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[3]
Fig. 2.1 shows a dialysis machine for treating people who have kidney failure. The dialysate
(dialysis fluid) is a solution of glucose and salts.
blood
vessels
dialysis membrane
blood out
blood in
dialysate dialysate
out in
Fig. 2.1
(i) the loss of plasma proteins and red blood cells is prevented,
[1]
PhysicsAndMathsTutor.com
(ii) the normal glucose concentration of the blood is maintained.
[2]
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(c) A person with kidney failure received regular dialysis treatment for 17 days.
Fig. 2.2 shows how the concentration of urea in the blood changed over the 17 days.
Fig. 2.2
(i) State how many times the person received dialysis treatment.
[1]
(ii) Calculate the decrease in the concentration of urea in the blood from the beginning
of dialysis until the end of the treatment.
[1]
PhysicsAndMathsTutor.com
(iii) Describe the changes that occur in the urea concentration in the blood over the
period shown in Fig. 2.2. You will gain credit for using the data in Fig. 2.2 in your
answer.
[3]
(iv) Explain the changes in urea concentration in the blood as shown in Fig. 2.2.
[4]
[Total: 15]
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2 To stay healthy we need a balanced diet.
[2]
Protein is one nutrient present in a balanced diet. The body cannot store protein, so any
excess amino acids are broken down in the process of deamination, as shown in Fig. 5.1.
excess
amino acid
non-nitrogen nitrogen
compound compound
X urea
respiration
Fig. 5.1
(b)
b) Name the organ where deamination takes place.
[1]
[1]
PhysicsAndMathsTutor.com
(iii) State the type of respiration shown in Fig. 5.1.
type of respiration
explanation
[2]
[2]
Fig. 5.2 shows a kidney tubule (nephron) and its associated blood vessels.
A
B
Fig. 5.2
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(d) Complete the table by naming the parts labelled A to D and stating one function for
each.
[8]
(e) The volume of blood filtered by the kidneys is 1.18 dm3 min 1.
volume = [2]
(ii) If the total volume of urine produced in 24 hours is 1.7 dm3, calculate the
percentage volume of the filtered blood excreted as urine in 24 hours.
% volume = [2]
[Total: 20]
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3 (a) Define the term excretion.
[3]
Fig. 3.1
(i) Using label lines and the letters given, label the following on Fig. 3.1.
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(ii) Describe the process of filtration in the kidney.
[3]
1.. glucos
[Total: 12]
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1 Which diet will cause the liver to produce the most urea?
A kidneys
B liver
C muscles
D small intestine
4 Which substance is lost from the body of a healthy person by the kidneys, but not by the lungs?
A carbon dioxide
B glucose
C urea
D water
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5 The diagram shows some organs in which urea is found.
Which organ makes urea, and which organ removes it from the blood?
7 Where are hormones removed from the blood and broken down in the human body?
A gall bladder
B kidneys
C liver
D stomach
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8 Where is urea produced in the human body and from which chemicals is it produced?
produced chemical
A intestine proteins
B kidneys amino acids
C kidneys fatty acids
D liver amino acids
9 The table shows the composition of a liquid found in the human body.
B C
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10 Which function does not occur in the kidneys?
A breakdown of alcohol
B removal of excess salts from the blood
C removal of excess water from the blood
D removal of urea from the blood
A as insoluble waste
B by being destroyed in the liver
C in expired air
D in solution
A It gains glucose.
B It gains salts.
C It loses protein.
D It loses urea.
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15 The table shows the percentage composition of some chemicals found in blood entering the
kidney of a healthy person.
What is the percentage composition of the same chemicals in the urine of a healthy person?
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17 The diagram shows the human urinary system.
A renal artery
B renal vein
C ureter
D urethra
What describes the level of urea in the blood leaving the liver and in the urine leaving the
kidneys?
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19 Which food type, when eaten in excess, will cause a rise in the urea content of urine?
A carbohydrate
B fat
C mineral salts
D protein
21 The graph shows the rates of sweat production and urine production at different environmental
temperatures.
150 sweat
100
rate of
production
/ cm3 per hour
50
urine
0
0 5 10 15 20 25 30 35
environmental
temperature / °C
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22 The diagram shows the human urinary system.
renal vein
renal artery
ureter
bladder
Which row shows substances that are present in each of these structures in a healthy person?
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23 Which set of conditions would make the percentage of water in urine decrease the most?
A glucose
B salt
C toxins
D urea
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25 In which order does urea pass through structures in the body?
