Infectious disease — AS & A Level Biology (9700) questions by topic

Pathogen biology, antibiotic resistance and vaccination programmes anchor this topic: explaining why TB is difficult to eliminate, interpreting an antibiotic-resistance growth experiment across four bacterial groups, and describing how antibodies target the malarial parasite. Explain, deduce and suggest lead the command words, and explain wants a named biological mechanism, such as antibody binding to non-self antigens, rather than a general disease-control comment.

This set has 49 real questions from 2023 to 2025 papers, worth 1 to 18 marks, so single-statement recall sits beside multi-part explanations of immune response and resistance. Practising with instant marking is valuable here, since describing antibodies as binding receptors rather than antigens, or naming vaccines as containing antibodies, is flagged immediately rather than repeated.

What examiners look for

May–June 2025, Paper 11

Question 36 · 1 mark

Which statements about an infectious disease may be correct? 1 It can be caused by a protoctist. 2 It can be transmitted by an insect vector. 3 It can be transmitted from mother…

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Question 37 · 1 mark

Which statements explain why cholera has not been eradicated by vaccination? 1 There is limited availability of an affordable vaccine. 2 Protection takes several weeks to develop…

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Question 38 · 1 mark

Antibiotic resistance is a serious threat to global health. Which statement describes a step that can be taken to reduce the impact of antibiotic resistance? A Antibiotics…

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May–June 2025, Paper 12

Question 37 · 1 mark

A student made notes about two diseases: hand, foot and mouth disease (HFMD) and Lyme disease. HFMD is caused by a viral pathogen and is transmitted in a variety of ways…

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Question 38 · 1 mark

Which statements explain why antibiotics may not treat cholera successfully? 1 The infectious organism has developed resistance to the antibiotic. 2 Antibiotics cannot harm…

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May–June 2025, Paper 13

Question 37 · 1 mark

A mutation in a gene for a penicillin-binding protein causes antibiotic resistance. Which statement correctly explains this? A Penicillin binds more tightly to the mutated…

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Question 40 · 1 mark

Which disease is caused by a eukaryotic pathogen? A AIDS B cholera C malaria D tuberculosis

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May–June 2025, Paper 14

Question 37 · 1 mark

Outbreaks of cholera commonly occur in camps set up after a natural disaster. Control measures to limit spread: 1 treating all drinking water supplies with a high concentration of…

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Question 38 · 1 mark

Tetracycline inhibits 70S ribosomes. Rifamycin inhibits prokaryotic RNA polymerase. Which antibiotics can be used to treat an infection caused by the influenza virus? penicillin…

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May–June 2025, Paper 22

Question 4 · 12 marks

What is the name of the bacterium that causes tuberculosis (TB)?

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May–June 2025, Paper 23

Question 3 · 15 marks

Staphylococcus epidermidis is a species of bacterium that lives on human skin. Staphylococcus aureus is a pathogenic bacterium that can infect humans. S. epidermidis and S. aureus…

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May–June 2025, Paper 24

Question 4 · 18 marks

A number of species in the genus Plasmodium are known to cause malaria in humans. State the type of organism that causes malaria.

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May–June 2024, Paper 11

Question 34 · 1 mark

A scientist investigated the effect of an antibiotic on the treatment of cholera. 320 people with cholera were divided into two groups. One group was treated with the antibiotic…

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Question 35 · 1 mark

How does the antibiotic penicillin affect the metabolism of a bacterial cell?

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Question 36 · 1 mark

Scientists studied the multidrug-resistant bacterial infections in children caused by one type of bacteria between 2007 and 2015. The percentage of multidrug-resistant infections…

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May–June 2024, Paper 12

Question 35 · 1 mark

Which disease does Mycobacterium bovis cause?

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Question 36 · 1 mark

An antibiotic inhibits the formation of cross-links between the molecules that form cell walls in bacteria. Which statements explain why bacteria are killed by the antibiotic? (1)…

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Question 37 · 1 mark

Scientists investigated the effect of increasing concentrations of an antibiotic on the development of antibiotic resistance in bacteria. The scientists grew four groups of…

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May–June 2024, Paper 13

Question 37 · 1 mark

Bacteria may be classified according to differences in cell wall structure. The differences are shown by using the Gram stain. The diagram shows part of a Gram-positive bacterium…

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Question 38 · 1 mark

Which facts relate to the disease TB or its pathogen? 1 Viruses change their antigens to a limited extent. 2 TB is caused by only one species of pathogen. 3 HIV/AIDS makes the…

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May–June 2024, Paper 21

Question 3 · 12 marks

A class of students was studying the features of some human pathogens. One of the students constructed a flow chart to identify four different human pathogens, using information…

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May–June 2024, Paper 22

Question 6 · 6 marks

Some people who are infected with HIV have HIV/AIDS. State the full term for HIV.

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October–November 2024, Paper 11

Question 37 · 1 mark

Which structures or compounds are present in a typical cell that can be killed by penicillin? 1 circular DNA; 2 cytoplasmic DNA; 3 70S ribosomes; 4 peptidoglycan.

