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Pathogenic microorganisms: OCR A‑Level Biology B questions

Every OCR A-Level Biology B exam question on 3.2.1 Pathogenic microorganisms, 2016–2025, with its mark scheme and examiner’s report.

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1,889 questions

  1. Q12

    June 2025 · Paper 1

    The whole paper ↗
    June 2025 Paper 1, question 12: The diagram shows bacterial colonies after Gram-staining procedure. Pink-stained bacteria Purple-stained bacteria Which statement about the Gram-staining proced
  2. Q32(a)

    June 2025 · Paper 1

    The whole paper ↗
    June 2025 Paper 1, question 32(a): Apart from breastfeeding, suggest and explain one other way in which HIV can be transmitted from an HIV-positive mother to their baby. [2]
  3. Q32(b)(ii)

    June 2025 · Paper 1

    The whole paper ↗
    June 2025 Paper 1, question 32(b)(ii): ART involves taking a combination of medicines every day. These medicines often include an inhibitor of the enzyme reverse transcriptase. Explain how this inhib
  4. Q3(d)

    June 2025 · Paper 3

    The whole paper ↗
    June 2025 Paper 3, question 3(d): The student is interested in whether the cell wall of P. myojinensis is made from peptidoglycan or a different substance. State how to test for the presence of
  5. Q11

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 11: The table shows some of the features of the human immunodeficiency virus (HIV). Which of the rows, A to D, is correct? Feature Central core Genetic material Cap
  6. Q12

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 12: Malaria is a disease in humans. The table shows data for the incidence rate of malaria in a population over a one-year period. Number of people in the Incidence
  7. Q14

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 14: Gram staining is a method used to classify bacteria. Which of the statements about Gram negative bacteria is correct? A They have a thick cell wall and do not h
  8. Q24(a)

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 24(a): These are some revision notes made by a student about the features of acquired immunodeficiency syndrome (AIDS) and tuberculosis (TB). 1 AIDS is caused by the h
  9. Q24(b)(i)

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 24(b)(i): State the name of a type of cell that is a host cell for HIV. [1]
  10. Q24(b)(iii)

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 24(b)(iii): Explain why a logarithmic scale is appropriate for presenting the data obtained in this study. [1]
  11. Q24(b)(iv)

    June 2025 · AS Paper 1

    The whole paper ↗
    June 2025 AS Paper 1, question 24(b)(iv): Discuss how the data support the suggestion that dynamin is involved in the entry of HIV into host cells. [3]
  12. Q5(a)(i)

    June 2025 · AS Paper 2

    No published mark scheme
    The whole paper ↗
    June 2025 AS Paper 2, question 5(a)(i): The following conclusions were drawn from the data in Figs. 5.1 and 5.2. • Urban communities have a better understanding of antibiotic use. • There is less risk
  13. Q36(a)

    June 2024 · Paper 1

    The whole paper ↗
    June 2024 Paper 1, question 36(a): Complete the student’s diagram including labels to show the main components in the structure of HIV. [3]
  14. Q36(b)(i)

    June 2024 · Paper 1

    The whole paper ↗
    June 2024 Paper 1, question 36(b)(i): Explain how HIV protease enzymes are produced when the virus infects a host cell. [2]
  15. Q36(b)(iii)

    June 2024 · Paper 1

    The whole paper ↗
    June 2024 Paper 1, question 36(b)(iii): Suggest how treatment with saquinavir leads to non-functional, immature and non-infectious HIV viruses. [2]
  16. Q36(c)(i)

    June 2024 · Paper 1

    The whole paper ↗
    June 2024 Paper 1, question 36(c)(i): Explain what the term syndrome means, using AIDS as an example. [2]
  17. Q36(c)(ii)

    June 2024 · Paper 1

    The whole paper ↗
    June 2024 Paper 1, question 36(c)(ii): State two ways the spread of AIDS can be controlled. 1 2 [2]
  18. Q15

    June 2024 · AS Paper 1

    The whole paper ↗
    June 2024 AS Paper 1, question 15: Some of the stages of the Gram staining method used for identifying bacteria are shown below. 1 A counterstain, safranin, is added to the microscope slide. 2 A
  19. Q16

