Unit 1 – The Heart – Past Paper Q1. Table 1 shows the blood pressure in the left atrium, the left ventricle and the aorta at different stages in a cardiac cycle. These three parts of the circulatory system have been labelled A, B and C. Blood pressure/kPa Time/s Part A (left atrium) Part B (left ventricle) Part C (aorta) 0 0.6 0.3 12.1 0.1 1.1 0.7 11.7 0.2 0.6 12.6 11.8 0.3 0.9 14.8 13.6 0.4 1.2 1.1 12.8 0.5 0.6 0.2 12.6 0.6 0.6 0.2 12.4 Table 1 (a) What is the evidence from the figures in Table 1 that part B is the ventricle? ..................................................................................................................................... ..................................................................................................................................... (1) (b) (i) At 0.3 s, the atrioventricular valves are closed. Give the evidence from Table 1 which supports this statement. .......................................................................................................................... .......................................................................................................................... (ii) For approximately how long is the valve between the left ventricle and the aorta open? Give the reason for your answer. .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... (2) (1) (c) The figures in the third column of Table 1 show the changes in pressure in the left ventricle. (i) Describe how the pressure in the left ventricle differs from that in the right ventricle. .......................................................................................................................... (1) (ii) Explain what causes this difference. .......................................................................................................................... .......................................................................................................................... (1) Table 2 compares some features of different blood vessels from a dog. Cranford Community College 1 Property Artery Arteriole Capillary Diameter of lumen 0.4 30 m 8 m Thickness of wall 1 mm 20 m 1 m Tissues present in wall Endothelium × × Elastic tissue Muscle Tissue present Tissue absent What is the thickness of one of the endothelial cells lining these blood vessels? Table 2 (d) Key × Answer: ............................................................... µm (1) (e) Explain why an arteriole may be described as an organ. ..................................................................................................................................... ..................................................................................................................................... .................................................................................................................................... (2) (f) Use the information in Table 2 to explain how the structure of the walls of arteries, arterioles and capillaries is related to their function. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (6) (Total 15 marks) Q2. (a) Explain why a vein is described as an organ. ..................................................................................................................................... ..................................................................................................................................... (1) (b) The diagram shows a vein passing between two muscles. Cranford Community College 2 Valve A Muscle Valve B Vein (c) (i) When the muscles contract, the pressure of the blood in the part of the vein between valves A and B changes. Explain how this change in pressure, together with the action of the valves, helps the blood to flow to the heart ........................................................................................................................... ........................................................................................................................... .......................................................................................................................... (3) (ii) Suggest how blood is returned to the heart when the muscles are not contracting ........................................................................................................................... ........................................................................................................................... (1) The graph shows the relationship between the pressure in the veins returning blood into the heart and stroke volume. 120 100 80 Stroke volume/ 60 cm 3 40 20 0 0 1 2 3 5 6 4 Pressure in veins/kPa 7 8 9 (i) Describe the relationship between stroke volume and pressure in the veins. ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... (1) (ii) What information would you need, other than that in the graph, to calculate this person’s cardiac output ........................................................................................................................... (1) (Total 7 marks) Cranford Community College 3 Q3. The table shows some information about blood vessels in a dog. Blood vessels Mean diameter/cm Total number 0.1 0.002 0.0008 0.24 600 4 107 1.2 109 600 Main arteries Arterioles Capillaries Main veins Other blood vessels (a) (b) Mean length/cm 10.0 0.2 0.1 10.0 Total cross-sectional area/cm2 5 125 600 27 Total volume/ cm3 50 25 60 270 525 Use your knowledge of the pattern of blood circulation in a mammal to explain why (i) the total number of arterioles is more than the total number of main arteries; ........................................................................................................................... ........................................................................................................................... (1) (ii) the total number of main arteries is the same as the total number of main veins. ........................................................................................................................... ........................................................................................................................... (1) (i) Explain how the total volume of blood in the arterioles was calculated. ........................................................................................................................... ........................................................................................................................... (1) (ii) Calculate the percentage of blood in the blood vessels which is in the capillaries. Show your working. Answer ....................................... % (i) Name one tissue or organ in which the volume of blood in the capillaries increases during exercise. ........................................................................................................................... (1) (ii) Describe the part played by the arteriole walls in reducing blood flow to the capillaries in the intestines during exercise. ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... (3) (2) (c) (Total 9 marks) Q4. The diagram shows a section through a human heart. C B A D Cranford Community College 4 (a) Which of the blood vessels labelled A to D (i) takes blood from the heart to the muscles of the arms and legs; ........................................................................................................................... (1) (ii) (b) is a vein which contains oxygenated blood? ........................................................................................................................... (1) Is the right ventricle filling with blood or emptying? Give two pieces of evidence from the diagram to support your answer. Filling or emptying? .................................................................................................. Evidence 1.................................................................................................................................. ..................................................................................................................................... 