27 Which substance is lost from the body by the kidneys, lungs and skin?
A carbon dioxide
B excess ions
C urea
D water
A bladder
B kidney
C liver
D pancreas
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29 Blood passes through the kidney and some substances leave the blood as filtered liquid. From
this liquid certain substances are reabsorbed back into the blood.
The table shows the percentage of four substances in the blood plasma, the filtered liquid and
urine.
artery
vein
ureter
A artery only
B artery and ureter
C artery and vein
D ureter and vein
PhysicsAndMathsTutor.com
31 The diagram shows the human excretory system and its main associated blood vessels.
32 The table shows the amount of water and salt lost from the kidneys and skin on a hot day and on
a cold day. Food and drink intake are the same on both days.
water lost from water lost from salt lost from salt lost from
kidneys / dm3 skin / dm3 kidney / g skin / g
A Less water is lost from the kidneys on a cold day than on a hot day.
B More salt is lost from the kidneys on a hot day than on a cold day.
C The total amount of salt lost each day is the same.
D Water is not lost from the kidneys on hot days.
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33 Blood is filtered in the kidneys. After this filtration, some substances are reabsorbed into the
blood and other substances pass out of the body in the urine.
34 Four urine samples were collected on different days from a person whose exercise and water
intake was the same each day.
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35 The table shows an analysis of urine and of blood after filtration in the kidney.
A glucose
B salts
C urea
D water
A key
B true
C not true
D
37 The average percentage of water in human urine is 96 %. This percentage changes when
conditions change.
Which set of conditions will make the percentage of water in the urine decrease most?
PhysicsAndMathsTutor.com
1 The lungs and the kidneys are excretory organs of the human body.
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(ii) State an excretory product that is passed out through the lungs.
.......................................................................................................................................[1]
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(b) Fig. 4.1 is a vertical section of the kidney.
P L
Fig. 4.1
• naming the part of the kidney that carries out each function
• using letters from Fig. 4.1 to identify the part of the kidney named.
Table 4.1
blood is filtered
concentration of urine is
medulla L
determined
urine flows to the
bladder
blood is carried into the
kidney
blood flows out of the
kidney
[4]
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(c) People with kidney disease are often treated in renal dialysis clinics. Their blood passes
through tubes lined with a special membrane for about three hours.
(i) State two waste substances that are removed from the blood by dialysis.
1 ........................................................................................................................................
2 ........................................................................................................................................
[2]
(ii) Kidney patients may be given a kidney transplant. State one advantage and one
disadvantage of kidney transplants compared with dialysis.
advantage ..........................................................................................................................
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disadvantage .....................................................................................................................
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[2]
[Total: 15]
PhysicsAndMathsTutor.com
2 Fig. 5.1 shows a cross-section of a kidney.
F
G
Fig. 5.1
E .....................................................................................
F ......................................................................................
G .....................................................................................
[3]
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PhysicsAndMathsTutor.com
(c) Glucose is reabsorbed, back into the blood, by active transport.
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(d) Give one example, other than glucose, of a substance that is reabsorbed into the blood from
the renal tubule.
...............................................................................................................................................[1]
dialysis machine
blood pump
fresh dialysis
fluid
Fig. 5.2
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(i) The composition of the dialysis fluid changes as it passes through the dialysis machine.
Complete Table 5.1 using the words ‘low’, ‘high’, ‘same’ or ‘none’ to show how the
concentration of each substance changes in the dialysis fluid.
The last one has been done for you.
Table 5.1
blood before
substance used dialysis fluid fresh dialysis fluid
dialysis
glucose normal
salts high
urea high
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PhysicsAndMathsTutor.com
...............................................................................................................................................[3]
(g) Before a kidney is transplanted, it is important to match the tissue type of the donor with the
tissue type of the recipient.
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...............................................................................................................................................[1]
[Total: 20]
PhysicsAndMathsTutor.com
3 (a) Define the term excretion.
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blood
2
blood
Fig. 2.1
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(b) The concentrations of solutes in the fluids at regions 1, 2, 3 and 4 were determined. The
results are shown in Table 2.1.
Table 2.1
concentration / g dm–3
substance
region 1 region 2 region 3 region 4
glucose 0.9 0.9 0.2 0.0
protein 82.0 0.0 0.0 0.0
salts 8.0 8.0 9.6 16.5
urea 0.2 0.2 0.2 20.0
.......................................................................................................................................[1]
(ii) has molecules which are small enough to be filtered but is completely reabsorbed from
the fluid in the kidney tubule;
.......................................................................................................................................[1]
1 ........................................................................................................................................
2 ....................................................................................................................................[1]
(c) State three structures through which the fluid from region 4 passes as it leaves the body.