    June 2024 · AS Paper 1

    The whole paper ↗
    June 2024 AS Paper 1, question 16: These data shows incidence and mortality rates for tuberculosis (TB) in the UK between 1920 and 2020. 300.0 200.0 100.0 50.0 Rate per 10.0 100 000 / year 5.0 2.
  20. Q17

    June 2024 · AS Paper 1

    The whole paper ↗
    June 2024 AS Paper 1, question 17: What would not be included in a campaign to prevent the spread of tuberculosis (TB)? A Chest x-rays for diagnosis B Treatment with antibiotics C Treatment with
All 83 questions on Pathogenic microorganisms, as a list
  1. June 2025, Paper 1, Q12 (1 mark): The diagram shows bacterial colonies after Gram-staining procedure. Pink-stained bacteria Purple-stained bacteria Which statement about the Gram-staining proced
  2. June 2025, Paper 1, Q32(a) (2 marks): Apart from breastfeeding, suggest and explain one other way in which HIV can be transmitted from an HIV-positive mother to their baby. [2]
  3. June 2025, Paper 1, Q32(b)(ii) (2 marks): ART involves taking a combination of medicines every day. These medicines often include an inhibitor of the enzyme reverse transcriptase. Explain how this inhib
  4. June 2025, Paper 3, Q3(d) (2 marks): The student is interested in whether the cell wall of P. myojinensis is made from peptidoglycan or a different substance. State how to test for the presence of
  5. June 2025, AS Paper 1, Q11 (1 mark): The table shows some of the features of the human immunodeficiency virus (HIV). Which of the rows, A to D, is correct? Feature Central core Genetic material Cap
  6. June 2025, AS Paper 1, Q12 (1 mark): Malaria is a disease in humans. The table shows data for the incidence rate of malaria in a population over a one-year period. Number of people in the Incidence
  7. June 2025, AS Paper 1, Q14 (1 mark): Gram staining is a method used to classify bacteria. Which of the statements about Gram negative bacteria is correct? A They have a thick cell wall and do not h
  8. June 2025, AS Paper 1, Q24(a) (4 marks): These are some revision notes made by a student about the features of acquired immunodeficiency syndrome (AIDS) and tuberculosis (TB). 1 AIDS is caused by the h
  9. June 2025, AS Paper 1, Q24(b)(i) (1 mark): State the name of a type of cell that is a host cell for HIV. [1]
  10. June 2025, AS Paper 1, Q24(b)(iii) (1 mark): Explain why a logarithmic scale is appropriate for presenting the data obtained in this study. [1]
  11. June 2025, AS Paper 1, Q24(b)(iv) (3 marks): Discuss how the data support the suggestion that dynamin is involved in the entry of HIV into host cells. [3]
  12. June 2025, AS Paper 2, Q5(a)(i) (4 marks): The following conclusions were drawn from the data in Figs. 5.1 and 5.2. • Urban communities have a better understanding of antibiotic use. • There is less risk
  13. June 2024, Paper 1, Q36(a) (3 marks): Complete the student’s diagram including labels to show the main components in the structure of HIV. [3]
  14. June 2024, Paper 1, Q36(b)(i) (2 marks): Explain how HIV protease enzymes are produced when the virus infects a host cell. [2]
  15. June 2024, Paper 1, Q36(b)(iii) (2 marks): Suggest how treatment with saquinavir leads to non-functional, immature and non-infectious HIV viruses. [2]
  16. June 2024, Paper 1, Q36(c)(i) (2 marks): Explain what the term syndrome means, using AIDS as an example. [2]
  17. June 2024, Paper 1, Q36(c)(ii) (2 marks): State two ways the spread of AIDS can be controlled. 1 2 [2]
  18. June 2024, AS Paper 1, Q15 (1 mark): Some of the stages of the Gram staining method used for identifying bacteria are shown below. 1 A counterstain, safranin, is added to the microscope slide. 2 A
  19. June 2024, AS Paper 1, Q16 (1 mark): These data shows incidence and mortality rates for tuberculosis (TB) in the UK between 1920 and 2020. 300.0 200.0 100.0 50.0 Rate per 10.0 100 000 / year 5.0 2.
