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Question 20N.3.HL.TZ0.23d

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Date November 2020 Marks available [Maximum mark: 3] Reference code 20N.3.HL.TZ0.23d
Level HL Paper 3 Time zone TZ0
Command term Describe Question number d Adapted from N/A
d.
[Maximum mark: 3]
20N.3.HL.TZ0.23d

The graph shows the Bohr shift.

[Source: From The New England Journal of Medicine, Connie C.W. Hsia, Respiratory Function of
Hemoglobin, Volume 338(4):239–47. Copyright © 1998, Massachusetts Medical Society. Reprinted with permission
from Massachusetts Medical Society.]

(d)

Describe what happens to the hemoglobin from old or damaged red blood cells that are broken down.

[3]

Markscheme

a. hemoglobin (from broken red blood cells) taken up by Kupffer cells (in the liver);

b. hemoglobin broken down into heme and globin;

c. globin hydrolyzed/broken down to amino acids;

d. iron removed from heme group
OR
heme broken down to form bilirubin/bile pigment;

Do not accept red blood cells broken down into heme and globin.

Examiners report

The majority of candidates described the process correctly; some stated incorrectly that red blood cells, instead of hemoglobin, are broken down into heme and globin.