IB Biology HL C3.2 Defence Against Disease Questions

Practise IB Biology HL C3.2 with immune-response diagrams and data questions covering barriers, lymphocytes, vaccination, HIV, antibiotics, resistance and clotting.

Syllabus
First assessment 2025
Course
Biology HL
Level
HL

Exam points

  • Explain how named pathogens cause infectious disease and how skin, gastric acid, mucus, cilia, and lysozyme block pathogen entry or survival.
  • Trace clot formation from platelet or tissue clotting factors through thrombin to insoluble fibrin that seals a wound.
  • Distinguish innate from antigen-specific adaptive defence and explain how phagocytes engulf and digest pathogens.
  • Trace antigen-specific B-cell activation through helper-T-cell signals, clonal expansion, plasma-cell formation, and antibody secretion.
  • Compare primary and secondary immune-response graphs using memory B- or T-cells and faster responses after re-exposure.
  • Explain how sterile single-use needles reduce blood-borne HIV transmission.
  • Trace HIV infection of helper T-cells to impaired B-cell activation, antibody production, and AIDS-related immune weakness.
  • Explain why antibiotics selectively affect bacterial targets but do not treat viruses; distinguish antiviral targets where tested.
  • Use mutation or plasmid evidence, selection, and resistance-frequency data to explain how antibiotic-resistant bacteria spread.
  • Identify a zoonosis as an infection transferred from an animal reservoir to humans.
  • Explain vaccination as active artificial immunity and interpret vaccine-coverage or antibody-response data.

Question 1

[Maximum number: 5]

Question (a)

(a)

Outline the symptoms, mode of transmission and treatment of one named example of food poisoning.

[ 3 ]

Question (b)

(b)

Distinguish between intracellular and extracellular bacterial infection using Chlamydia and Streptococcus as examples.

[ 2 ]

Question 2

[Maximum number: 2]

Pathogens are disease-causing organisms.

State two of the body's primary defences to pathogens.

Question 3

[Maximum number: 1]

Plasma proteins, sCD 62 P and sCD 40 L , are involved in the activation of blood platelets. The von Willebrand factor causes the platelets to stick to blood vessel walls. Fibrinogen is a marker for inflammation of the blood system. All four are biological markers that indicate a risk of thrombosis.

During the 2008 Olympic games held in Beijing, the Chinese authorities temporarily reduced air pollution levels by restricting emissions from motor vehicles and industry. Doctors used this event to test the effects of air pollution on these biological markers. The graph shows the mean percentage changes in the levels of biological markers in volunteers during the study.

Figure for Question 3 — IB Biology HL
Figure for Question 3 — IB Biology HL

Thromboses, including coronary thrombosis, could be a consequence of a build-up of these biomarkers.

State the role of platelets in thromboses.

Question 4

[Maximum number: 1]

Adaptive immunity leads to cells that are infected by viruses being killed, resulting in immune memory which is the basis of vaccination.

Distinguish between innate and adaptive immune response.

The graph shows the magnitude of the immune response after infection or after vaccination over time.

Figure for Question 4 — IB Biology HL

Question 5

[Maximum number: 1]

What action(s) can phagocytes perform?

I. Make antibodies
II. Leave the blood stream and enter infected tissues
III. Kill pathogens that they have engulfed

A

I only

B

III only

C

II and III only

D

I, II, and III

Question 6

[Maximum number: 7]

Multicellular organisms benefit from cell specialization and division of labour.

Explain how cells in the bloodstream cause a specific immune response.

Question 7

[Maximum number: 1]

What describes antigens?

A

They catalyze immune reactions.

B

They activate specific white blood cells.

C

They destroy bacteria but not viruses.

D

They are only produced by white blood cells.

Question 8

[Maximum number: 3]

Ebola virus disease (EVD) is the disease in humans and other primates that is caused by the Ebola virus. Fruit bats are the reservoir for the virus and are able to spread the disease without being affected. Humans can become infected by contact with fruit bats or with people infected by the virus, their body fluids or equipment used to treat them.

The stacked bar graph shows the epidemiological data for the EVD cases in Conakry, the capital city of Guinea, surrounding suburbs and rural areas in Guinea from the beginning of January 2014 to the end of March 2015.

