kg. Calculate Imran’s BMI. Use this formula. BMI = mass in kg (height in m)2 BMI = .................... [2]7 [Turn over © OCR 2008 (iii) Look at the chart. It gives information about the link between height, mass and body condition. Put a cross (X) on the chart to plot Imran’s condition. 2.03 2.00 1.98 1.95 1.93 1.90 1.88 1.86 1.83 1.80 1.78 1.75 1.73 height in m 1.70 1.68 1.66 1.63 1.60 1.57 1.55 1.52 1.50 1.4738 57 76 95 114 127 140 153 165 121 134 146 159 102 mass in kg 83 64 45 108 89 70 51 correct correct underweight underweight over-overweiigh weight overweiigh obese obesevery obese very obese [1]8 © OCR 2008 (b) During a game Imran is hit on the head by a cricket ball. He is unconscious and is taken to hospital. The doctors are concerned that he may have internal bleeding in the brain. (i) Name a type of imaging technique the doctors could use to look at Imran’s brain. ......................................................................................................................................[1] (ii) What is the main advantage of using this type of technique? ......................................................................................................................................[1] (c) Imran recovers and is discharged from hospital. He wants to start training again. The hospital doctors tell him to rest for at least two weeks before resuming training. Explain why Imran’s coach will have to modify the training programme. .................................................................................................................................................. .................................................................................................................................................. ..............................................................................................................................................[2] [Total: 8]9 [Turn over © OCR 2008 3 Marcus works at a large restaurant. The restaurant is closed due to an outbreak of food poisoning. Marcus collapses at home and is rushed into hospital with suspected food poisoning. (a) At the hospital a nurse collects blood and urine samples from Marcus. Name two other samples that can be taken for analysis. 1 ................................................................................................................................................ 2 ............................................................................................................................................[2] (b) Tests show that Marcus has a type of food poisoning which often results in damage to the kidneys. (i) State two functions of the kidneys. 1 ........................................................................................................................................ 2 ....................................................................................................................................[2] (ii) The hospital does not have a kidney unit. The nearest kidney unit is 98 miles away. Suggest and explain why every hospital does not have the whole range of facilities. .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... ......................................................................................................................................[3] [Total: 7]10 © OCR 2008 4 Kelly is a heavy smoker. She is admitted to hospital with a suspected tumour on her lung. (a) Before diagnostic tests are carried out, the consultant assesses the risks to Kelly. Why is this necessary? .................................................................................................................................................. ..............................................................................................................................................[1] (b) The tests show she has a tumour. She will need an intensive treatment involving drug therapy. Name and describe one example of drug therapy you have studied. name of drug therapy ................................................................................................................. description ................................................................................................................................ .................................................................................................................................................. ..............................................................................................................................................[2] (c) The government spends millions of pounds every year funding public health information programmes. Some of these are about the dangers of smoking. Kelly took no notice of them. Explain why, despite the expense, these programmes may be cost effective in the long term. .................................................................................................................................................. .................................................................................................................................................. .................................................................................................................................................. ..............................................................................................................................................[3] [Total: 6]11 © OCR 2008 5 Johnny’s mother was becoming very forgetful so she went to see her GP. She is diagnosed with Alzheimer’s disease. Johnny researches the condition on the internet. He finds out that the disease causes increasing damage to areas of the brain. There is no cure. However, some drugs can slow down the progress of the disease. His mother asks for one of these drugs. The doctor is unable to prescribe it. The government agency (NICE) will only allow it to be used during the later stages of the disease. Justify this decision. ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... ......................................................................................................................................................... .....................................................................................................................................................[3] [Total: 3] END OF QUESTION PAPER12 © OCR 2008 Permission to reproduce items where third-party owned material protected by copyright is included has been sought and cleared where possible. Every reasonable effort has been made by the publisher (OCR) to trace copyright holders, but if any items requiring clearance have unwittingly been included, the publisher will be pleased to make amends at the earliest possible opportunity. OCR is part of the Cambridge Assessment Group. Cambridge Assessment is the brand name of University of Cambridge Local Examinations Syndicate (UCLES), which is itself a department of the University of Cambridge. PLEASE DO NOT WRITE ON THIS PAGE