myUASARevision for UASA
Practice paper, not an official KPM paper
4551
Ujian Akhir Sesi AkademikEnd of Academic Session Test

BiologiBiology

Tingkatan 4, 2 jam 30 minit / 2 hours 30 minutes, 100 marks
Nama / Name
Kelas / Class
Tarikh / Date
Markah / Marks:      / 100
Instructions
  1. Kertas soalan ini mengandungi tiga bahagian: Bahagian A, Bahagian B dan Bahagian C.This question paper consists of three sections: Section A, Section B and Section C.
  2. Jawab semua soalan.Answer all questions.
  3. Bahagian A: pilih satu jawapan bagi setiap soalan.Section A: choose one answer for each question.
  4. Bahagian B dan C: tulis jawapan anda di ruang yang disediakan. Kerja mengira mesti ditunjukkan.Sections B and C: write your answers in the spaces provided. Working must be shown for calculations.
  5. Rajah yang mengiringi soalan tidak dilukis mengikut skala kecuali dinyatakan.The diagrams in this paper are not drawn to scale unless stated.
  6. Kalkulator saintifik yang tidak boleh diprogramkan dibenarkan.A non-programmable scientific calculator is allowed.

Answer schemes are in English (DLP).

Bahagian ASection A

20 marks
Jawab semua soalan. Setiap soalan diikuti oleh empat pilihan jawapan, A, B, C dan D. Pilih satu jawapan sahaja.Answer all questions. Each question is followed by four options, A, B, C and D. Choose one answer only.
1

Question 1

Seorang pelajar ingin mengetahui sama ada lebih banyak baja menjadikan pokok kacang buncis lebih tinggi. Apakah pemboleh ubah dimanipulasikan dalam penyiasatan ini?A student wants to find out whether more fertiliser makes bean plants grow taller. What is the manipulated variable in this investigation?
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B
The manipulated variable is the one the investigator changes on purpose: the amount of fertiliser. The height is the responding variable; seed type and volume of water are kept constant.
For the teacher: Applying, low difficulty, Chapter 1, standard 1.4
Textbook p. 15
2

Question 2

Organel yang manakah mengandungi enzim pencernaan untuk menguraikan organel yang telah rosak dan bahan buangan dalam sel?Which organelle contains digestive enzymes to break down worn-out organelles and waste material in a cell?
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A
Lysosomes contain hydrolytic (digestive) enzymes. Ribosomes make protein, centrioles form the spindle in animal cells and the Golgi apparatus modifies and packages proteins.
For the teacher: Remembering, low difficulty, Chapter 2, standard 2.1
Textbook p. 25
3

Question 3

Sel asinus pankreas merembeskan enzim pencernaan protein ke dalam duodenum. Antara urutan berikut, yang manakah menunjukkan laluan enzim itu dari tempat sintesis hingga dirembeskan keluar sel?An acinar cell of the pancreas secretes a protein-digesting enzyme into the duodenum. Which sequence shows the path of the enzyme from where it is made until it leaves the cell?
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C
Proteins for export are made by ribosomes on the rough endoplasmic reticulum, pass to the Golgi apparatus for modification and packaging, and leave in secretory vesicles that fuse with the plasma membrane. Smooth ER does not carry ribosomes, and the Golgi apparatus does not make protein.
For the teacher: Analysing, high difficulty, Chapter 2, standard 2.1
Textbook p. 26
4

Question 4

Oksigen bergerak dari alveolus ke dalam darah dalam kapilari peparu. Apakah proses yang terlibat?Oxygen moves from an alveolus into the blood in a lung capillary. Which process is involved?
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D
Oxygen is a small non-polar molecule. It passes through the phospholipid bilayer down its concentration gradient by simple diffusion, without a carrier protein or energy.
For the teacher: Understanding, low difficulty, Chapter 3, standard 3.2
Textbook p. 50
5