2.................................................................................................................................. ..................................................................................................................................... (2) The graphs show some changes in pressure and volume during part of a cardiac cycle. Aorta Pressure Ventricle Volume of ventricle X Y Time Z (c) Describe what the graphs show about the pressure and volume in the ventricle between times X and Y. ..................................................................................................................................... ..................................................................................................................................... (1) (d) At point Y, the valve between the aorta and the ventricle opens. Use the information about pressure on the graph to explain why. ..................................................................................................................................... ..................................................................................................................................... (1) (e) Explain the changes in the volume of the ventricle between times X and Z. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... Cranford Community College 5 ..................................................................................................................................... ..................................................................................................................................... (3) (Total 9 marks) Q5. (a) Describe the route taken by a red blood cell from leaving the right ventricle of the heart to entering the left atrium. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (2) (b) The drawing shows a red blood cell. X Y Y (i) X The centre of this cell appears light in colour when seen with an optical microscope. Explain why. ..................................................................................................................................... ..................................................................................................................................... 1 (ii) Draw diagrams in the space below to show the appearance of this cell along Section X-X Section Y-Y (2) (c) There are no nuclei or other cell organelles in the cytoplasm of red blood cells. Describe one way in which the structure of a red blood cell (i) is similar to the structure of a lymphocyte; ..................................................................................................................................... ................................................................................................................................ (1) (ii) is different from the structure of a prokaryotic cell such as a bacterium. ..................................................................................................................................... ..................................................................................................................................... (1) (Total 7 marks) Q6. The diagram shows the heart and the tissues which control the heart beat. The figures on the diagram show the time in seconds taken for a wave of electrical activity to spread from the sinoatrial node. Cranford Community College 6 A 0.01 seconds B 0.04 seconds C 0.16 seconds D 0.17 seconds (a) (i) The diagram shows that the valve between the right atrium and the right ventricle is closed. What does this indicate about the relative pressures in the right atrium and the right ventricle? ..................................................................................................................................... ..................................................................................................................................... ................................................................................................................................ (1) (ii) Complete the diagram to show whether the valve between the left atrium and the left ventricle is open or closed. (1) (b) The rate at which the electrical activity passes from B to C is important in controlling the heart beat. Explain why. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (2) (c) The heart rate of a sleeping person is low. Explain how nerves supplying the heart may produce a low heart rate in a sleeping person. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (3) (Total 7 marks) Q7. The diagram shows a section through the wall of the aorta. Cranford Community College 7 Inner layer of epithelial cells Middle layer containing elastic fibres and smooth muscle Outer layer containing collagen Blood vessels in wall of aorta (a) Explain why the aorta is an organ. ..................................................................................................................................... .................................................................................................................................... (1) (b) Explain how cells in the outer layer of the wall of the aorta get oxygen for respiration. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (2) (c) (i) The wall of the aorta helps to smooth out blood pressure in the aorta. Explain how. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ................................................................................................................................ (2) (ii) The changes in the pressure of blood in the aorta can be measured. Explain why this information would enable you to measure the heart rate. ..................................................................................................................................... ................................................................................................................................ (1) (Total 6 marks) Q8. The pressure of the blood in an artery was measured during a cardiac cycle. The minimum pressure was 9.6 kPa and the maximum pressure was 13.4 kPa. (a) Describe how the increase in pressure of the blood in the artery results from the events in the cardiac cycle. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (2) (b) The elastin fibres in the wall of the artery help to smooth out the flow of blood. What happens to these fibres as the pressure of the blood in the artery changes? ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... .....................................................................................................................................2) Give one way in which the structure of the wall of an artery is similar to the structure of the wall of a capillary. ..................................................................................................................................... (c) Cranford Community College 8 ..................................................................................................................................... (1) (Total 5 marks) Q9. (a) Explain why both the heart and arteries are described as organs. ..................................................................................................................................... .....................................................................................................................................1) The table shows changes in the volume of blood in the left ventricle over a period of one second. Time / s Volume of blood as percentage of maximum 0 70 0.1 100 0.2 70 0.3 30 0.4 0 0.5 35 0.6 60 0.7 70 0.8 70 0.9 100 1.0 70 Use information in the table to answer the following questions. (b) What is the approximate length of one cardiac cycle? ..................................................................................................................................... (1) (c) At what time is there least blood in the right ventricle? Explain your