  20. June 2024, AS Paper 1, Q17 (1 mark): What would not be included in a campaign to prevent the spread of tuberculosis (TB)? A Chest x-rays for diagnosis B Treatment with antibiotics C Treatment with
  21. June 2023, Paper 1, Q17 (1 mark): The table below contains information about acquired immunodeficiency disease (AIDS). Pathogen Means of transmission Principal treatment A Bacteria Body fluids i
  22. June 2023, Paper 1, Q34(a) (1 mark): State the name of the pathogen that causes TB. [1]
  23. June 2023, Paper 1, Q34(b)(i) (1 mark): Suggest one advantage of recording data on notifiable diseases such as TB. [1]
  24. June 2023, Paper 1, Q34(b)(ii) (2 marks): In 2015 the population of the USA was estimated at 320 million people. Calculate the prevalence rate of TB in the USA in 2015. Give your answer to 3 significant
  25. June 2023, Paper 1, Q34(b)(iii) (1 mark): The overall trend in the data shows a decrease in the prevalence rate of TB. Suggest why there was an increase in prevalence rate that occurred between 1985 and
  26. June 2023, Paper 1, Q34(c)(i) (3 marks): Plot the results from the table on the grid. [3]
  27. June 2023, Paper 1, Q34(c)(ii) (4 marks): The following conclusions were drawn from these data: • The risk of TB increases with age. • Males have a greater risk of contracting TB than females. Evaluate
  28. June 2022, Paper 1, Q31(c)(iii) (1 mark): Suggest one reason why daptomycin may not be effective against gram negative bacteria. [1]
  29. June 2022, Paper 3, Q4(a) (3 marks): The table shows some of the features of Gram-positive and Gram-negative bacteria. Use ticks (3) to indicate in the table whether each feature is observed in Gra
  30. June 2022, AS Paper 1, Q6 (1 mark): The pie chart shows the percentage number of deaths in a population from respiratory diseases and from all other causes during a flu epidemic. A 4.6% B 22.9% 15
  31. June 2022, AS Paper 2, Q3(a)(i) (2 marks): Using Fig. 3.1, calculate the incidence rate of TB in 2018 per 100 000 of the population. Incidence rate = per 100 000 people [2]
  32. June 2022, AS Paper 2, Q3(a)(ii) (2 marks): Some people claim that TB will be eradicated from the UK by the year 2050. Comment on whether the data in Fig. 3.1 supports this claim. [2]
  33. June 2022, AS Paper 2, Q3(b) (3 marks): TB is a notifiable disease and is reported to Public Health England (PHE). State three ways that PHE can use data about the spread of TB to reduce the incidence
  34. June 2022, AS Paper 2, Q3(c)(i) (2 marks): Calculate how many times more likely an individual aged 65+ is to die from TB compared to an individual aged 0–14 years old. You can assume that the number of m
  35. June 2022, AS Paper 2, Q3(c)(ii) (2 marks): Give two reasons why comparing age groups in this way may not be a valid method. 1 2 [2]
  36. November 2021, Paper 2, Q1(a)(i) (2 marks): Describe how a virus replicates. [2]
  37. November 2021, Paper 2, Q1(a)(ii) (1 mark): Explain why myxomatosis could not be described as endemic in Australia before 1950. [1]
  38. November 2021, Paper 2, Q1(a)(iii) (1 mark): Explain why the myxomatosis outbreak in the 1950s could be described as an epidemic. [1]
  39. November 2021, Paper 2, Q1(b) (3 marks): HIV is a retrovirus but MYXV is not. Use this information and your knowledge to complete the following table by placing a tick (✓) if the feature is found in HI
  40. November 2021, Paper 2, Q1(c) (2 marks): The graph shows how the virulence of MYXV changed over the period from 1950 to 1990. 100 75 Virulence 50 (% of victims killed) 25 0 1950 1960 1970 1980 1990 Des
