Respiratory diseases and treatment: OCR A‑Level Biology B questions
Every OCR A-Level Biology B exam question on 3.3.2 Respiratory diseases and treatment, 2016–2025, with its mark scheme and examiner’s report.
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![June 2025 Paper 1, question 15: Which disease is not an example of a chronic condition? A Asthma attack B Bowel cancer C Emphysema D Lung cancer Your answer [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42201-jun25-15-qp.webp?v=3)
![June 2025 AS Paper 1, question 16: What medicine is derived from Salix alba? A Aspirin B Quinine C Theophylline D Topotecan Your answer [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun25-16-qp.webp?v=3)
Q21(a)(i)
The whole paper ↗![June 2025 AS Paper 1, question 21(a)(i): Describe how the features labelled X and Y on the healthy bronchus have changed in the diseased bronchus and suggest how these changes could have occurred. [4]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun25-21-ai-qp.webp?v=3)
Q21(a)(ii)
The whole paper ↗
Q21(a)(iii)
The whole paper ↗![June 2025 AS Paper 1, question 21(a)(iii): Bronchiectasis and bronchitis are both examples of chronic diseases. Explain what is meant by the term chronic disease. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun25-21-aiii-qp.webp?v=3)
![June 2025 AS Paper 2, question 3(b)(i): State why the scientists used a placebo in this investigation. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02202-jun25-03-bi-qp.webp?v=3)


Q4(b)
The whole paper ↗![June 2024 Paper 2, question 4(b): Discuss the advantages and disadvantages of the use of plants as sources of anti-cancer drugs. [3]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42202-jun24-04-b-qp.webp?v=3)
Q4(c)(i)
The whole paper ↗![June 2024 Paper 2, question 4(c)(i): Describe how patients would be assigned to the two treatment groups and explain why they were assigned in this way. [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42202-jun24-04-ci-qp.webp?v=3)
Q4(c)(ii)
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Q2(d)
The whole paper ↗![June 2024 Paper 3, question 2(d): Suggest why few clinical trials are carried out to test treatments for rare diseases. [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42203-jun24-02-d-qp.webp?v=3)
![June 2024 AS Paper 1, question 19: What is an example of an acute condition? A Asthma attack B Breast cancer C Emphysema D Lung cancer Your answer [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun24-19-qp.webp?v=3)
Q21(c)(iii)
The whole paper ↗![June 2024 AS Paper 1, question 21(c)(iii): Explain how the function of the cells in Fig. 21.2 is affected by exposure to pollutants such as cigarette smoke. [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun24-21-ciii-qp.webp?v=3)
Q22(c)(iv)
The whole paper ↗

Q4(b)
The whole paper ↗![June 2022 Paper 2, question 4(b): A section of lung tissue was prepared from a patient with emphysema. Describe and explain how this would appear different to the lung tissue in Fig. 4.2. [2]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h42202-jun22-04-b-qp.webp?v=3)
Q4(c)
The whole paper ↗
![June 2022 AS Paper 1, question 1: Which option is a short-term effect of a pollutant on the respiratory system? A Asthma attack B Chronic bronchitis C Emphysema D Lung cancer Your answer [1]](https://pub-e8a9dbab8e2a4d089f52b2a45e0d0b50.r2.dev/bank/h02201-jun22-01-qp.webp?v=3)

All 56 questions on Respiratory diseases and treatment, as a list
- June 2025, Paper 1, Q15 (1 mark): Which disease is not an example of a chronic condition? A Asthma attack B Bowel cancer C Emphysema D Lung cancer Your answer [1]
- June 2025, AS Paper 1, Q16 (1 mark): What medicine is derived from Salix alba? A Aspirin B Quinine C Theophylline D Topotecan Your answer [1]
- June 2025, AS Paper 1, Q21(a)(i) (4 marks): Describe how the features labelled X and Y on the healthy bronchus have changed in the diseased bronchus and suggest how these changes could have occurred. [4]
