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Date May 2021 Marks available 2 Reference code 21M.2.SL.TZ1.3
Level Standard level Paper Paper 2 Time zone Time zone 1
Command term Outline Question number 3 Adapted from N/A

Question

Celiac disease is an immune reaction to eating gluten, a protein found in many cereals. The diagram shows the arrangement of normal villi and villi affected by celiac disease in the small intestine.

Outline the functions of the villi in the small intestine.

[2]
a.

Explain the consequences of celiac disease for absorption of digested nutrients.

[2]
b.

Wheat, barley and rye all contain gluten. Outline how a protein such as gluten is digested.

[2]
c.

Markscheme

a. increase the surface area for absorption ✔

b. absorption of digested foods/nutrients ✔

c. absorption of mineral ions/vitamins ✔

a.

a. (celiac disease/gluten causes) much smaller villi/flattened villi/smaller surface area (of villi) / no villi ✔

b. (smaller villi leads to) less efficient/less/slower/poor absorption
OR
nutrients/energy lost / fatigue/malnutrition may result ✔

c. (celiac sufferers) must eat a gluten-free diet / WTTE ✔

Note that this question requires an explain not an outline.

b.

a. enzymes/protease required ✔

b. (protease/peptidase) breaks peptide bonds/bonds between amino acids ✔

c. hydrolysis adds water molecules/breaks peptide bonds between amino acids ✔

d. protein/macromolecule converted to monomer/amino acids ✔

e. endopeptidase/enzymes/protease/trypsin secreted by the pancreas ✔

Peptidase/endopeptidase can be accepted instead of protease for mpa.

mpd can be awarded for an appropriate equation.

c.

Examiners report

Generally, parts (a) and (b) were answered clearly and in alignment with the command terms.

a.

Generally, parts (a) and (b) were answered clearly and in alignment with the command terms.

b.

With a basic understanding of Topic 2.4 and Topic 6.1 a candidate should have been able to answer the question appropriately. Instead several tried to make gluten into something other than an example of a protein.

c.

Syllabus sections

Core » Topic 6: Human physiology » 6.1 Digestion and absorption
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Core » Topic 6: Human physiology
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