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Question 18N.3.SL.TZ0.17

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Date November 2018 Marks available [Maximum mark: 5] Reference code 18N.3.SL.TZ0.17
Level SL Paper 3 Time zone TZ0
Command term Explain, Outline, State Question number 17 Adapted from N/A
17.
[Maximum mark: 5]
18N.3.SL.TZ0.17

An electrocardiogram (ECG) records the electrical activity of the heart over a period of time using electrodes placed on the skin. The ECG shown is from a patient whose heart was beating irregularly until it was treated using a defibrillator (arrows) which restored normal electrical activity.

(a)

State how many normal heartbeats are shown in the ECGs.

[1]

Markscheme

8 ✔

(b)

Outline how a defibrillator is used to restore normal heartbeat.

[2]

Markscheme

a. «paddles/electrodes/defibrillator» deliver an electric shock to the heart ✔

b. depolarizes cardiac muscle ✔

c. enables the pacemaker/SA node to regain control ✔

(c)

Explain what is occurring in the heart during the peak of electrical activity as indicated by the R wave on the ECG.

[2]

Markscheme

a. impulses initiated from the AV node spread across heart ✔

b. impulses travel along Purkinje fibres/across ventricles ✔

c. causing depolarization of the ventricles
OR
that triggers ventricular contraction ✔