Question 5

Seketul kentang berjisim 4.0 g direndam dalam larutan Y selama 45 minit. Jisimnya menjadi 3.4 g. Apakah kesimpulan yang boleh dibuat?A piece of potato of mass 4.0 g is placed in solution Y for 45 minutes. Its mass becomes 3.4 g. What can be concluded?
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B
The mass decreased by 0.6 g, so there was a net loss of water from the cells. Water moves by osmosis from the cell sap (higher water potential) to the stronger solution, so Y is hypertonic to the cell sap.
For the teacher: Analysing, high difficulty, Chapter 3, standard 3.3
Textbook p. 58
6

Question 6

Dua monosakarida yang manakah bergabung melalui kondensasi untuk membentuk sukrosa?Which two monosaccharides join by condensation to form sucrose?
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C
Sucrose = glucose + fructose. Maltose = glucose + glucose and lactose = glucose + galactose.
For the teacher: Remembering, low difficulty, Chapter 4, standard 4.2
Textbook p. 74
7

Question 7

Mengapakah enzim dikatakan bersifat spesifik?Why is an enzyme said to be specific?
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A
Specificity comes from the shape of the active site, which fits only its own substrate (lock and key hypothesis). Enzymes are not used up or changed in the reaction.
For the teacher: Understanding, low difficulty, Chapter 5, standard 5.2
Textbook p. 89
8

Question 8

Kadar tindak balas yang dimangkinkan oleh amilase meningkat dari 20 °C hingga 37 °C, kemudian jatuh dengan cepat kepada sifar pada 70 °C. Apakah yang menerangkan penurunan kadar itu?The rate of a reaction catalysed by amylase rises from 20 °C to 37 °C, then falls rapidly to zero at 70 °C. What explains the fall?
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D
Above the optimum temperature the enzyme is denatured: its three-dimensional shape, including the active site, is permanently changed. Heating increases (not decreases) kinetic energy, and enzymes are not used up.
For the teacher: Applying, medium difficulty, Chapter 5, standard 5.3
Textbook p. 92
9

Question 9

Sel soma sejenis tumbuhan mempunyai 12 kromosom (2n = 12). Berapakah bilangan kromatid dalam satu sel pada metafasa mitosis?A somatic cell of a plant has 12 chromosomes (2n = 12). How many chromatids are in one cell at metaphase of mitosis?
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C
DNA is replicated in the S phase, so each of the 12 chromosomes consists of two sister chromatids at metaphase: 12 × 2 = 24 chromatids.
For the teacher: Applying, medium difficulty, Chapter 6, standard 6.2
Textbook p. 103
10

Question 10

Di manakah piruvat dioksidakan sepenuhnya kepada karbon dioksida dan air semasa respirasi sel aerob?Where is pyruvic acid completely oxidised to carbon dioxide and water during aerobic cellular respiration?
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B
Glycolysis takes place in the cytoplasm; the complete oxidation of pyruvic acid with oxygen takes place in the mitochondria.
For the teacher: Remembering, low difficulty, Chapter 7, standard 7.2
Textbook p. 117
11

Question 11

Baris yang manakah menunjukkan perubahan semasa penghembusan nafas pada waktu rehat?Which row shows the changes in the diaphragm and thoracic cavity during exhalation at rest?
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A
In exhalation the diaphragm relaxes and arches upwards (and the ribs move down and in), so the thoracic volume decreases, the pressure inside rises above atmospheric pressure and air is forced out.
For the teacher: Analysing, high difficulty, Chapter 8, standard 8.2
Textbook p. 134
12

Question 12

Apakah peranan hempedu dalam pencernaan?What is the role of bile in digestion?
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D
Bile (made in the liver, stored in the gall bladder) has no enzymes. It emulsifies fats into tiny droplets, increasing the surface area for lipase. Lipase digests the lipids.
For the teacher: Understanding, low difficulty, Chapter 9, standard 9.2
Textbook p. 152
13

Question 13

Seorang pelajar kerap tidak bersarapan dan tidak makan tengah hari. Dia berasa sakit terbakar di perutnya dan doktor mendapati lapisan perutnya mengalami keradangan. Apakah keadaan yang paling mungkin dialaminya?A student often skips breakfast and lunch. She feels a burning pain in her stomach and the doctor finds that the stomach lining is inflamed. Which condition is most likely?
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B
Gastritis is inflammation of the stomach lining. It is caused when gastric juice acts on the lining of an empty stomach, for example in people who skip meals. Anorexia nervosa and bulimia nervosa are eating disorders about body weight, and muscle dysmorphia is a belief that one's body is too small.
For the teacher: Applying, medium difficulty, Chapter 9, standard 9.7
Textbook p. 161
14

