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Date November 2017 Marks available 2 Reference code 17N.3.sl.TZ0.20
Level SL Paper 3 Time zone TZ0
Command term Explain Question number 20 Adapted from N/A

Question

Excess acid in the stomach can cause discomfort and more serious health issues.

Explain how ranitidine (Zantac) reduces stomach acid production.

[2]
a.

The pH is maintained in different fluids in the body by the use of buffers.

Calculate the pH of a buffer solution of 0.0200 mol dm–3 carbonic acid, H2CO3, and 0.400 mol dm–3 sodium hydrogen carbonate, NaHCO3. The pKa of carbonic acid is 6.35.

[2]
b.

Markscheme

blocks/binds to H2/histamine receptors «in cells of stomach lining»

OR

prevents histamine binding to H2/histamine receptors «and triggering acid secretion»

prevents parietal cells from releasing/producing acid

Accept "H2-receptor antagonist/H2RA" OR "blocks/inhibits action of histamine" for M1.

a.

ALTERNATIVE 1

pH = «pKa + log \(\frac{{\left[ {{{\text{A}}^ - }} \right]}}{{\left[ {{\text{HA}}} \right]}}\) =» 6.35 + log (\(\frac{{0.400}}{{0.0200}}\))

«pH =» 7.65

ALTERNATIVE 2

Ka = 4.5 x 10–7

«Ka = 0.400 x \(\frac{{\left[ {{{\text{H}}^ + }} \right]}}{{0.0200}}\), [H+] =» 2.3 x 10–8 «mol dm–3»

«pH =» 7.64

Award [2] for correct final answer.

Do not accept “pH = 8”.

b.

Examiners report

[N/A]
a.
[N/A]
b.

Syllabus sections

Options » D: Medicinal chemistry » D.4 pH regulation of the stomach
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