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CIE iGCSE Co-Ordinated Science B15.5 Sexually transmitted infections Exam Style Questions Paper 4

Question

(a) The total number of new HIV infections in the world is monitored.
The results are shown in Fig. 1.1.
(i) Calculate the percentage decrease in the number of new HIV infections between 2000 and 2010 as shown in Fig. 1.1.
(ii) Suggest three reasons for the decrease in the number of new HIV infections.
(b) HIV is a virus that targets white blood cells.
(i) State two functions of white blood cells.
(ii) White blood cells are one component of blood.
State two other main components of blood.
(c) State the name of the barrier that protects the fetus from toxins in the mother’s blood.

Most-appropriate topic codes (Cambridge IGCSE Co-ordinated Sciences 0654):

• Topic B15.5 — Sexually transmitted infections (Part (a))
• Topic B9.4 — Blood (Part (b))
• Topic B15.4 — Sexual reproduction in humans (Part (c))

▶️ Answer/Explanation

(a)(i) 31%

Reading from Fig. 1.1: infections in 2000 \( = 3.2 \) million, in 2010 \( = 2.2 \) million.
Decrease \( = 3.2 – 2.2 = 1.0 \) million.
Percentage decrease \( = \dfrac{1.0}{3.2} \times 100 = 31\% \).

(a)(ii) Any three from:

Discovery of routes of transmission.
Increased use of barrier contraception / abstinence.
Screening of blood transfusions.
Reduced drug use / use of clean needles.
Monitoring / testing / screening for HIV.
Increased education / awareness.

(b)(i) Phagocytosis; antibody production.

White blood cells defend the body by engulfing pathogens (phagocytosis).
They also produce antibodies that neutralise pathogens or toxins.

(b)(ii) Red blood cells; plasma (also accept platelets).

Blood is made up of red blood cells, white blood cells, platelets, and plasma.
Red blood cells carry oxygen, and plasma is the liquid that transports cells and dissolved substances.

(c) Placenta

The placenta separates the mother’s and fetus’s blood supplies.
It allows exchange of nutrients, oxygen, and waste while acting as a barrier to many toxins and pathogens.

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