Question 14

Salur darah yang manakah membawa darah beroksigen dari peparu ke jantung?Which blood vessel carries oxygenated blood from the lungs to the heart?
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C
The pulmonary vein is the exception that carries oxygenated blood to the left atrium. The pulmonary artery carries deoxygenated blood to the lungs; the vena cava returns deoxygenated blood from the body; the aorta carries oxygenated blood out of the left ventricle.
For the teacher: Remembering, low difficulty, Chapter 10, standard 10.2
Textbook p. 176
15

Question 15

Seorang pesakit berkumpulan darah B memerlukan pemindahan darah. Kumpulan darah penderma yang manakah selamat untuk pesakit itu?A patient of blood group B needs a blood transfusion. Which donor blood groups are safe for this patient?
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B
A group B patient has anti-A antibody in the plasma, so antigen A in the donor's red blood cells would cause agglutination. Groups B and O (no antigen A) are safe.
For the teacher: Applying, medium difficulty, Chapter 10, standard 10.5
Textbook p. 185
16

Question 16

Seorang kanak-kanak yang pernah menghidap cacar air jarang dijangkiti penyakit itu lagi. Apakah penjelasannya?A child who has had chickenpox rarely gets the disease again. What is the explanation?
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D
After the first infection, memory cells formed by lymphocytes remember the antigen. On the next exposure they produce antibodies immediately and in large amounts. Antibodies do not stay for ever and phagocytes are non-specific.
For the teacher: Understanding, medium difficulty, Chapter 11, standard 11.3
Textbook p. 207
17

Question 17

Faizal menarik tangannya daripada periuk panas sebelum dia merasa kepanasan. Mengapakah hal ini berlaku?Faizal pulls his hand away from a hot pot before he feels the heat. Why does this happen?
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A
This is a reflex action. The reflex arc passes through the spinal cord (relay neurone to motor neurone to effector), so the response is made before the impulse reaches the cerebrum, which is why the pain is felt a moment later.
For the teacher: Understanding, medium difficulty, Chapter 12, standard 12.4
Textbook p. 228
18

Question 18

Seorang murid meminum 1.5 liter air dengan cepat. Baris yang manakah menunjukkan perubahan yang betul dalam badannya?A student drinks 1.5 litres of water quickly. Which row shows the correct changes in the body?
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C
Drinking water lowers the osmotic pressure of the blood. Osmoreceptors in the hypothalamus are less stimulated, less ADH is secreted, the distal tubule and collecting duct become less permeable to water and a large volume of dilute urine is passed.
For the teacher: Analysing, high difficulty, Chapter 13, standard 13.2
Textbook p. 257
19

Question 19

Lutut dan siku ialah sendi engsel. Pernyataan yang manakah menerangkan pergerakan pada sendi engsel?The knee and the elbow are hinge joints. Which statement describes the movement at a hinge joint?
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D
A hinge joint is a freely movable joint that moves in one plane only (bending and straightening). A ball-and-socket joint (shoulder, hip) rotates in all directions.
For the teacher: Remembering, low difficulty, Chapter 14, standard 14.2
Textbook p. 271
20

Question 20

Struktur manakah dalam testis yang menghasilkan sel sperma melalui meiosis?Which structure in the testis produces sperm cells by meiosis?
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A
Sperm are made (spermatogenesis) in the seminiferous tubules. The epididymis stores and matures them, the vas deferens carries them, and the prostate gland adds fluid to semen.
For the teacher: Remembering, low difficulty, Chapter 15, standard 15.1
Textbook p. 288

Bahagian BSection B

50 marks
Jawab semua soalan dalam bahagian ini.Answer all questions in this section.
21