  41. November 2021, AS Paper 1, Q7 (1 mark): The graph below shows the infant mortality rate in the UK from 1930 to 2010. 60 50 infant mortality rate (deaths per 1000 live births) 40 30 20 10 0 1930 1940 1
  42. November 2021, AS Paper 1, Q8 (1 mark): Rubella is a viral disease that was eliminated from the UK population in 2015. Medical practitioners must report suspected cases to local authorities. Which of
  43. November 2021, AS Paper 1, Q23(a)(ii) (1 mark): A Gram stain can be used to identify the type of bacterium causing the infection. State one other method that can be used to identify different types of bacteri
  44. November 2021, AS Paper 2, Q4(a)(i) (2 marks): State the roles of the following structures. M N [2]
  45. November 2021, AS Paper 2, Q4(a)(ii) (1 mark): Identify molecule P. P [1]
  46. November 2021, AS Paper 2, Q4(b) (6 marks): It is estimated that 100 000 people in the UK carry the Human Immunodeficiency Virus (HIV). Fig. 4.1 shows the structure of HIV. M N P Fig. 4.1 (b)* The UK has
  47. November 2020, Paper 1, Q10 (1 mark): Which of the components, A to D, is not present in the human immunodeficiency virus? A glycoprotein B helicase C reverse transcriptase D RNA Your answer [1]
  48. November 2020, Paper 2, Q5(a)(i) (3 marks): A student concluded that there were two different species of bacteria in the culture. Evaluate the student’s conclusion. [3]
  49. November 2020, Paper 2, Q5(a)(ii) (6 marks): (ii)* Outline a practical procedure to obtain pure cultures of the bacterial species growing on the plate in Fig. 5.1. In your answer you should include the ste
  50. November 2020, Paper 2, Q5(b)(i) (2 marks): Explain what can be concluded about the types of bacteria present in this culture. [2]
  51. November 2020, Paper 2, Q5(b)(ii) (2 marks): Describe how Gram stain changes the colour of bacterial cells. [2]
  52. November 2020, AS Paper 1, Q10 (1 mark): The following procedure was used to calculate the number of bacteria in a culture: 10 cm3 of the bacterial culture was put into a test-tube • serial dilution wa
  53. November 2020, AS Paper 1, Q20 (1 mark): Which of the structures, A to D, would not be found in Gram-positive bacteria? A lipopolysaccharide envelope B plasmid C peptidoglycan cell wall D flagellum You
  54. November 2020, AS Paper 2, Q5(a)(i) (2 marks): Calculate the rate of increase in people living with HIV globally between 1990 and 1998. rate of increase = yr–1 [2]
  55. November 2020, AS Paper 2, Q5(a)(ii) (2 marks): Some scientists believe the rise in people living with HIV globally is proof that HIV has become a bigger problem since 1990. Using only the information in the
  56. November 2020, AS Paper 2, Q5(a)(iii) (1 mark): Suggest why the data given in the graph is an estimate of the number of deaths and not the actual value. [1]
  57. November 2020, AS Paper 2, Q5(c) (6 marks): Acquired immune deficiency syndrome (AIDS) is caused by the Human Immunodeficiency Virus (HIV). The graph shows the estimated global number of AIDS-related deat
  58. June 2019, Paper 1, Q31(a)(i) (2 marks): The population of the USA in 1993 was 260 million. Estimate the mortality rate of AIDS in the USA in 1993. mortality rate = deaths per 100 000 population [2]
  59. June 2019, Paper 1, Q31(a)(ii) (4 marks): Patients with HIV/AIDS are managed with highly active antiretroviral therapy (HAART), which was introduced in 1996. Discuss the effectiveness of HAART as a trea
  60. June 2019, Paper 1, Q31(b) (2 marks): HIV testing can prevent the spread of infection. In the UK, HIV testing must be carried out with consent from the patient. The results must be treated in a conf
  61. June 2019, Paper 1, Q31(e)(i) (2 marks): In the UK, TB is a notifiable disease. State two possible consequences of the reporting of a notifiable disease. 1 2 [2]
