Professional Documents
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True or false
1. F
2. T
3. T
4. F (1 mark each)
(Total: 4 marks)
Question
A. Multiple choice
1. A
2. A
3. D
4. B
5. B (1 mark each)
(Total: 5 marks)
B. Question
1. (a) glucose, amino acids, urea and salts (1/2 mark each) (2 marks)
(b) The blood in the glomerulus is under high pressure. (1 mark)
The substances in (a) are small enough (1 mark)
to pass through the walls of the capillaries and the Bowman's capsule by ultrafiltration.
(1 mark)
(c) Since the amount of water reabsorbed along the kidney tubule is much greater than that
of urea reabsorbed, (1 mark)
the concentration of urea increases in urine. (1 mark)
(d) The protein molecules are too large to pass through the walls of the capillaries of the
glomerulus. (1 mark)
Therefore, protein is absent in the glomerular filtrate. (1 mark)
(Total: 9 marks)
Multiple choice
1. C
2. C
3. C
4. D (1 mark each)
(Total: 4 marks)
A. Multiple choice
1. B
2. A
3. B
4. B (1 mark each)
(Total: 4 marks)
B. Question
Revision Exercise
Structured questions
3. (a) (i) Kidney failure occurs when the kidneys fail to function properly to remove urea.
(1 mark)
If a patient cannot get rid of urea by receiving treatment regularly, accumulation
of urea to high levels in the blood may result (1 mark)
and would lead to poisoning. (1 mark)
(ii) The dialysis fluid should contain most of the normal blood plasma constituents
except urea. (1 mark)
These constituents in the dialysis fluid should have similar concentrations as
those in the blood plasma. (1 mark)
Such composition and concentration will lead to removal of urea only from the
blood (1 mark)
without losing other useful / wanted substances. (1 mark)
(iii) Use a large number of dialysis tubing (1 mark)
Dialysis fluid and patient’s blood flow in opposite directions. (1 mark)
(iv) Patients using a contaminated kidney machine may be infected with pathogens.
(1 mark)
The risk could be reduced by thoroughly cleaning and sterilising the machine
before used. (1 mark)
(b) (i) Dialysis fluid is run through a tube into the abdominal cavity of the patient, (1
mark)
where the peritoneal membrane acts as a dialysing membrane. (1 mark)
The dialysis fluid is left there for a period of time to absorb waste products, (1
mark)
and then it is drained out through the tube and discarded. (1 mark)
(ii) Difference: Dialysis in kidney machine uses artificial membrane / dialysis tubing
(1 mark)