Question 21

Lima jalur kentang yang sama panjang (5.0 cm) direndam dalam larutan sukrosa yang berlainan kepekatan selama 30 minit. Jadual menunjukkan panjang akhir jalur kentang itu.
Kepekatan sukrosa / Sucrose concentration (M)0.00.20.40.60.8
Panjang akhir / Final length (cm)5.45.25.04.74.5
Five potato strips, each 5.0 cm long, are placed for 30 minutes in sucrose solutions of different concentrations. The table shows the final length of each strip.
[1 mark] (a)Kepekatan sukrosa yang manakah isotonik dengan sap sel kentang? Beri sebab.Which sucrose concentration is isotonic to the potato cell sap? Give a reason.
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[1 mark] (b)Terangkan mengapa jalur kentang dalam 0.0 M menjadi lebih panjang.Explain why the strip in 0.0 M becomes longer.
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[2 marks] (c)Terangkan keputusan dalam larutan 0.8 M.Explain the result in the 0.8 M solution.
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[1 mark] (d)Hitung peratus perubahan panjang jalur kentang dalam larutan 0.6 M.Calculate the percentage change in length of the strip in the 0.6 M solution.
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[1 mark] (e)Nyatakan satu pemboleh ubah yang dimalarkan dalam eksperimen ini.State one variable that is kept constant in this experiment.
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For the teacher: Applying, low difficulty, Chapter 3, standard 3.3
Textbook p. 58
22

Question 22

Rajah 1 menunjukkan satu sel haiwan yang sedang menjalani mitosis.Diagram 1 shows an animal cell undergoing mitosis.
A cell with spindle fibres; four V-shaped chromosomes lie at each pole; X points to a spindle fibre
Rajah 1Diagram 1
[1 mark] (a)Namakan peringkat mitosis dalam Rajah 1.Name the stage of mitosis in Diagram 1.
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[1 mark] (b)Namakan struktur X.Name structure X.
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[2 marks] (c)Berapakah bilangan kromosom dalam satu sel soma organisma ini apabila sel itu tidak sedang membahagi? Terangkan jawapan anda.How many chromosomes are in a somatic cell of this organism when the cell is not dividing? Explain your answer.
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[1 mark] (d)Nyatakan satu peristiwa yang berlaku pada peringkat seterusnya.State one event that happens in the next stage.
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[1 mark] (e)Terangkan mengapa dua sel anak mempunyai kandungan genetik yang sama dengan sel induk.Explain why the two daughter cells have the same genetic content as the parent cell.
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For the teacher: Analysing, medium difficulty, Chapter 6, standard 6.2
Textbook p. 103
23

Question 23

Seorang pembuat roti mencampurkan yis, gula, tepung dan air suam, lalu membiarkan doh itu selama satu jam. Doh itu mengembang dua kali ganda dan berbau alkohol.A baker mixes yeast, sugar, flour and warm water and leaves the dough for one hour. The dough doubles in size and smells of alcohol.
[1 mark] (a)Namakan proses yang dijalankan oleh yis dalam doh itu.Name the process carried out by the yeast in the dough.
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[2 marks] (b)Tulis persamaan perkataan bagi proses ini.Write the word equation for this process.
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[1 mark] (c)Mengapakah doh itu mengembang?Why does the dough rise?
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[1 mark] (d)Roti yang telah dibakar tidak berbau alkohol. Mengapa?The baked bread does not smell of alcohol. Why?
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[1 mark] (e)Nyatakan satu perbezaan antara proses ini dengan respirasi anaerob dalam sel otot manusia.State one difference between this process and anaerobic respiration in human muscle cells.
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[1 mark] (f)Namakan satu makanan yang dihasilkan melalui fermentasi asid laktik.Name one food made by lactic acid fermentation.
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For the teacher: Understanding, low difficulty, Chapter 7, standard 7.3
Textbook p. 120
24