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Question 38 · 1 mark

Three statements about cholera and its transmission are listed. 1 The pathogen causes watery faeces. 2 Frequent air flight has led to mobile populations. 3 The pathogen is…

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October–November 2024, Paper 12

Question 37 · 1 mark

Which statements are correct for penicillin? 1 It is harmful to prokaryotic cells. 2 It disrupts cell wall synthesis. 3 It becomes less effective with regular use.

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Question 39 · 1 mark

Which row is correct for the control or prevention methods for each disease? Row TB malaria cholera --- --- --- --- A vaccination chlorination of water vaccination B chlorination…

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Question 40 · 1 mark

Peptidoglycan is stained purple by the chemical crystal violet. Which cells would stain purple in the presence of crystal violet?

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October–November 2024, Paper 13

Question 37 · 1 mark

Which organisms have cell walls that can be affected by penicillin? 1 bacteria; 2 protoctists; 3 viruses.

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Question 38 · 1 mark

Each year, there are 462 000 deaths from malaria in children under 5 years old globally. Insecticide-treated nets could prevent 50% of malaria cases and reduce deaths of children…

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October–November 2024, Paper 22

Question 2 · 17 marks

People who become infected with human immunodeficiency virus (HIV) are at risk of developing HIV/AIDs, particularly if antiretroviral therapy (ART) is not available. In people…

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Question 5 · 10 marks

Malaria is an infectious disease caused by the protoctist, Plasmodium. As part of its lifecycle, Plasmodium infects human red blood cells. Researchers can compare haemoglobin from…

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February–March 2023, Paper 22

Question 4 · 11 marks

Tuberculosis (TB), influenza and polio are examples of infectious diseases. Explain what is meant by an infectious disease.

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May–June 2023, Paper 11

Question 36 · 1 mark

The diagram shows some of the pathogens that cause disease in humans and some of the ways they are transmitted. Pathogens are listed as: 1 bacterium; 2 protoctist; 3 virus.…

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Question 37 · 1 mark

Some of the processes which result in the formation of a population of bacteria that are resistant to a new antibiotic are listed: 1 change in reproductive success of bacteria; 2…

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Question 38 · 1 mark

When bacteria are grown in a Petri dish containing discs with antibiotics, there will be zones of inhibition of bacterial growth. The diagram shows an antibiotic disc with a clear…

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May–June 2023, Paper 12

Question 38 · 1 mark

The statements refer to the disease tuberculosis (TB). 1 The pathogen is not accessible to the immune system. 2 The bacterial pathogen reproduces slowly. 3 The pathogen is not…

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Question 39 · 1 mark

The average sizes of some pathogens are shown. pathogen average size /nm --- --- HIV particle 100 Mycobacterium tuberculosis 3000 Plasmodium 20000 Vibrio cholerae 1500 One type of…

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May–June 2023, Paper 13

Question 39 · 1 mark

A student wrote four statements about cholera. Which statement is not correct? A It can be controlled by vaccination. B It is caused by bacteria spread by ingestion. C HIV/AIDS…

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May–June 2023, Paper 23

Question 2 · 11 marks

The number of cases of tuberculosis (TB) is affected by many biological, social and economic factors. The number of reported cases of TB in the USA between 1980 and 2000 is shown…

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October–November 2023, Paper 11

Question 36 · 1 mark

Which statement is correct? A Cholera is caused by the virus Vibrio cholerae. B Mosquitoes are pathogens that cause malaria. C Mycobacterium bovis only causes TB in humans. D…

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Question 37 · 1 mark

The graph shows changes in the antibiotic resistance of a species of bacterium between 2000 and 2016 in one country. Samples of bacteria were collected every year from 48…

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October–November 2023, Paper 12

Question 36 · 1 mark

Which statement correctly describes infectious diseases? A They are diseases caused by environmental factors that are not passed from one person to another. B They are diseases…

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Question 37 · 1 mark

Organism X produces molecule Y, which blocks the activity of 70S ribosomes. An experiment was carried out to investigate the effect of Y on bacterial cells. An agar plate with…

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October–November 2023, Paper 13

Question 36 · 1 mark

Which statements correctly identify why it is difficult to eliminate TB? 1 Humans have limited access to clean water. 2 Humans can be infected but the pathogen can be inactive. 3…

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Question 37 · 1 mark

Bacteria can become resistant to antibiotics. What can help reduce the development of antibiotic resistance in bacteria? 1 Use specific antibiotics instead of wide spectrum. 2 Use…

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Question 38 · 1 mark

The diagram shows one way of testing the effect of an antibiotic on bacteria. A disc of filter paper soaked in antibiotic is placed on nutrient agar containing bacteria; after 5…

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October–November 2023, Paper 21

Question 4 · 13 marks

Some people who are infected with HIV develop HIV/AIDS. Fig. 4.1 shows the number of people that have been newly infected with HIV in 2018 across the world and the percentage…

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October–November 2023, Paper 22

Question 5 · 9 marks

Tuberculosis (TB) is an infectious disease caused by a bacterium. In the majority of people, only the lungs are affected. In most cases, the transmission of TB from an infected…

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October–November 2023, Paper 23

Question 1 · 14 marks

The malarial pathogen, Plasmodium falciparum, enters red blood cells after a person becomes infected. After some time, each cell of P. falciparum divides to form daughter cells.…

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