answer. ..................................................................................................................................... ..................................................................................................................................... (1) (d) (i) Between which times are the muscles in the wall of the left atrium contracting? Give the reason for your answer. Times.......................................................................................................................... Reason........................................................................................................................ ............................................................................................................................... (1) (ii) Between which times are the semi lunar valves in the arteries open? Give the reason for your answer. Times.......................................................................................................................... Reason........................................................................................................................ (1) (e) The maximum volume of blood in the left ventricle is 45 cm3. Calculate the volume of blood in the left ventricle at 0.5 s. Show your working. Volume of blood = ................................................. cm3 (2) (Total 7 marks) Q10. The graph shows changes in the volume of blood in the left ventricle. Cranford Community College 9 140 120 100 Volume / cm 3 80 60 40 20 0 0 0.2 0.4 0.6 0.8 1.0 Time / s (a) (b) Between which times is the left atrium contracting? Give the evidence from the graph that supports your answer. Times.......................................................................................................................... Evidence ……............................................................................................................. ............………............................................................................................................. (2) Use the graph to calculate. (i) The heart rate; Answer............................................ (2) (ii) Stroke volume. Answer............................................ (1) (c) Describe how you would calculate cardiac output from heart rate and stroke volume. ............……….............................................................................................................. ............……….............................................................................................................. (1) The table shows the rate of blood flow to some organs when a person is at rest and during a period of vigorous exercise. Organ Skeletal muscles Kidney Brain Heart muscle Rate of blood flow / cm3 minute–1 at rest during exercise 1 000 16 000 1 200 1 200 750 300 1 200 (d) Suggest a value for the rate of blood flow to the brain during exercise. ............……….............................................................................................................. (e) (i) (1) The coronary arteries take blood to the muscles in the wall of the heart. Calculate the ratio of the rate of blood flow into the coronary arteries during exercise to the rate flowing into these arteries at rest. Answer............................................. Cranford Community College 10 (1) (ii) 3 –1 At rest the rate of flow of blood to the heart muscle is 0.9 cm g per minute. Calculate the volume of blood 1g of heart muscle would receive in 5 minutes of vigorous exercise. Answer............................................. (1) (Total 9 marks) 11. (a) (b) (i) Explain the meaning of the term atheroma. ........................................................................................................................... ........................................................................................................................... (1) (ii) Explain why atheroma may lead to a blood clot. ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... ...........................................................................................................................2 The diagram shows an external view of the heart. The position of a blood clot is marked. (i) On the diagram, shade the area of the heart muscle which is likely to die as a result of the blood clot. (ii) Explain why this area of the heart muscle is likely to die. ........................................................................................................................... ........................................................................................................................... (1) (1) (c) High blood pressure is a risk factor associated with damage to the circulatory system. Suggest two ways in which prolonged high blood pressure may affect the arteries. 1 ............……….......................................................................................................… ............……….............................................................................................................. 2 ............……….....................................….................................................................. ............……….............................................................................................................. (2) (Total 7 marks) Q12. This diagram shows a human heart seen from the front. Cranford Community College 11 B C D A X Y (a) (i) Which one or more of vessels A to D contains oxygenated blood? ........................................................................................................................... (1) (ii) During a cardiac cycle, the pressure of the blood in vessel C is higher than the pressure of the blood in vessel B. Explain what causes this difference in pressure. ........................................................................................................................... ........................................................................................................................... (1) (b) What does the diagram suggest about the pressure in the atria compared to the pressure in the ventricles at the stage in the cardiac cycle represented in the diagram? Explain your answer. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (2) (c) The wave of electrical activity which coordinates the heart beat is delayed slightly at part X. It then passes along part Y to the base of the ventricles. Explain the importance of (i) the slight delay at part X; ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... (2) (ii) the electrical activity being passed to the base of the ventricles. ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... (2) (Total 8 marks) Q13. The table shows the relative thickness of layers in the walls of an artery and a vein. Thickness / µm Layer in wall Endothelium Smooth muscle Elastic tissue Connective tissue Artery 20 490 370 120 Vein 20 240 240 120 (a) Explain why a vein may be described as an organ. ..................................................................................................................................... ..................................................................................................................................... (1) (b) (i) Use information from the table to suggest the thickness of a capillary wall. Give the reason for your answer. Cranford Community College 12 ........................................................................................................................... (1) (ii) The diameter of the artery was 4 mm. Calculate the diameter of the lumen of this artery. Show your working. Answer................................. (2) (c) Explain how the elastic tissue in the wall helps to even out the pressure of blood flowing through the artery. ..................................................................................................................................... ..................................................................................................................................... (2) (Total 6 marks) Q14. The diagram shows a section through a human heart. Y B A X C D (a) Complete the table to show