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Drugs and synaptic transmission: Edexcel International A Level Biology questions

Edexcel International A Level Biology past-paper questions on 8.2.3 Drugs and synaptic transmission, 2019–2025, with mark schemes and examiner’s reports where available.

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3,127 questions

  1. Q3(a)

    June 2025 · Unit 5

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  2. Q3(b)

    June 2025 · Unit 5

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  3. Q3(c)

    June 2025 · Unit 5

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  4. Q3(d)(i)

    June 2025 · Unit 5

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  5. Q3(d)(ii)

    June 2025 · Unit 5

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  7. Q6(b)(i)

    January 2025 · Unit 5

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  9. Q8(b)

    January 2025 · Unit 5

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  10. Q4(b)

    October 2024 · Unit 5

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  12. Q4(b)

    January 2024 · Unit 5

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  13. Q2(b)(ii)

    October 2023 · Unit 5

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  14. Q6(a)(ii)

    October 2023 · Unit 5

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  15. Q7(c)(i)

    June 2023 · Unit 5

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  16. Q7(c)(ii)

    June 2023 · Unit 5

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  17. Q7(c)(iii)

    June 2023 · Unit 5

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  18. Q3(a)(ii)

    October 2022 · Unit 5

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  19. Q3(a)(i)

    October 2020 · Unit 5

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All 20 questions on Drugs and synaptic transmission, as a list
  1. June 2025, Unit 5, Q3(a) (1 mark): Which describes the effect lidocaine has on the membranes of neurones? (1) A it closes sodium ion channels B it increases the number of action potentials C it o
  2. June 2025, Unit 5, Q3(b) (1 mark): Which describes the effect of MDMA (ecstasy) on neurones? (1) A it damages the myelin sheath of neurones B it decreases the release of neurotransmitters C it de
  3. June 2025, Unit 5, Q3(c) (3 marks): The photograph shows a puffer fish. (Source: © ImageBROKER on Offset / Shutterstock) Tetrodotoxin (TTX) is a toxin found in puffer fish. This toxin works by bin
  4. June 2025, Unit 5, Q3(d)(i) (1 mark): The LD50 obtained from this graph is 8.4 μg kg–1. Give the meaning of LD50 = 8.4 μg kg–1. Use the information in the graph to support your answer. (1)
  5. June 2025, Unit 5, Q3(d)(ii) (3 marks): Comment on the toxicity of TTX in mice. (3)
  6. June 2025, Unit 5, Q4(a) (4 marks): Parkinson’s disease arises from decreased dopamine production in the brain. Explain why L-Dopa, given orally in tablet form, reduces the symptoms of Parkinson’s
  7. January 2025, Unit 5, Q6(b)(i) (3 marks): Assess the effects of lidocaine on cell survival. (3)
  8. January 2025, Unit 5, Q6(b)(iii) (2 marks): Suggest how lidocaine protects heart muscle cells from effects of low oxygen. (2)
  9. January 2025, Unit 5, Q8(b) (3 marks): Caffeine is a naturally occurring stimulant of the central nervous system. Explain how caffeine present in an energy drink can affect the cells of the brain (pa
  10. October 2024, Unit 5, Q4(b) (2 marks): The drug L‑DOPA is used in tablet form to treat Parkinson’s disease. This drug is converted to dopamine by an enzyme found in the digestive system and the brain
  11. June 2024, Unit 5, Q2(b)(ii) (3 marks): Drugs called selective serotonin re-uptake inhibitors (SSRIs) affect the reabsorption of serotonin at synapses in the brain. This may help to reduce depression.
  12. January 2024, Unit 5, Q4(b) (4 marks): Scientists used three groups of mice (A, B and C) to investigate the effect of nicotine on the transmission of nerve impulses. • Group A were given nicotine • G
  13. October 2023, Unit 5, Q2(b)(ii) (1 mark): Which of these drugs would increase nerve transmission? (1) A ecstasy (MDMA) and lidocaine B ecstasy (MDMA) and nicotine C lidocaine and nicotine D lidocaine on
  14. October 2023, Unit 5, Q6(a)(ii) (3 marks): Nicotine is a drug found in tobacco products. The effect of changing the concentration of nicotine and adrenaline on the mean heart rate of Daphnia was investig
  15. June 2023, Unit 5, Q7(c)(i) (2 marks): Determine the effect of MDMA on the serotonin level in the cerebrospinal fluid. (2)
  16. June 2023, Unit 5, Q7(c)(ii) (2 marks): Predict the concentration of serotonin for a dose of 17.5 mg kg–1 of MDMA. Use the line of best fit. Give your answer in g cm–3. (2) g cm–3
  17. June 2023, Unit 5, Q7(c)(iii) (3 marks): Explain how the MDMA taken by mouth could affect the level of serotonin in the brain. Use the information in the question to support your answer. (3)
  18. October 2022, Unit 5, Q3(a)(ii) (1 mark): Lidocaine is a drug that is used as a local anaesthetic. Lidocaine works by (1) A blocking the binding of acetylcholine to its receptor B blocking the release o
  19. October 2020, Unit 5, Q3(a)(i) (1 mark): Estimate how long it takes the MDMA concentration in the blood to become 0.0 µg dm−3. (1) Answer hours
  20. October 2020, Unit 5, Q3(b) (6 marks): Taking MDMA causes a person to be very thirsty. This can lead to swelling of the brain, which can be fatal. The table shows some laboratory results for one case

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