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Oxford Cambridge and RSA Friday 12 June 2015 Morning A2 GCE HEALTH AND SOCIAL CARE F921/01 Anatomy and Physiology in Practice *4567122292* Candidates answer on the Question Paper. OCR supplied materials: None Other materials required: None Duration: 1 hour 30 minutes * F 9 2 1 0 1 * INSTRUCTIONS TO CANDIDATES Write your name, centre number and candidate number in the boxes above. Please write clearly and in capital letters. Use black ink. HB pencil may be used for graphs and diagrams only. Read each question carefully. Make sure you know what you have to do before starting your answer. Write your answer to each question in the space provided. If additional space is required, you should use the lined pages at the end of this booklet. The question number(s) must be clearly shown. Answer all the questions. Do not write in the bar codes. INFORMATION FOR CANDIDATES The number of marks is given in brackets [ ] at the end of each question or part question. The total number of marks for this paper is 100. The quality of written communication will be taken into account in marking your answer to questions marked with an asterisk (*). This document consists of 16 pages. Any blank pages are indicated. [A/102/7448] DC (NF) 110316/4 OCR is an exempt Charity Turn over

1 (a)* Describe the roles during inspiration of the parts of the respiratory system listed below. Pleural membranes Diaphragm Intercostal muscles 2.. [6] The lungs contain many branching tubes or bronchii that lead to the alveoli or air sacs. (b) (i) Explain how a named respiratory dysfunction affects the functions of the bronchii.... [4]

(ii) 3 Explain how this effect on the bronchii may be detected using a named diagnostic test and then be treated.... [6] (c) Describe how the alveoli of the lungs are adapted to their function... [4] Turn over

4 2 Foods such as meat, fish, cheese, nuts and soya can be valuable sources of protein. (a)* Describe what happens to a protein food source as it travels through the digestive system... [8]

5 (b)* Explain possible causes of a named dysfunction of the digestive system.... [6] (c)* Discuss lifestyle/dietary changes that may be involved in the treatment of digestive dysfunction... [6] Turn over

6 3 (a)* Explain how the heart performs its function of pumping blood to the lungs and around the body. [12]

7 (b)* An individual with a suspected dysfunction of the cardio-vascular system is likely to have their blood pressure recorded and be connected to an electrocardiogram (ECG) machine. Explain what information these two diagnostic tests may provide... [8] Turn over

8 4 (a)* Explain how the kidney performs its functions... [8]

9 (b)* Analyse the effects of dialysis and transplant surgery on an individual with renal failure. [12] Turn over

10 5* Evaluate the possible impact of exercise on body systems. [20]..............................................................................

11 END OF QUESTION PAPER

12 ADDITIONAL ANSWER SPACE If additional answer space is required, you should use the following lined page(s). The question number(s) must be clearly shown in the margins............................................................................

13.................................................................................

14.................................................................................

15 BLANK PAGE PLEASE DO NOT WRITE ON THIS PAGE

16 PLEASE DO NOT WRITE ON THIS PAGE Oxford Cambridge and RSA Copyright Information OCR is committed to seeking permission to reproduce all third-party content that it uses in its assessment materials. OCR has attempted to identify and contact all copyright holders whose work is used in this paper. To avoid the issue of disclosure of answer-related information to candidates, all copyright acknowledgements are reproduced in the OCR Copyright Acknowledgements Booklet. This is produced for each series of examinations and is freely available to download from our public website (www.ocr.org.uk) after the live examination series. If OCR has unwittingly failed to correctly acknowledge or clear any third-party content in this assessment material, OCR will be happy to correct its mistake at the earliest possible opportunity. For queries or further information please contact the Copyright Team, First Floor, 9 Hills Road, Cambridge CB2 1GE. OCR is part of the Cambridge Assessment Group; Cambridge Assessment is the brand name of University of Cambridge Local Examinations Syndicate (UCLES), which is itself a department of the University of Cambridge.