CAIE IGCSE Biology 9.2 Heart Questions
Practise heart questions on chamber and vessel labels, one-way blood flow, valve action, exercise heart-rate data and coronary artery disease risk.
- Syllabus
- 2026–2028
- Course
- Biology 0610
Practise heart questions on chamber and vessel labels, one-way blood flow, valve action, exercise heart-rate data and coronary artery disease risk.
Fig. 2.1 shows a cross-section of a human heart.
Fig. 2.1
On Fig. 2.1, label with an R the position of the right ventricle.
R drawn on the right ventricle ;
State the names of the structures labelled A and B on Fig. 2.1.
A
B
A atrioventricular valve ;
B semilunar valve ;
Fig. 2.2 shows a cross-section of part of a heart that has an incomplete structure.
Fig. 2.2
Explain how the incomplete heart structure shown in Fig. 2.2 may affect a person's ability to transport oxygen.
hole in septum / left atrium joined to right atrium / AW ;
oxygenated blood mixes with deoxygenated blood ;
idea of less oxygen, transported / supplied (to the respiring tissues) ;
Fig. 3.1 is a diagram of a section through a human heart.
Fig. 3.1
Draw an X on the septum in Fig. 3.1.
X drawn on septum ;
Explain the reason for the difference between the thickness of the walls at B and at C in Fig. 3.1.
any two from:
left ventricle / thicker wall / B, contains more muscular tissue ;
left ventricle / thicker wall / B, can contract with more force ;
left ventricle / thicker wall / B , pumps blood at high(er) pressure ;
left ventricle / thicker wall / B, pumps blood a long(er) distance ;
A ora for each point
A left ventricle / thicker wall / B, pumps to whole body while, right ventricle / thinner wall / C, pumps to lungs only
A red blood cell enters the vena cava at A in Fig. 3.1.
Explain how the red blood cell is moved from the vena cava to the aorta.
(the red blood cell moves)
carried in the (flowing) blood ;
from the vena cava / A, into the right atrium ;
from the right atrium to the right ventricle as the right atrium,
contracts / pumps ;
out of the right ventricle into the pulmonary artery as the right ventricle
contracts ;
through the lungs / pulmonary circulation / into the pulmonary veins ;
from pulmonary vein to the left atrium ;
from the left atrium to the left ventricle as the left atrium contracts ;
out of the left ventricle into the aorta as the left ventricle contracts ;
(correct atria to correct ventricle) through the atrioventricular
valve / atrioventricular valves close to prevent backflow ;
(correct ventricle to (correct) artery) through the semilunar
valve / semilunar valves close to prevent backflow ;
An athlete measured her heart rate during a running race. She recorded it before the race, during the race and during her recovery.
Her results are shown in Fig. 3.2.
Fig. 3.2
Suggest how the athlete could monitor the activity of her heart.
ECG / (measuring) pulse rate / listening to valves closing ;
A fitbit / fitness tracker / smartwatch
A description of taking pulse
Explain why heart rate must increase during exercise.
any three from: to increase blood flow to muscles ;
to provide more oxygen for (aerobic) respiration ;
to provide more glucose for respiration ;
to provide / release, more energy for contraction ;
to remove (excess) CO2 produced ;
to transport / remove, lactic acid (to liver / from muscle) ;
to remove heat from muscles / ref to maintain constant internal body temperature ;
R produce energy
A group of students investigated the effect of exercise on their heart rates.
They measured their heart rates:
- before exercise
- immediately after running 1 km
- one minute after running 1 km
Before doing the investigation they wrote a hypothesis.
Write a hypothesis for this investigation.
1 exercise will increase heart rate (from resting rate) ;
2 after exercise heart rate will, remain high / start decreasing ;
OR
3 there is no effect of exercise on heart rate ;
is the null hypothesis ;
A before exercise heart rate will be lower
The students measured their pulse as an indicator of heart rate.
Describe how the students could measure their pulse.
1 fingers on, wrist / neck / artery ;
2 number beats over a period of time / bpm ;
3 use a heart rate monitor / AW ;
4 contact of sensor with skin ;
In another investigation, a doctor tested some of her patients to determine the effect of exercise on coronary heart disease.
Coronary heart disease is caused by a blockage in the coronary artery.
Describe the effect on the heart of a blockage in the coronary artery.
1 lack of, blood supply / oxygen / glucose to heart, wall / muscle / tissues / cells ;
2 less / no, (aerobic) respiration / described ;
3 (heart) tissue / cells, die ;
4 heart (muscle) cannot contract ;
The doctor divided her coronary heart disease patients randomly into two equal groups.
Each group was given different instructions:
- group A - patients were given a daily exercise plan
- group B - patients were told to make their own exercise plan.
The doctor measured the heart rate (HR) of each patient immediately after doing exercise and again one minute later.
She calculated their heart rate recovery using this formula:
heart rate recovery = HR immediately after exercise - HR one minute after exercise.
She then calculated the average heart rate recovery for each of the two groups of patients.
The doctor repeated these measurements after three months and after six months.
The results are shown in Fig. 2.1.
Fig. 2.1
Describe and explain the effect of exercise on the average heart rate recovery of the coronary heart disease patients in group A and group B.