- June 2025, AS Paper 1, Q21(a)(ii) (2 marks): Bronchitis is also a disease that affects the airways of the lungs. Using your knowledge and the diagram, state one similarity and one difference between the ef
- June 2025, AS Paper 1, Q21(a)(iii) (1 mark): Bronchiectasis and bronchitis are both examples of chronic diseases. Explain what is meant by the term chronic disease. [1]
- June 2025, AS Paper 2, Q3(b)(i) (1 mark): State why the scientists used a placebo in this investigation. [1]
- June 2024, Paper 1, Q27 (1 mark): The following statements describe features of a respiratory disease: • Alveoli are damaged and enlarged. • Elastin in alveolar walls is broken down. • Normal el
- June 2024, Paper 1, Q30 (1 mark): The table shows details of what takes place during different phases of a clinical trial in the development of a new medicinal drug. Details of what takes place
- June 2024, Paper 2, Q4(b) (3 marks): Discuss the advantages and disadvantages of the use of plants as sources of anti-cancer drugs. [3]
- June 2024, Paper 2, Q4(c)(i) (2 marks): Describe how patients would be assigned to the two treatment groups and explain why they were assigned in this way. [2]
- June 2024, Paper 2, Q4(c)(ii) (3 marks): The results of the clinical trial are shown in the table. Paclitaxel Topotecan Statistical group group significance Median time to progression of 14 23 p = 0.00
- June 2024, Paper 3, Q2(d) (1 mark): Suggest why few clinical trials are carried out to test treatments for rare diseases. [1]
- June 2024, AS Paper 1, Q19 (1 mark): What is an example of an acute condition? A Asthma attack B Breast cancer C Emphysema D Lung cancer Your answer [1]
- June 2024, AS Paper 1, Q21(c)(iii) (2 marks): Explain how the function of the cells in Fig. 21.2 is affected by exposure to pollutants such as cigarette smoke. [2]
- June 2024, AS Paper 1, Q22(c)(iv) (4 marks): One of the outcomes of a study was to recommend randomised controlled trials (RCTs) be carried out. Discuss the advantages and disadvantages of carrying out RCT
- June 2022, Paper 1, Q23 (1 mark): The table shows drugs used to treat asthma and the mechanisms of action. Type of drug Mechanism of action Use A Beta-agonist Bronchodilator Before exercise or f
- June 2022, Paper 2, Q4(b) (2 marks): A section of lung tissue was prepared from a patient with emphysema. Describe and explain how this would appear different to the lung tissue in Fig. 4.2. [2]
- June 2022, Paper 2, Q4(c) (6 marks): (c)* Asthma is a chronic condition, but an asthma attack involves severe acute symptoms. Discuss the causes of asthma and how treatments target both the long-te
- June 2022, AS Paper 1, Q1 (1 mark): Which option is a short-term effect of a pollutant on the respiratory system? A Asthma attack B Chronic bronchitis C Emphysema D Lung cancer Your answer [1]
- November 2021, Paper 1, Q11 (1 mark): Oils from the clove tree, Syzygium aromaticum, have been found to have antifungal properties and are a potential source of medicinal drugs. The graph shows the
- November 2021, Paper 3, Q4(a) (1 mark): State one difference between an acute and a chronic disease. [1]
- November 2021, Paper 3, Q4(b)(i) (1 mark): Suggest what is meant by a representative sample in this study. [1]
- November 2021, Paper 3, Q4(b)(ii) (2 marks): In 1971, the representative sample consisted of 511 670 individuals. However, 154 312 individuals were excluded from the results at the end of the study. Calcul
- November 2021, Paper 3, Q4(b)(iii) (1 mark): Suggest one reason why individuals may have been excluded from the results at the end of the study. [1]
- November 2021, Paper 3, Q4(b)(iv) (3 marks): The study concluded that: There was a positive correlation between the length of exposure to air pollution and the risk of mortality from respiratory diseases.