Question 24

Hadi terpijak paku berkarat dan kulit tapak kakinya terluka. Beberapa jam kemudian kawasan luka itu menjadi merah dan bengkak. Pada hari berikutnya, nodus limfa di pangkal pehanya membengkak dan Hadi demam.Hadi steps on a rusty nail and the skin of his foot is cut. A few hours later the area around the wound is red and swollen. The next day, the lymph nodes in his groin are swollen and he has a fever.
[1 mark] (a)Namakan bahan kimia yang dibebaskan oleh tisu yang rosak menyebabkan kapilari darah melebar.Name the chemical released by the damaged tissue that causes the blood capillaries to widen.
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[1 mark] (b)Terangkan mengapa kawasan luka menjadi merah.Explain why the wound area turns red.
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[2 marks] (c)Huraikan bagaimana fagosit memusnahkan bakteria yang memasuki luka itu.Describe how a phagocyte destroys the bacteria that enter the wound.
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[1 mark] (d)Antara pertahanan badan yang berikut, yang manakah ialah barisan pertahanan kedua?Which of the following is the second line of defence?
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Phagocytosis
The second line of defence is fever, phagocytosis and inflammation. Skin is the first line; memory cells belong to the third line.
[1 mark] (e)Mengapakah nodus limfa Hadi membengkak?Why are Hadi's lymph nodes swollen?
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[1 mark] (f)Hadi diberi suntikan vaksin tetanus. Namakan jenis imuniti yang diperoleh.Hadi is given a tetanus vaccine injection. Name the type of immunity gained.
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For the teacher: Understanding, low difficulty, Chapter 11, standard 11.1
Textbook p. 202
25

Question 25

Rajah 2 menunjukkan paras glukosa darah dua orang, P dan Q, selepas mereka makan hidangan yang sama pada minit 0. Julat normal glukosa darah ialah 75 mg hingga 110 mg per 100 ml.Diagram 2 shows the blood glucose level of two people, P and Q, after they eat the same meal at time 0. The normal range of blood glucose is 75 mg to 110 mg per 100 ml.
Line graph of blood glucose against time. P rises from 85 to 135 at 30 min then returns to 84 by 150 min. Q rises from 160 to 290 at 60 min and is still 230 at 150 min
Rajah 2Diagram 2
[1 mark] (a)Nyatakan paras glukosa darah P yang tertinggi dan masa ia dicapai.State the highest blood glucose level of P and the time it is reached.
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[2 marks] (b)Terangkan bagaimana paras glukosa darah P kembali normal antara minit 30 dengan minit 90.Explain how the blood glucose level of P returns to normal between 30 and 90 minutes.
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[1 mark] (c)Namakan jenis mekanisme yang mengembalikan paras glukosa P kepada julat normal.Name the type of mechanism that returns the glucose level of P to the normal range.
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[1 mark] (d)Antara P dan Q, siapakah yang mungkin menghidap diabetes mellitus? Beri satu sebab daripada graf.Which of P and Q is likely to have diabetes mellitus? Give one reason from the graph.
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[2 marks] (e)Terangkan mengapa paras glukosa darah Q kekal tinggi.Explain why the blood glucose level of Q stays high.
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[1 mark] (f)Namakan hormon dan sel pankreas yang bertindak apabila paras glukosa darah jatuh di bawah julat normal.Name the hormone and the pancreas cells that act when the blood glucose level falls below the normal range.
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For the teacher: Analysing, medium difficulty, Chapter 13, standard 13.1
Textbook p. 247
26

Question 26

Jadual menunjukkan ciri-ciri tiga jenis vertebra, P, Q dan R, daripada tulang belakang manusia.
Vertebra / VertebraCiri / Features
PPaling besar dan kuat; sentrum yang besar; cuaran spina yang pendek / Largest and strongest; large centrum; short spinous process
QSentrum kecil; sepasang foramen melintang / Small centrum; a pair of transverse foramina
RCuaran spina yang panjang; ada muka sendi untuk bersendi dengan tulang rusuk / Long spinous process; facets for joining with ribs
The table shows the features of three types of vertebrae, P, Q and R, from the human vertebral column.
[3 marks] (a)Namakan vertebra P, Q dan R.Name vertebrae P, Q and R.
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[1 mark] (b)Mengapakah vertebra P mempunyai sentrum yang besar?Why does vertebra P have a large centrum?
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[1 mark] (c)Nyatakan fungsi salur saraf dalam setiap vertebra.State the function of the neural canal in each vertebra.
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[2 marks] (d)Aini membengkokkan lengannya untuk mengangkat sebuah beg. Nyatakan keadaan otot biseps dan otot triseps, dan tulang yang ditarik ke atas.Aini bends her arm to lift a bag. State the condition of the biceps and the triceps, and the bone that is pulled upwards.
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[1 mark] (e)Namakan struktur yang menghubungkan otot rangka kepada tulang.Name the structure that joins a skeletal muscle to a bone.
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For the teacher: Remembering, low difficulty, Chapter 14, standard 14.2
Textbook p. 268
27