1 ................................................................................................................................................
2 ................................................................................................................................................
3 ............................................................................................................................................[3]
(d) One role of the kidney is to maintain the concentration of the blood plasma.
...............................................................................................................................................[1]
[Total: 10]
PhysicsAndMathsTutor.com
1 The kidneys remove metabolic waste from the liquid part of the blood.
Name:
[1]
(ii) the process that involves removing metabolic waste from the body.
[1]
Fig. 1.1 shows a kidney tubule and its associated blood vessels.
X
A
Fig. 1.1
[4]
PhysicsAndMathsTutor.com
Table 1.1 shows the concentrations of some substances in the blood at X, the fluid at Y and
the urine at Z.
Table 1.1
(i) has molecules that are too large to pass through the walls of capillaries;
[1]
[1]
[1]
(d) Explain why the concentrations of sodium ions and urea are greater at Z than at Y.
[2]
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(e) People who have acute kidney failure are given dialysis treatment.
In dialysis machines, the blood flows through narrow tubes made from partially
permeable membranes, surrounded by dialysis fluid.
Use the information in Table 1.1 to suggest the concentration of sodium ions that
should be in the fluid and give a reason for your answer.
reason
[2]
(ii) State two components of blood that are not in dialysis fluid.
2 [2]
(f) Heparin is added to the blood before it returns to the body from the dialysis machine.
Heparin prevents a person’s blood from clotting.
[3]
[Total: 18]
PhysicsAndMathsTutor.com
2 Fig. 3.1 shows a vertical section of a kidney.
E F
Fig. 3.1
G [3]
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(b) Substances move into and out of cells in kidney tubules.
Fig. 3.2 shows four processes, H, J, K and L, that occur in cells lining the kidney
tubule.
H J K L
nucleus
kidney
tubule
cell
high concentration
low concentration
Fig. 3.2
(i) Complete Table 3.1 by stating the letter, H, J, K or L, which identifies each of the
processes. Give a reason for each answer.
Table 3.1
process
rocess reason
diffusion of oxygen
[4]
PhysicsAndMathsTutor.com
(ii) Glucose is filtered from the blood. Usually all of it is reabsorbed by the kidney
tubules so that there is none present in the urine.
[1]
(iii) Use Fig. 3.2 to describe how kidney tubules reabsorb glucose from the filtrate.
[2]
(c) When plants are grown in a solution that includes a poison that prevents respiration,
the roots continue to absorb water, but do not absorb many ions.
[3]
[Total: 13]
PhysicsAndMathsTutor.com
3 (a Define the term excretion.
[3]
Fig. 2.1 shows a kidney tubule and the blood vessels associated with it.
A
H
G D
Fig. 2.1
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(b) Table 2.1 shows some processes that occur in a kidney.
In Table 2.1, write the letter of the part shown in Fig. 2.1 where each process occurs.
You must put one letter in each box. You may use the same letter more than once.
Table 2.1
process letter
filtration of blood
[4]
(c) Table 2.2 lists the components of blood, filtrate and urine.
Table 2.2
component
ompon filtrate urine
urea
salts
water
Complete the table by using ticks () and crosses () to show whether or not each
component is present in filtrate and in urine of a healthy person. The first component
has been done for you. [2]
[Total: 9]
PhysicsAndMathsTutor.com
4 A healthy kidney controls the excretion of urea and other waste products of metabolism
from the blood.
After kidney failure there are two possible treatments: dialysis or a kidney transplant.
Fig. 4.1 shows how blood and dialysis fluid move through a dialysis machine.
blood
flow dialysis fluid
B
bubble
trap
pump
blood
patient’s
arm
Fig. 4.1
(a) Describe the changes that occur to the blood as it flows through the dialysis machine
from A to B.
[2]
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(b) Discuss the advantages of kidney transplants compared with dialysis.
[3]
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(c) Two brothers have to make a difficult decision.
One brother, with blood group AB, has kidney failure and is on dialysis.
The healthy brother has agreed to donate one of his kidneys to his brother. He has to
have a blood test.
Their father has blood group A and their mother has blood group B.
(i) Explain how this girl has blood group O when her parents have different blood
groups. You must use the space below for a genetic diagram to help your answer.
Use the symbols IA, IB and IO to represent the alleles involved in the inheritance of
blood groups.
[4]
(ii) The healthy brother can only donate the kidney to his brother if they both have the
same blood group.
What is the probability that the healthy brother also has blood group AB?
[1]
[Total: 10]
PhysicsAndMathsTutor.com