Skip to content
Android waitlistTry on iPad
Get started

Heart action and ECGs: OCR A‑Level Biology A questions

OCR A-Level Biology A past-paper questions on 3.1.2.4 Heart action and ECGs, 2016–2025, with mark schemes and examiner’s reports where available.

Paper
All papers
Exam
All years
Calculations

1,983 questions

  1. Q20(c)

    June 2025 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  2. Q20(d)

    June 2025 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  3. Q20(e)(i)

    June 2025 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  4. Q20(e)(ii)

    June 2025 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  5. Q2(b)

    June 2025 · Paper 3

    The whole paper ↗
    The start of question 2

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  6. Q25(c)(i)

    June 2025 · AS Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  7. Q25(c)(ii)

    June 2025 · AS Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  8. Q4(c)

    June 2024 · AS Paper 2

    The whole paper ↗

    Loading the question…

    Open the full PDF
  9. Q26(c)

    June 2023 · AS Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  10. Q1(c)

    June 2022 · Paper 3

    The whole paper ↗
    The start of question 1

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  11. Q16(a)(i)

    November 2021 · Paper 1

    The whole paper ↗
    The start of question 16

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  12. Loading the question…

    Open the full PDF
    Your answer
  13. Q13

    November 2021 · AS Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
    Your answer
  14. Q9

    November 2020 · AS Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
    Your answer
  15. Q16(b)

    June 2019 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
  16. Q21(b)(i)

    June 2019 · Paper 1

    The whole paper ↗
    The start of question 21

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  17. Q21(b)(ii)

    June 2019 · Paper 1

    The whole paper ↗
    The start of question 21

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  18. Q21(b)(iii)

    June 2019 · Paper 1

    The whole paper ↗
    The start of question 21

    Loading the start of the question…

    Loading the question…

    Open the full PDF
  19. Loading the question…

    Open the full PDF
    Your answer
  20. Q21(a)(iii)

    June 2018 · Paper 1

    The whole paper ↗

    Loading the question…

    Open the full PDF
All 25 questions on Heart action and ECGs, as a list
  1. June 2025, Paper 1, Q20(c) (4 marks): This is a drawing of a dissected human heart. J K L M Identify the structures labelled J to M. J K L M [4]
  2. June 2025, Paper 1, Q20(d) (6 marks): (d)* This is an electrocardiogram (ECG) trace of a single heartbeat. R T P Q S Describe how contraction of the heart muscle at rest is initiated and relate this
  3. June 2025, Paper 1, Q20(e)(i) (1 mark): Fig. 20.2 shows an ECG trace from a patient with abnormal heart activity. Fig. 20.2 Identify this abnormality. Give a reason for your identification. Abnormalit
  4. June 2025, Paper 1, Q20(e)(ii) (1 mark): Fig. 20.3 shows an ECG trace from another patient with abnormal heart activity. Fig. 20.3 Identify this abnormality. Give a reason for your identification. Abno
  5. June 2025, Paper 3, Q2(b) (4 marks): A scientist studied the health outcomes of people with high blood pressure that were treated with either: • a new beta blocker treatment or • one of four establ
  6. June 2025, AS Paper 1, Q25(c)(i) (2 marks): Calculate the heart rate of the Asian elephant. Give your answer to the nearest whole number. Heart rate = beats per minute [2]
  7. June 2025, AS Paper 1, Q25(c)(ii) (2 marks): Describe how the ECG trace would appear differently if the elephant had tachycardia. [2]
  8. June 2024, AS Paper 2, Q4(c) (6 marks): (c)* Heart action in a mammalian heart starts at the sino-atrial node (SAN). Describe how heart action is initiated and coordinated by the SAN and explain why t
  9. June 2023, AS Paper 1, Q26(c) (2 marks): An electrocardiogram (ECG) trace from a bird and an ECG trace from a human have many differences. The ECG trace below is from a bird. Time = 1 second Describe h
  10. June 2022, Paper 3, Q1(c) (2 marks): Fig. 1.2 shows two electrocardiogram (ECG) traces: • an ECG of normal heart activity • an ECG of a person with a type of heart disease Normal Heart disease Fig.
  11. November 2021, Paper 1, Q16(a)(i) (5 marks): Identify the structures labelled A to E on Fig. 16.1. A B C D E [5]
  12. November 2021, AS Paper 1, Q3 (1 mark): Which of the options, A to D, on the diagram below shows the time at which the SAN sends out a wave of excitation to initiate a heartbeat? 20 Aorta 15 Pressure
  13. November 2021, AS Paper 1, Q13 (1 mark): The ECG traces below show four abnormal heartbeats recorded for six seconds. A B C D Which of the traces, A to D, shows atrial fibrillation? Your answer [1]
  14. November 2020, AS Paper 1, Q9 (1 mark): The trace below is an electrocardiogram (ECG) of an abnormal heart activity. 4 5 0 1 2 3 time (s) What is the name for this abnormal heart activity? A bradycard
  15. June 2019, Paper 1, Q16(b) (3 marks): The heart supplies oxygenated blood to the tissues. max is a measurement of the maximum volume of oxygen that an individual can use VO2 during intense exercise
  16. June 2019, Paper 1, Q21(b)(i) (2 marks): Identify patients X, Y and Z by labelling the traces in Fig. 21.2. [2]
  17. June 2019, Paper 1, Q21(b)(ii) (2 marks): Sketch a trace for a patient who has entered atrial fibrillation. 1.0 s [2]
  18. June 2019, Paper 1, Q21(b)(iii) (2 marks): Suggest why reduced heart rate is sometimes seen in people who are very aerobically fit. [2]
  19. June 2018, Paper 1, Q7 (1 mark): Which of the statements, A to D, explains why diastole follows systole in the mammalian heart? A Cardiac muscle is myogenic. B Cardiac muscle takes a short time
  20. June 2018, Paper 1, Q21(a)(iii) (3 marks): TTX is also known to reduce the speed of conduction in the Purkyne fibres of the heart. Suggest and explain what effect this would have on the heart rate. [3]
  21. June 2018, AS Paper 2, Q2(a)(i) (1 mark): Using the traces shown in Fig. 2.1, name the heart rhythm abnormality that the patient is suffering from. [1]
  22. June 2018, AS Paper 2, Q2(a)(ii) (3 marks): The equation for working out cardiac output is: cardiac output = stroke volume × heart rate Stroke volume is the volume of blood pumped per heart beat. The stro
  23. June 2018, AS Paper 2, Q2(a)(iii) (2 marks): Explain how the heart is controlling the electrical activity at Y on Fig. 2.1(b). [2]
  24. June 2017, Paper 3, Q6 (6 marks): 6* A student investigated the heart rates of smokers and non-smokers. • Each test subject had their resting heart rate measured using an electronic heart rate m
  25. June 2017, AS Paper 1, Q12 (1 mark): In the graph below, the top electrocardiogram (ECG) trace shows normal heart activity and the ECG trace below shows abnormal heart activity. What is the heart c

Questions, mark schemes and examiner’s reports are © OCR, from their published past papers. Plumi isn’t affiliated with any exam board. Want whole papers? OCR A-Level Biology A past papers, or our free OCR-style practice pack.

The Plumi iPad app also offers exam-style questions with AI feedback on your handwritten working.