Kidney functions and malfunctions: OCR A‑Level Biology B questions
Every OCR A-Level Biology B exam question on 5.3.3 Kidney functions and malfunctions, 2016–2025, with its mark scheme and examiner’s report.
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Calculations
Q35(a)(i)
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Q35(a)(ii)
The whole paper ↗![June 2025 Paper 1, question 35(a)(ii): Suggest which of the nephrons has a main function in concentrating urine and give a reason for your choice. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun25-35-aii-qp.webp?v=3)
Q35(a)(iii)
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Q35(b)(i)
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Q35(b)(ii)
The whole paper ↗![June 2025 Paper 1, question 35(b)(ii): Explain the importance of calculating standard deviation for the data. [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun25-35-bii-qp.webp?v=3)
Q35(c)
The whole paper ↗![June 2025 Paper 1, question 35(c): Transplant surgery is also used for kidney failure. State one advantage and one disadvantage of transplant surgery. Advantage Disadvantage [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun25-35-c-qp.webp?v=3)
Q31(a)
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Q31(b)(i)
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Q31(b)(ii)
The whole paper ↗![June 2024 Paper 1, question 31(b)(ii): Suggest why it was important to store ‘mock’ urine sample Z at 4 °C. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun24-31-bii-qp.webp?v=3)
Q3(a)
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Q3(b)
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Q3(d)
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Q3(e)
The whole paper ↗![June 2023 Paper 3, question 3(e): Outline the possible future use of stem cells in kidney transplant surgery. [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42203-jun23-03-e-qp.webp?v=3)
![June 2022 Paper 1, question 21: Which hormone is released by the kidney? A Antidiuretic hormone (ADH) B Erythropoietin C Glucagon D Insulin Your answer [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun22-21-qp.webp?v=3)
Q7(a)
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Q7(b)(i)
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Q7(b)(ii)
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Q5(b)(i)
The whole paper ↗![June 2022 Paper 3, question 5(b)(i): State the part of a kidney nephron in which most of the water is reabsorbed. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42203-jun22-05-bi-qp.webp?v=3)
Q5(b)(ii)
The whole paper ↗![June 2022 Paper 3, question 5(b)(ii): State a part of a kidney nephron in which ADH can change the permeability to water. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42203-jun22-05-bii-qp.webp?v=3)

All 41 questions on Kidney functions and malfunctions, as a list
- June 2025, Paper 1, Q35(a)(i) (4 marks): Complete the sentences about how structures in the nephron are adapted for ultrafiltration. Blood enters the glomerulus via the afferent . Endothelial cells lin
- June 2025, Paper 1, Q35(a)(ii) (1 mark): Suggest which of the nephrons has a main function in concentrating urine and give a reason for your choice. [1]
- June 2025, Paper 1, Q35(a)(iii) (1 mark): In human adults, approximately 85% of nephrons are cortical nephrons. Calculate the total number of juxtamedullary nephrons present in a human adult with an ave
- June 2025, Paper 1, Q35(b)(i) (3 marks): State one conclusion that can be drawn from the data and outline two limitations of the method that could affect the validity of your conclusion. Conclusion Lim
- June 2025, Paper 1, Q35(b)(ii) (2 marks): Explain the importance of calculating standard deviation for the data. [2]
- June 2025, Paper 1, Q35(c) (2 marks): Transplant surgery is also used for kidney failure. State one advantage and one disadvantage of transplant surgery. Advantage Disadvantage [2]
- June 2024, Paper 1, Q31(a) (3 marks): Complete the sentences about urea using the most appropriate word(s). Ammonia is produced when excess amino acids are in the liver. Ammonia is then combined wit
- June 2024, Paper 1, Q31(b)(i) (3 marks): Sample X was prepared to match the control colours. Using Fig. 31 outline how samples Y and Z were prepared to give the results shown by ‘mock’ urine samples. [
- June 2024, Paper 1, Q31(b)(ii) (1 mark): Suggest why it was important to store ‘mock’ urine sample Z at 4 °C. [1]
- June 2023, Paper 3, Q3(a) (3 marks): A student dissected a kidney. One half of the dissected kidney is shown in Fig. 3.1 on the Insert. Draw a simple diagram of the dissected kidney, shown in Fig.
