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Question 23M.3.SL.TZ1.17

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Date May 2023 Marks available [Maximum mark: 5] Reference code 23M.3.SL.TZ1.17
Level SL Paper 3 Time zone TZ1
Command term Deduce, Distinguish, Outline, State Question number 17 Adapted from N/A
17.
[Maximum mark: 5]
23M.3.SL.TZ1.17

Newborn babies showing signs of jaundice can be treated with ultraviolet (UV) light. The graph shows the percentage decrease in blood serum bilirubin levels in these babies after 24-hour exposure to different ultraviolet (UV) light intensities.

[Source: Reproduced with permission from Pediatrics, Vol. 114, Pages 297–316, Copyright © 2004 by the AAP.]

(a)

Deduce the relationship between blood serum bilirubin levels and UV light intensity.

[1]

Markscheme

as UV light intensity increases, blood serum bilirubin decreases / negative correlation;

Examiners report

Candidates had to be careful here since the curve was positive but the y axis was a % decrease. Most candidates did recognise this.

(b)

State one long-term consequence of jaundice in newborn babies if this condition is not treated.

[1]

Markscheme

neurological/brain damage;

Do not accept death

Examiners report

Most answers referred to jaundice or death rather than brain damage.

(c)

Outline two ways in which blood nutrient levels are regulated by the liver.

[2]

Markscheme
  1. glucose stored as/released from glycogen;
  2. iron/copper/vitamin A/vitamin D stored/released;
  3. excess cholesterol/lipids broken down;
  4. excess protein/amino acids broken down;
Examiners report

Some candidates muddled liver and pancreas functions when referring to glucose/glycogen. Iron and cholesterol were often mentioned.

(d)

Distinguish between liver sinusoids and capillaries.

[1]

Markscheme
  1. sinusoids larger diameter than capillaries;
  2. sinusoids have gaps in the walls but capillaries do not;
  3. Kupffer cells only in sinusoids;
Examiners report

This was not often correctly answered; there were references to sinusoids being in the liver and capillaries elsewhere.