Figure for Question 8 — IB Biology HL

Explain how vaccination can lead to the production of B cells specific to the Ebola virus.

Question 9

[Maximum number: 1]

The figure shows a transmission electron micrograph of rotavirus particles. Each rotavirus is about 70 nanometres in diameter.

Figure for Question 9 — IB Biology HL

State the role of plasma cells in the immune system.

Question 10

[Maximum number: 3]

The black-legged tick (Ixodes scapularis) is an arthropod which sucks blood from humans and other mammals. It is encountered mainly in wooded and semi-wooded areas.

Some ticks can be infected by the bacterium Borrelia burgdorferi. When a tick bites a human, the bacterium is often introduced, causing Lyme disease. Lyme disease is a public health problem in North America and, if left untreated, can cause important neurological impairment. The diagram represents the two-year life cycle of a tick.

Figure for Question 10 — IB Biology HL

White-footed mice (Peromyscus leucopus) in eastern North America's wooded areas often host B. burgdorferi bacteria. To determine whether bacterial transmission from mice to tick nymphs could be prevented, mice were vaccinated with antigens from Lyme disease-causing B. burgdorferi. Scientists captured wild mice at two different sites in the woods once a month, over 4 months. Each time, they measured the levels of antibodies to B. burgdorferi present in the captured and re-captured mice, inoculated all of them, and released them into the woods. The control group was not vaccinated with B. burgdorferi antigen.

Figure for Question 10 — IB Biology HL

Suggest possible reasons for the observed pattern of presence of antibodies in vaccinated mice.

The summer after vaccination, the prevalence of B. burgdorferi infection in tick nymphs collected on mice from the two sites was measured.

Table for Question 10 — IB Biology HL

Question 11

[Maximum number: 1]

How has the transmission of HIV been reduced?

A

Delaying the progression of HIV to AIDS

B

Single use of disposable needles

C

Treatment with antibiotics

D

Vaccination

Question 12

[Maximum number: 4]

Interactions in biological systems may have harmful or beneficial effects.

Discuss the consequences of infection with HIV.

Question 13

[Maximum number: 2]

The figure shows a transmission electron micrograph of rotavirus particles. Each rotavirus is about 70 nanometres in diameter.

Figure for Question 13 — IB Biology HL

Rotavirus causes diarrhea and vomiting. Explain why viral diseases cannot be treated using antibiotics.

Question 14

[Maximum number: 3]

Different strains of the bacterium Enterobacter cloacae were grown on a plate and identified according to their place on the plate (for example, the first strain top left is A1). They were then transferred to Petri dishes containing agar with varying concentrations of antibiotic (5,10,20,40,80,160μgml−1)\left(5,10,20,40,80,160 \mu \mathrm{gml}^{-1}\right).

Figure for Question 14 — IB Biology HL

The Petri dishes were left for 24 hours in an incubator at 25∘C25^{\circ} \mathrm{C} and the resulting plates are shown.

Figure for Question 14 — IB Biology HL

Question (a)

(a)

State the strain with the least resistance to antibiotic.

[ 1 ]

Question (b)

(b)

Suggest reasons for the presence of strains such as B2 in all of the plates.

[ 2 ]

Question 15

[Maximum number: 1]

The table shows the number of amino acids that are different in the sequences of the protein FOXP2 from a human compared with four other primate species.

FOXP2 amino-acid differences from humans: Pan paniscus 2, Pan troglodytes 2, Gorilla gorilla 2 and Pongo pygmaeus 3.

Some infectious diseases in humans are caused by viruses that originated in other primates.

State the term used for an infectious disease that can transfer from other species to humans.

Question 16

[Maximum number: 8]

Some prokaryotes cause infectious disease in humans. Explain the principles of vaccination.

Question 17

[Maximum number: 1]

For a pathogen transmitted between people, immunity substantially reduces the chance that an exposed person becomes infectious. In a population with widespread immunity, even a susceptible individual can have a reduced chance of exposure.

What explains this indirect protection?

A

Every susceptible individual acquires specific lymphocyte memory without exposure to the antigen.

B

Fewer susceptible hosts are available to continue chains of transmission.

C

The duration of infectiousness necessarily becomes shorter in every infected person, regardless of their own immunity.

D

The pathogen becomes unable to reproduce in any host, even if the host remains susceptible.

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