- June 2023, Paper 3, Q3(b) (3 marks): Osmoregulation in the kidney can be affected by a condition called syndrome of inappropriate antidiuresis (SIAD). Fig. 3.2 shows how ADH concentration in the bl
- June 2023, Paper 3, Q3(d) (2 marks): Kidney failure has a variety of possible causes. This is a description of kidney failure: The person noticed their symptoms developing over a long period of tim
- June 2023, Paper 3, Q3(e) (2 marks): Outline the possible future use of stem cells in kidney transplant surgery. [2]
- June 2022, Paper 1, Q21 (1 mark): Which hormone is released by the kidney? A Antidiuretic hormone (ADH) B Erythropoietin C Glucagon D Insulin Your answer [1]
- June 2022, Paper 2, Q7(a) (2 marks): The image below is a transmission electron micrograph of a section through the proximal convoluted tubule (PCT) of a human kidney. Identify one structural featu
- June 2022, Paper 2, Q7(b)(i) (2 marks): The table lists statements about two types of dialysis treatment. Complete the table by writing ‘true’ or ‘false’ for each statement. Statement True or false Bo
- June 2022, Paper 2, Q7(b)(ii) (3 marks): A student made the following statement about transplant surgery: Dialysis is only a treatment for kidney failure, but transplant surgery is a permanent solution
- June 2022, Paper 3, Q5(b)(i) (1 mark): State the part of a kidney nephron in which most of the water is reabsorbed. [1]
- June 2022, Paper 3, Q5(b)(ii) (1 mark): State a part of a kidney nephron in which ADH can change the permeability to water. [1]
- November 2021, Paper 1, Q26 (1 mark): Existing treatments for kidney failure include dialysis and transplant surgery. Therapeutic cloning involves growing kidney tissue from the patient’s stem cells
- November 2021, Paper 1, Q27 (1 mark): The kidney has several functions as an endocrine organ. Which of the options, A to D, is not an endocrine function of the kidney? A osmoregulation to control th
- November 2020, Paper 1, Q6 (1 mark): The diagram below shows the structure of an amino acid. Four regions are labelled A to D. B A C H H O H N C C OH R D Which of the regions, A to D, is removed fr
- November 2020, Paper 1, Q26 (1 mark): Which of the following statements is/are true of haemodialysis? 1: Haemodialysis is often performed under medical supervision. 2: Molecules move from the patien
- November 2020, Paper 1, Q33(b) (2 marks): Familial renal glucosuria (FRG) is caused by mutations in the gene coding for the sodium- glucose cotransporter SGLT2. These mutations cause a reduction in SGLT
- November 2020, Paper 1, Q33(c) (3 marks): FRG is classified into type A, type B and type O. Fig. 33.2 shows the relationship between blood glucose concentration and glucose reabsorption in healthy indiv
- November 2020, Paper 1, Q33(d)(i) (1 mark): Patients with FRG often produce excessive quantities of urine. Suggest why. [1]
- November 2020, Paper 1, Q33(d)(ii) (3 marks): Explain how concentration of urine is regulated in healthy individuals. [3]
- June 2019, Paper 3, Q3(d)(i) (4 marks): The results of a similar investigation are shown in Table 3.2. Location of body fluid Mean concentration of Standard deviation sample glucose (mmol dm–3) Bowman
- June 2019, Paper 3, Q3(d)(ii) (1 mark): A student concludes that these data came from a diabetic person. Select one piece of evidence to support this conclusion. [1]
- June 2018, Paper 1, Q8 (1 mark): Antidiuretic hormone (ADH) is required for osmoregulation. Which of the options, A to D, is a region of the nephron that is responsive to ADH? A Bowman’s capsul
- June 2018, Paper 2, Q6(a)(i) (1 mark): Which cells in the body are targeted by EPO? [1]
- June 2018, Paper 2, Q6(a)(ii) (1 mark): What change in conditions within the body would lead to an increase in the production of EPO? [1]
- June 2018, Paper 2, Q6(c)(i) (1 mark): rhEPO can be used in the treatment of anaemia. Explain why the normal action of EPO in the body makes it useful as a treatment for anaemia. [1]
- June 2018, Paper 2, Q6(c)(ii) (2 marks): Suggest why CKD patients often develop anaemia. [2]
- June 2018, Paper 2, Q6(c)(iii) (3 marks): CKD can also trigger cardiovascular disease. Explain how. [3]
- June 2018, Paper 2, Q6(c)(iv) (2 marks): Darbepoetin alfa can also be used to treat CKD. It is a molecule with a similar structure to rhEPO. Researchers injected a group of CKD patients with either dar
- June 2018, Paper 2, Q6(d) (3 marks): CKD patients that develop kidney failure can be treated by dialysis, but this is not a cure. A kidney transplant can remove the need for dialysis. However, tran
- June 2017, Paper 1, Q37(a)(i) (2 marks): With reference to Fig. 37.1, describe how the composition of the blood changes over time. [2]
- June 2017, Paper 1, Q37(a)(ii) (3 marks): Explain the changes described in (i). [3]
- June 2017, Paper 1, Q37(b) (2 marks): Peritoneal dialysis is another form of dialysis that is used to treat kidney failure. State one advantage and one disadvantage of peritoneal dialysis compared w
- June 2017, Paper 1, Q37(d) (3 marks): A patient with kidney failure requires treatment in the form of either haemodialysis or a kidney transplant. Some medical notes about the patient are shown in F
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