- November 2021, AS Paper 1, Q5 (1 mark): A clinical trial was being used to test a new drug. • 40 people applied to take part in the trial. • 30 of these people were randomly selected to receive either
- November 2021, AS Paper 2, Q1(b) (4 marks): During an asthma attack, drugs known as bronchodilators can be used to increase the lumen diameter of the bronchus and therefore increase the oxygen consumption
- November 2021, AS Paper 2, Q6(d) (1 mark): The National Institute for Health and Care Excellence (NICE) is responsible for issuing guidance on the use of drugs such as those with antimicrobial properties
- November 2020, Paper 2, Q2(b)(iii) (6 marks): (iii)* The doctors running the clinical trial concluded that lisinopril had beneficial effects on retinopathy caused by type 1 diabetes. Evaluate this conclusio
- November 2020, AS Paper 1, Q22(c) (3 marks): Explain why asthma is a condition that can be chronic but also sometimes acute. [3]
- November 2020, AS Paper 2, Q4(b) (2 marks): What conclusions about the effect of pneumoconiosis can be made from the results in the table? [2]
- November 2020, AS Paper 2, Q4(d)(ii) (2 marks): Explain how the damage shown in the diagram could affect the physical activity of the patient. [2] for the next question
- June 2019, AS Paper 1, Q19 (1 mark): Cromolyn is a medicinal drug derived from plants. It has properties that make it useful in the treatment of asthma. Which of the options, A to D, describes a pr
- June 2019, AS Paper 2, Q2(b) (6 marks): Lung cancer is the second most common cancer diagnosed in the UK. Fig. 2 shows the incidence rate of lung cancer in male and female smokers from 1979 to 2007. '
- June 2018, Paper 1, Q35(a)(i) (1 mark): What are the features of a chronic disease? [1]
- June 2018, Paper 1, Q35(a)(ii) (1 mark): Over half of commonly-used drugs are similar or identical to chemicals found in plants. Name one such drug and state its medical use. Drug Medical use [1]
- June 2018, Paper 1, Q35(b)(i) (1 mark): State the phase of the clinical trial in which the data in Fig. 35 were obtained. [1]
- June 2018, Paper 1, Q35(b)(ii) (2 marks): Describe what a placebo is and explain why it was used. [2]
- June 2018, Paper 1, Q35(b)(iii) (3 marks): Compare the results shown in Fig. 35 for the group receiving the placebo with the group receiving the drug. [3]
- June 2018, Paper 1, Q35(b)(iv) (2 marks): Suggest two reasons why this trial does not support the use of the drug in the treatment of type 2 diabetes. 1 2 [2]
- June 2018, Paper 1, Q37(b)(i) (3 marks): The health campaign claimed that giving up cigarette smoking improves quality of life and prevents smoking-related death. Evaluate this claim using the data fro
- June 2018, Paper 1, Q37(b)(ii) (2 marks): During the campaign, doctors warned that the graph in Fig. 37.2 could not accurately predict the lung function of individual cigarette smokers over time. Sugges
- June 2018, AS Paper 1, Q21(c)(i) (1 mark): Suggest a potential medicinal use for these chemicals. [1]
- June 2018, AS Paper 1, Q25(b) (2 marks): The symptoms of asthma can be triggered by allergens. The table below shows information about two types of drug that are used in inhalers to treat the symptoms
- June 2018, AS Paper 2, Q3(a)(i) (2 marks): Suggest why researchers concentrated on studying cinchona bark when looking for a treatment for malaria. [2]
- June 2018, AS Paper 2, Q3(b)(i) (1 mark): Explain what is meant by a placebo in this context. [1]
- June 2018, AS Paper 2, Q3(b)(ii) (2 marks): Describe how the volunteers could have been allocated to each group for this trial. [2]
- June 2018, AS Paper 2, Q3(c) (2 marks): The dose required to treat a patient with malaria using oral quinine is 10 mg kg−1 every eight hours. Calculate the mass of quinine required in the first four d
- June 2017, Paper 1, Q24 (1 mark): The statements below relate to the causes and effects of emphysema. Which of the following statements is/are correct? 1 Ventilation is impaired due to the destr
- June 2017, Paper 3, Q5(a) (2 marks): Calculate the percentage of patients who were smokers. Give your answer to two decimal places. % [2]
- June 2017, Paper 3, Q5(b)(i) (3 marks): Analyse the data in this study and comment on the researchers’ hypothesis. In your answer you should use data to support your analysis. [3]
- June 2017, Paper 3, Q5(b)(ii) (1 mark): Suggest one statistical test that could be used to analyse the data further.
- June 2017, Paper 3, Q5(b)(iii) (1 mark): Why would this statistical test be the most useful? [1]
- June 2017, AS Paper 1, Q5 (1 mark): Which of the options, A to D, accurately describes a clinical trial in which neither the patients nor the scientists know which treatment is being issued? A pla
- June 2016, AS Paper 1, Q24(a) (1 mark): What is a chronic disease? [1]
- June 2016, AS Paper 1, Q24(c) (2 marks): CML can be treated using the targeted therapy drug Imatinib, also known as Glivec®. During clinical tests, a phase 3 trial found that almost 90% of CML patients
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