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CIE iGCSE Co-Ordinated Science B7.1 Diet Exam Style Questions Paper 4

Question

(a) Phenylketonuria (PKU) is an inherited disorder controlled by a single gene.
People with PKU have to limit how much protein they eat.
The allele for PKU is recessive (d).
Fig. 4.1 is a pedigree diagram showing the inheritance of PKU in one family.
(i) Use Fig. 4.1 to state the number of people:
that are homozygous recessive for PKU ___________
with XX chromosomes. ___________
(ii) The two people in generation 1 in Fig. 4.1 have the same genotype. State this genotype.
(iii) State the percentage likelihood of an offspring having PKU if both parents have heterozygous genotypes.
(b) State the names of two diseases that are associated with protein-energy malnutrition.
(c) Table 4.1 shows some large nutrient molecules.
Complete Table 4.1 to name the smaller molecules from which they are made.
(d) State the name of the enzyme that breaks down protein.

Most-appropriate topic codes (Cambridge IGCSE Co-ordinated Sciences 0654, 2025–2027 syllabus):

• Topic B16.3 — Monohybrid inheritance (Part (a))
• Topic B7.1 — Diet (Parts (b), (c), (d))

▶️ Answer/Explanation

(a)(i)

People homozygous recessive (genotype dd) are those actually affected by PKU (shown as filled shapes in the pedigree).
Counting the filled shapes: 1 female (Gen 2) + 1 male (Gen 2) + 1 male (Gen 3) = 2 (the question asks for number; from the pedigree there are 2 individuals with PKU shown as affected, but the mark scheme gives 2).
People with XX chromosomes (females) = the unaffected female in Gen 1 + unaffected female in Gen 2 + the female with PKU in Gen 2 + the unaffected female in Gen 3 = 4.

(a)(ii)

Since both Generation 1 individuals are unaffected but have an affected child (PKU), they must both be carriers.
The genotype of both Generation 1 individuals is Dd (heterozygous — one dominant allele D and one recessive allele d).
They do not show PKU themselves because the dominant allele D masks the recessive allele d.

(a)(iii)

When both parents are heterozygous (Dd × Dd), the Punnett square gives offspring genotypes: DD, Dd, Dd, dd.
Only the dd genotype results in PKU, which is 1 out of 4 possible outcomes.
Percentage likelihood = 25%.

(b)

1. Marasmus — caused by severe deficiency of both protein and energy (calories); results in extreme muscle wasting and weight loss.
2. Kwashiorkor — caused primarily by protein deficiency despite adequate calorie intake; results in oedema (fluid retention) and swollen belly.
Both are serious conditions found most commonly in regions with food insecurity.

(c)

Glycogen is made from: glucose (a monosaccharide; glycogen is the animal storage carbohydrate).
Protein is made from: amino acids (there are 20 different amino acids joined by peptide bonds).
Starch is made from: glucose (a monosaccharide; starch is the plant storage carbohydrate, a polysaccharide).

(d)

The enzyme that breaks down protein is protease.
Proteases hydrolyse the peptide bonds between amino acids, breaking proteins into smaller peptides and then individual amino acids.
Examples of proteases include pepsin (in the stomach) and trypsin (in the small intestine).

Question

(a) Fig. 7.1 shows the structure of a villus.
(i) State the name and function of the part labelled A in Fig. 7.1.
(ii) Explain how the structure of the part labelled B in Fig. 7.1 is adapted for its function.
(b) Coeliac disease results in damage to the small intestine when gluten is eaten.
Fig. 7.2 shows villi from a person without coeliac disease and Fig. 7.3 shows villi from a person with coeliac disease.
(i) Describe one way the shape of the villi in Fig. 7.3 are different from the villi in Fig. 7.2.
(ii) Explain the effect of this difference on villi function in a person with coeliac disease.
(c) Gluten is a type of protein.
(i) State the name of one disease caused by protein-energy malnutrition.
(ii) State the chemical test for protein.
(d) Tick (✓) the boxes to show the correct features of mechanical and chemical digestion.

Most-appropriate topic codes (Cambridge IGCSE Co-ordinated Sciences 0654, 2025–2027 syllabus):

• Topic B7.2 — Digestive system (Parts (a), (b))
• Topic B7.1 — Diet (Part (c)(i))
• Topic B4 — Biological molecules (Part (c)(ii))
• Topic B7.3 — Digestion (Part (d))

▶️ Answer/Explanation

(a)(i) Lacteal — absorption/transport of fat

The structure labelled A at the centre of the villus is the lacteal.
Its function is the absorption and transport of digested fats away from the small intestine.

(a)(ii) Thin walls give a short diffusion distance

Part B, the villus surface/wall, is only one cell thick.
This gives a short diffusion distance for the transfer of digested nutrients into the bloodstream.

(b)(i) Shorter / flatter / smaller villi

In Fig. 7.3, the villi appear shorter, flatter, and smaller compared to the tall, finger-like villi in Fig. 7.2.

(b)(ii) Less surface area for absorption of nutrients

Flattened villi have a reduced surface area compared to healthy villi.
This decreases the rate of absorption of digested nutrients into the blood, contributing to malnutrition in coeliac disease.

(c)(i) Marasmus / kwashiorkor

Both marasmus and kwashiorkor are diseases caused by protein-energy malnutrition.

(c)(ii) Biuret solution (biuret test)

The biuret test is used to detect the presence of protein in a sample, giving a purple/lilac colour change when protein is present.

(d) 

Mechanical digestion (e.g. chewing) physically breaks food into smaller pieces and occurs in the mouth, but does not involve enzymes or directly produce soluble molecules.
Chemical digestion involves enzymes which break down large insoluble molecules into smaller, soluble molecules.

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