  62. June 2019, AS Paper 1, Q9 (1 mark): During a clinical trial, two groups of patients that had received blood transfusions were compared. Some of the results are shown below. Patient Number of Numbe
  63. June 2019, AS Paper 1, Q24(a)(i) (1 mark): Using A. fumigatus as an example, explain what is meant by the term opportunistic. [1]
  64. June 2019, AS Paper 1, Q24(a)(ii) (2 marks): Outline one mechanism used by pathogenic fungi such as A. fumigatus to infect body tissues. [2]
  65. June 2019, AS Paper 2, Q2(a)(iii) (2 marks): Cumulative incidence rate (CIR) can be used to estimate the risk of a disease in a population over a period of time. In 2007, 41 000 cases of lung cancer were d
  66. June 2019, AS Paper 2, Q6(a) (2 marks): Using the information in Fig. 6, suggest why the mortality rate from flu changes throughout the year. [2]
  67. June 2019, AS Paper 2, Q6(b) (2 marks): Droplets containing the flu virus are released into the air when an infected person coughs. Assume that: • approximately 3000 droplets are produced in a single
  68. June 2018, Paper 2, Q3(a)(i) (1 mark): State the name of one organism that causes TB. [1]
  69. June 2018, Paper 2, Q3(a)(ii) (2 marks): Explain why patients with pulmonary TB are advised to cover their mouths when coughing, to open windows when possible and not sleep in the same room as other pe
  70. June 2018, Paper 2, Q3(b)(i) (1 mark): State the type of nucleic acid that forms the genetic material of HIV. [1]
  71. June 2018, Paper 2, Q3(b)(ii) (1 mark): Identify the structures labelled B and C in Fig. 3. B C [1]
  72. June 2018, Paper 2, Q3(b)(iii) (2 marks): State the name and describe the function of the enzyme labelled A in Fig. 3. name function [2]
  73. June 2018, Paper 2, Q3(c)(i) (2 marks): There can be a long period (up to ten years) between infection and the onset of symptoms. [2]
  74. June 2018, Paper 2, Q3(c)(ii) (2 marks): A person infected with HIV becomes more susceptible to infections such as candidiasis, pneumonia and TB. [2]
  75. June 2018, AS Paper 1, Q13 (1 mark): The diagram shows a type of pathogen that can cause disease in humans. RNA lipid membrane reverse transcriptase Which of the statements, A to D, correctly descr
  76. June 2018, AS Paper 1, Q23(c)(i) (2 marks): Comment on the trends shown by the data in Fig. 23.2 for the infection caused by C.jejuni. [2]
  77. June 2018, AS Paper 1, Q23(c)(ii) (2 marks): The data for the infection caused by C.cayetanensis suggests that an epidemic occurred between the months of May and August. Comment on the validity of this sug
  78. June 2018, AS Paper 1, Q23(d)(ii) (3 marks): Using the information in Fig. 23.3 comment on and explain the results that would be obtained following Gram staining of a culture of C.jejuni. [3]
  79. June 2017, AS Paper 1, Q7 (1 mark): The table below shows the results of a survey investigating asthma in children from an urban population of China in 2010. Males Females Number in 6096 5986 popu
  80. June 2017, AS Paper 2, Q4(a) (6 marks): Tuberculosis (TB) is caused by the bacterium Mycobacterium tuberculosis. (a)* TB can be transmitted by droplet infection. It is also an opportunistic infection.
  81. June 2016, AS Paper 1, Q26(c)(i) (1 mark): RSV contains the enzyme reverse transcriptase. What type of nucleic acid will be found in RSV? [1]
  82. June 2016, AS Paper 2, Q4(b)(i) (1 mark): Streptococcus pneumoniae is a Gram-positive bacterium commonly found in the throat of humans. These bacteria can spread from person to person and may cause pneu
  83. June 2016, AS Paper 2, Q4(b)(ii) (3 marks): A sample of S. pneumoniae was prepared for viewing under a light microscope by Gram- staining a sample taken from a colony on an agar plate. Suggest three steps

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