Use data from Fig. 2.1 to support your answer.
description
1 no difference between groups at 0 months ;
2 HRR in A increases and B increases and then decreases ;
3 (at) 3 months, little difference between groups / group B higher ;
4 (at) 6 months / at end, group A higher HRR (than group B) ;
5 comparative data quote with units ;
explanation
6 (regular) exercise improves, HRR / fitness ;
7 exercise, strengthens heart muscle / increases, stroke volume / cardiac output ;
8 idea that anaerobic respiration / oxygen debt reduces HRR ;
ora
9 given plan has better long term effect / without given plan better short term effect ;
10 patients may stick to given plan better (than their plan) ;
ora
11 without a given plan patients probably started with a higher intensity plan ;
ora
12 given plan may be better designed (to improve HRR long term) ;
ora
A fitness or HR for HRR throughout
A both groups increase HRR overall
Exercise may reduce the risk of coronary heart disease.
State one other possible way of reducing the risk of developing coronary heart disease.
1 reduced, salt / (saturated) fats / cholesterol ;
2 stop smoking ;
3 reduce stress ;
4 AVP ;
e.g. / medication qualified / control diabetes / reduced alcohol / reduce blood pressure
Fig. 3.1 is a diagram of a section through a human heart.
Fig. 3.1
An athlete measured her heart rate during a running race. She recorded it before the race, during the race and during her recovery.
Her results are shown in Fig. 3.2.
Fig. 3.2
Suggest how the athlete could monitor the activity of her heart.
ECG / (measuring) pulse rate / listening to valves closing ;
A fitbit / fitness tracker / smartwatch
A description of taking pulse
A group of students investigated the effect of exercise on their heart rates.
They measured their heart rates:
- before exercise
- immediately after running 1 km
- one minute after running 1 km
Before doing the investigation they wrote a hypothesis.
The students measured their pulse as an indicator of heart rate.
Describe how the students could measure their pulse.
1 fingers on, wrist / neck / artery ;
2 number beats over a period of time / bpm ;
3 use a heart rate monitor / AW ;
4 contact of sensor with skin ;
Carbohydrates are an important component of a balanced diet.
The flow chart in Fig. 3.1 shows some of the processes that happen to carbohydrates in food that is eaten.
Fig. 3.1
Consuming too much of some mineral salts, such as sodium chloride, increases the risk of developing coronary heart disease (CHD).
Doctors studied the effect of diet on the risk of developing CHD.
The doctors first selected volunteers who had a high salt diet.
The doctors assessed the volunteers' overall risk of developing CHD and monitored their blood pressure.
List two factors, other than diet and blood pressure, that the doctors considered when assessing the overall risk of the volunteers developing CHD.
1
2
stress ;
smoking ;
genetic predisposition / family history ;
age ;
sex ;
activity level / AW ;
any pre-existing medical conditions / AW ;
alcohol / drug / medication ;
obesity / weight / mass / BMI / AW ;
Carbohydrates are an important component of a balanced diet.
The flow chart in Fig. 3.1 shows some of the processes that happen to carbohydrates in food that is eaten.
Fig. 3.1
The volunteers were divided into two groups.
The mass of salt consumed by both groups was changed every 4 weeks:
- low salt intake for 4 weeks
- medium salt intake for 4 weeks
- high salt intake for 4 weeks.
In addition, group 2 was given other changes to their diet but group 1 was not.
The systolic blood pressure of the volunteers was measured every 4 weeks. These results are shown in Fig. 3.2.
Fig. 3.2
Suggest one component of the diet of group 2, other than salt, that the doctors changed to further reduce the risk of developing CHD.
(reduce) fat / cholesterol ;
(increase) fibre / roughage ;
(increase) water ;
The doctors concluded that some diets reduce the risk of CHD.
Give evidence from Fig. 3.2 to support this conclusion.
low salt diets reduce (systolic) blood pressure / risk of CHD ;
ora
modified diets / group 2, reduce (systolic) blood pressure / risk of CHD ;
ora
any description of an interaction between the salt diet and modified diets together affecting the, blood pressure / risk of CHD ;
comparative data quote with units ;
Fig. 4.1 shows a section through a human heart and the main blood vessels.
Fig. 4.1
Explain why the heart wall at H is thicker than the heart wall at D in Fig. 4.1.
any two from:
1 (left ventricle / H) contains more muscle ;
ora
2 (muscle) contracts / pumps, with more force ;
ora
3 (contraction) creates a high(er) pressure ;
ora
4 blood (leaving the ventricle) is required to move further / out of the heart / to aorta / to the (whole) body / left atrium is only pushing blood to the ventricle ;
Heart rate is influenced by electrical impulses from the brain.
The electrical activity of the heart can be recorded on an ECG.
Fig. 3.1 shows an ECG of one heartbeat.
Fig. 3.1
Table 3.1 shows how the electrical activity, during one heartbeat, corresponds to the opening and closing of the valves in the heart.
Complete Table 3.1 using the words 'open' and 'closed'.
Table 3.1
Complete correct answer:
Complete Table 3.1:
| part of the ECG shown in Fig. 3.1 | result of electrical activity | atrioventricular valves | semilunar valves |
|---|---|---|---|
| P | atria contract | open | closed |
| QRS | ventricles contract | closed | open |
| T | atria and ventricles relaxed | open | closed |
Marking guidance:
Award one mark per correct row, maximum 3 marks.
State the function of heart valves.
to prevent backflow / AW ;
ensures one-way flow of blood (through the heart) ;
I pressure changes