Question 27

Jadual menunjukkan organel dalam tiga jenis sel, X, Y dan Z.
Sel / CellJenis sel / Cell typeOrganel yang menonjol / Prominent organelles
XSel kelenjar air liur / Salivary gland cellJalinan endoplasma kasar yang banyak, jasad Golgi yang besar / Abundant rough endoplasmic reticulum, large Golgi apparatus
YSel palisad daun / Leaf palisade cellBanyak kloroplas, dinding sel, vakuol yang besar / Many chloroplasts, cell wall, large vacuole
ZSel otot terbang burung / Bird flight muscle cellSangat banyak mitokondrion / Very many mitochondria
The table shows the organelles in three types of cells, X, Y and Z.
[2 marks] (a)Antara X, Y dan Z, yang manakah sel tumbuhan? Beri satu bukti.Which of X, Y and Z is a plant cell? Give one piece of evidence.
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[2 marks] (b)Terangkan mengapa sel X mempunyai jalinan endoplasma kasar dan jasad Golgi yang banyak.Explain why cell X has abundant rough endoplasmic reticulum and Golgi apparatus.
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[2 marks] (c)Terangkan mengapa sel Z mempunyai mitokondrion yang sangat banyak.Explain why cell Z has very many mitochondria.
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[1 mark] (d)Sekumpulan sel yang serupa seperti Z yang bekerja bersama membentuk apa?A group of similar cells like Z working together forms what?
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[1 mark] (e)Susun tahap organisasi berikut daripada yang terkecil kepada yang terbesar: organ, sel, sistem organ, tisu.Arrange the following levels of organisation from the smallest to the largest: organ, cell, organ system, tissue.
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For the teacher: Understanding, low difficulty, Chapter 2, standard 2.1
Textbook p. 28

Bahagian CSection C

30 marks
Jawab semua soalan dalam bahagian ini.Answer all questions in this section.
28

Question 28

Rajah 3 menunjukkan lengkung refleks apabila jari seseorang tertusuk duri.Diagram 3 shows the reflex arc when a person's finger is pricked by a thorn.
Spinal cord cross-section with a sensory pathway from the skin (P) along the dorsal root, Q, a relay neurone R in the grey matter, a motor neurone S leaving the ventral root and a muscle T
Rajah 3Diagram 3
[5 marks] (a)Namakan struktur P, Q, R, S dan T.Name structures P, Q, R, S and T.
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[2 marks] (b)Terangkan mengapa tindak balas refleks berlaku lebih cepat daripada tindakan sedar, dan mengapa ia penting.Explain why a reflex response is faster than a conscious action, and why it is important.
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[2 marks] (c)Terangkan mengapa impuls hanya bergerak dalam satu arah merentasi sinaps antara neuron Q dengan neuron R.Explain why an impulse travels in one direction only across the synapse between neurone Q and neurone R.
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[3 marks] (d)Bandingkan tindakan sukarela dengan tindakan tak sukarela dengan memberi tiga perbezaan.Compare voluntary action and involuntary action by giving three differences.
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[3 marks] (e)Seorang lelaki mengalami kecederaan pada saraf tunjang di bahagian dadanya dalam satu kemalangan jalan raya. Dia tidak dapat merasa dan menggerakkan kakinya, tetapi apabila doktor mengetuk tendon di bawah lututnya, kakinya masih terhayun. Terangkan ketiga-tiga pemerhatian ini.A man's spinal cord is injured at chest level in a road accident. He cannot feel or move his legs, but when the doctor taps the tendon below his knee, his lower leg still kicks. Explain all three observations.
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For the teacher: Evaluating, medium difficulty, Chapter 12, standard 12.4
Textbook p. 228
29

