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    Tuberculosis (TB) is an infectious disease caused by the bacterium _Mycobacterium tuberculosis_.

    Question
    SLPaper 2

    Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis.

    1.

    Describe the risk to the human population of indiscriminate use of antibiotics.

    [5]
    Verified
    Solution
    • Antibiotics block bacterial processes; 1 mark
    • Example of bacterial process (e.g., cell wall formation); 1 mark
    • Variations exist naturally in a population / some are naturally resistant to the antibiotic; 1 mark
    • Bacteria that are not resistant to this antibiotic will die / only resistant will survive (when antibiotic given); 1 mark
    • This characteristic could be passed to the next generation; 1 mark
    • (Natural selection) leads to changes in the proportions/frequency in the population; 1 mark
    • Human population will be exposed to antibiotic-resistant bacteria and will not have antibiotics to kill them; 1 mark
    • (Antibiotic-resistant bacteria) may pass resistance to other bacteria species/types by means of plasmids (so other bacteria species turn resistant too); 1 mark
    2.

    Outline the structures in M. tuberculosis that are not present in a human cell.

    [3]
    Verified
    Solution
    • Cell wall; 1 mark
    • Pili/flagella; 1 mark
    • 70S ribosomes; 1 mark
    • Nucleoid / circular DNA
      OR
      Naked DNA; 1 mark
    • Plasmids; 1 mark

    As candidates do not need to know the structure of Mycobacterium tuberculosis, all prokaryotic structures are accepted.
    Ignore references to membrane-bound organelles.

    3.

    Explain the production of antibodies when a patient is infected with the TB bacterium.

    [7]
    Verified
    Solution
    • Phagocytes/lymphocytes are white blood cells; 1 mark
    • TB bacterium has a specific antigen; 1 mark
    • This antigen is recognised by white blood cells; 1 mark
    • A clone of lymphocytes/plasma cells/B cells are produced; 1 mark
    • Antibodies are produced by lymphocytes; 1 mark
    • Each lymphocyte produces just one type of antibody; 1 mark
    • (This is) specific immunity; 1 mark
    • (Part of the) antibody/immunoglobulin binds to the antigen / specific antibody binds to the specific antigen; 1 mark
    • Antibodies are proteins/immunoglobulins; 1 mark
    • (Some) plasma cells become memory cells; 1 mark
    • Memory cells reproduce quickly; 1 mark
    • Memory cells prevent infection in the future; 1 mark

    Allow annotated diagrams to explain the process.

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