whether the valves are open or closed when the pressure in chamber C is at its highest. Location of valve Valve open or closed between chamber C and chamber B between chamber D and chamber A between chamber C and blood vessel Y (b) Explain the advantage of having: (i) a large amount of elastic tissue in blood vessel Y; ........................................................................................................................... ........................................................................................................................... .......................................................................................................................... (2) (ii) valves in blood vessels such as blood vessel X. ........................................................................................................................... ........................................................................................................................... (1) (2) (Total 5 marks) Q15. The diagram shows a human heart (a) On the diagram, label the position of the atrioventricular node. (1) Cranford Community College 13 An electro-cardiogram (ECG) is produced by placing electrodes on the chest to detect electrical changes in the heart. The diagram shows an ECG and the pressure changes during a human cardiac cycle. Pressure in aorta Blood pressure Pressure in left ventricle R T P P ECG Q 0 (b) (c) S 0.1 0.2 0.3 0.4 Time/seconds 0.5 0.6 0.7 0.8 (i) The QRS wave is associated with the spread of electrical activity over the ventricle. Explain the evidence in the graph which supports this. ........................................................................................................................... ........................................................................................................................... ........................................................................................................................... .......................................................................................................................... (2) (ii) Explain why there is no change in the electrical activity between 0.31s and 0.77s. ........................................................................................................................... ........................................................................................................................... (1) (i) At what time in the cardiac cycle does the aortic semi lunar valve open? ........................................................................................................................... (1) The pressure changes shown in the diagram are on the left side of the heart. Sketch a curve on the graph to show the pressure changes in the right ventricle. (ii) (2) (Total 7 marks) Q16. The graph shows the heart rate before, during and after exercise. 160 Heart rate/ beats per 120 minute 80 0 0 5 Rest Cranford Community College 10 15 Time/minutes Exercise 20 25 Recovery 14 (a) Explain how the nerves connected to the heart cause the changes seen during (i) the first 2 minutes of exercise; .......................................................................................................................... .......................................................................................................................... (ii) the recovery period. .......................................................................................................................... .......................................................................................................................... (4) (b) The cardiac output is the amount of blood one ventricle pumps out per minute. The table shows the percentage of the cardiac output distributed to various organs when the body is at rest. Organ Percentage of cardiac output at rest Bone 5 Brain 15 Heart 5 Kidneys 25 Liver 15 Skin 5 (i) At rest the amount of blood pumped out by a single contraction of one ventricle is 70 cm3 and the mean heart rate is 72 beats per minute. Calculate the total volume of blood supplied to the brain per minute. Show your working. Answer =.......................... (ii) Prolonged training often results in a decrease in the resting heart rate although the cardiac output remains the same. How is this decrease achieved? .......................................................................................................................... .......................................................................................................................... (2) (1) (Total 7 marks) Q17. (a) The graph shows the changes in pressure which take place in the left side of the heart. 15 Aorta 10 Pressure/ kPa Left ventricle 5 Left atrium 0 0.2 0.4 0.6 Time/seconds 0.8 1.0 (i) Use the graph to calculate the heart rate in beats per minute. Show your working. Answer.............................. (ii) The atrioventricular valve closes at 0.1 seconds. Explain the evidence from the graph which supports this statement. (2) Cranford Community College 15 .......................................................................................................................... .......................................................................................................................... (1) (b) The blood pressure in the aorta is higher than in the pulmonary artery. Explain what causes the blood pressure in the aorta to be higher. ..................................................................................................................................... .....................................................................................................................................(1) (Total 4 marks) Q18. Although the heart does have a nerve supply, the role of the nervous system is not to initiate the heartbeat but rather to modify the rate of contraction. The heart determines its own regular contraction. (i) Describe how the regular contraction of the atria and ventricles is initiated and coordinated by the heart itself. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (5) (ii) Describe the role of the nervous system in modifying the heart rate in response to an increase in blood pressure. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (5) (Total 10 marks) Q19. The diagram shows the pathways in the heart for the conduction of electrical impulses during the cardiac cycle. (a) The table shows the blood pressure in the left atrium, the left ventricle and the aorta at different times during part of a cardiac cycle. Time / s 0.0 0.1 0.2 0.3 0.4 Left atrium 0.5 1.2 0.3 0.4 0.8 Blood pressure / kPa Left ventricle 0.4 0.7 6.7 17.3 8.0 Aorta 10.6 10.6 10.6 16.0 12.0 (i) At which time is blood flowing into the aorta? ......................................................................................................................….(1) (ii) Between which times are the atrioventricular valves closed? Cranford Community College 16 (b) (c) ......................................................................................................................….(1) The maximum pressure in the left ventricle is higher than the maximum pressure in the right ventricle. What causes this difference in pressure? ..................................................................................................................................... ..................................................................................................................................... (1) The information below compares some features of different blood vessels. Blood vessel Property Mean diameter of vessel Mean thickness of wall Artery Capillary Vein 4.0 mm 8.0 m 5.0 mm 1.0 mm 0.5 m 0.5 mm Relative thickness (shown by length of bar) Tissues present in wall Endothelium Elastic tissue Muscle Use the information to explain how the structures of the walls of arteries, veins and capillaries are related to their functions. ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... (6) (Total 9 marks) Cranford Community College 17