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Date May 2018 Marks available 1 Reference code 18M.3.HL.TZ2.20
Level Higher level Paper Paper 3 Time zone Time zone 2
Command term State Question number 20 Adapted from N/A

Question

State the disease caused by Helicobacter pylori.

[1]
a.

Outline how gastric acid is produced in the stomach.

[2]
b.

Explain why proton pump inhibitors alleviate the symptoms of H. pylori infections.

[2]
c.

Markscheme

stomach ulcer
OR
stomach cancer

a.

a. sight/smell/«presence of» food in stomach stimulates nervous system 

b. nervous system/vagus nerve stimulates gastric glands «to produce gastric acid» 

c. gastrin controls release of gastric acid 

d. parietal cells «are stimulated to» release gastric/hydrochloric acid/HCl 

e. acidity maintained by the proton pump/H+/K+ ATPase

b.

a. as proton pumps are inhibited less protons/H+ into stomach «lumen» 

b. «less protons/H+ in stomach» less hydrochloric acid produced 
OR
stomach «contents» become less acidic 
OWTTE.

c. stomach heals with higher pH

c.

Examiners report

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

Syllabus sections

Option D: Human physiology » Option D: Human physiology (Core topics) » D.2 Digestion
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Option D: Human physiology » Option D: Human physiology (Core topics)
Option D: Human physiology

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