Question 29

Encik Hamdan, 52 tahun, telah menghidap diabetes mellitus selama 12 tahun dan mempunyai tekanan darah tinggi. Dia mengalami bengkak kaki dan sentiasa letih. Jadual 1 menunjukkan keputusan ujian doktor. Jadual 2 menunjukkan paras urea dalam darahnya sebelum dan selepas satu sesi hemodialisis.
Jadual 1 / Table 1
Ujian / TestJulat normal / NormalEncik Hamdan
Urea darah / Blood urea (mmol/L)2.5 – 7.528
Protein dalam air kencing / Protein in urineTiada / AbsentAda / Present
Isi padu air kencing / Urine volume (ml per hari)1200 – 1500350
Jadual 2 / Table 2
Masa / TimeUrea darah / Blood urea (mmol/L)
Sebelum sesi / Before the session28
Selepas 4 jam hemodialisis / After 4 hours of haemodialysis9
Dua hari kemudian / Two days later24
Encik Hamdan, aged 52, has had diabetes mellitus for 12 years and has high blood pressure. His feet are swollen and he is always tired. Table 1 shows the results of his doctor's tests. Table 2 shows the urea level in his blood before and after one haemodialysis session.
[1 mark] (a)Namakan struktur dalam nefron yang rosak sehingga membolehkan protein hadir dalam air kencing.Name the structure in the nephron that is damaged so that protein appears in the urine.
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[2 marks] (b)Terangkan mengapa protein biasanya tidak hadir dalam air kencing.Explain why protein is normally absent from urine.
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[2 marks] (c)Terangkan mengapa paras urea dalam darah Encik Hamdan tinggi.Explain why the urea level in Encik Hamdan's blood is high.
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[2 marks] (d)Nyatakan dua penyebab kegagalan buah pinggang Encik Hamdan.State two causes of Encik Hamdan's kidney failure.
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[2 marks] (e)Hitung peratus penurunan urea darah selepas satu sesi hemodialisis 4 jam. Tunjukkan kerja anda.Calculate the percentage decrease in blood urea after one 4-hour haemodialysis session. Show your working.
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[2 marks] (f)Terangkan mengapa paras urea meningkat semula dalam tempoh dua hari selepas sesi itu.Explain why the urea level rises again within two days after the session.
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[4 marks] (g)Doktor mencadangkan dua pilihan rawatan jangka panjang: hemodialisis tiga kali seminggu atau pemindahan buah pinggang. Nilaikan kedua-dua pilihan dan nyatakan pilihan yang anda cadangkan dengan satu sebab.The doctor suggests two long-term treatments: haemodialysis three times a week, or a kidney transplant. Evaluate both options and state which you would recommend, with a reason.
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For the teacher: Evaluating, high difficulty, Chapter 13, standard 13.3
Textbook p. 260
Test specification (JSU)
ChapterRememberingUnderstandingApplyingAnalysingEvaluatingCreatingItemsmarks
1. Introduction to Biology and Laboratory Rules––1 (1)–––11
2. Cell Biology and Organisation1 (1)1 (8)–1 (1)––310
3. Movement of Substances across a Plasma Membrane–1 (1)1 (6)1 (1)––38
4. Chemical Compositions in a Cell1 (1)–––––11
5. Metabolism and Enzymes–1 (1)1 (1)–––22
6. Cell Division––1 (1)1 (6)––27
7. Cellular Respiration1 (1)1 (7)––––28
8. Respiratory Systems in Humans and Animals–––1 (1)––11
9. Nutrition and the Human Digestive System–1 (1)1 (1)–––22
10. Transport in Humans and Animals1 (1)–1 (1)–––22
11. Immunity in Humans–2 (8)––––28
12. Coordination and Response in Humans–1 (1)––1 (15)–216
13. Homeostasis and the Human Urinary System–––2 (9)1 (15)–324
14. Support and Movement in Humans and Animals2 (9)–––––29
15. Sexual Reproduction, Development and Growth in Humans and Animals1 (1)–––––11
Total7 (14)8 (27)6 (11)6 (18)2 (30)0 (0)29100
Each cell shows items (marks).