Immune System and Diseases
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Immune System and Diseases — Free MYP4 Biology Practice Questions

1QuestionComponents of the Immune SystemConcept Practice
3 marks~5 minCriterion A
The diagram shows three pathogens — a bacterium, a virus, and a fungus — each displaying differently shaped surface antigens. Three antibodies (A, B, and C), each with a distinct binding site, are also shown.
a
Match each antibody to the pathogen it binds to. [1]
b
Explain how the shape of an antibody's binding site determines which antigen it can bind to. Use the terms "complementary shape" and "lock and key" in your answer. [1]
c
A mutated virus produces antigens with a slightly altered shape. Explain why existing antibodies produced against the original virus may no longer be effective against the mutated strain. [1]
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2QuestionRole of White Blood CellsAssessment Practice
2 marks~3 minCriterion C
Following the introduction of the measles–mumps–rubella (MMR) vaccine, measles cases fell by over 99% in many countries, yet outbreaks still occur in under-vaccinated communities.
a
Explain how white blood cells produce long-term protection after MMR vaccination. [1]
b
Identify one ethical issue raised by mandatory childhood vaccination programmes and explain why it is ethically significant. [1]
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3QuestionVaccination and ImmunityAssessment Practice
6 marks~9 minCriterion D
A public health official is reviewing HPV vaccination policy. The basic reproduction number (R0R_0) for HPV is 4.0. Currently, 85% of the target age group is vaccinated. The herd immunity threshold is given by:

Herd immunity threshold=1−1R0\text{Herd immunity threshold} = 1 - \frac{1}{R_0}
a
Calculate the herd immunity threshold for HPV. Express your answer as a percentage. [2]
b
The community's current vaccination coverage is 85%. Deduce whether the community has achieved herd immunity against HPV, using your answer from part (a). [2]
c
Some parents refuse vaccination, citing personal freedom and uncertainty about long-term effects. Discuss the ethical tension between individual autonomy and community protection, considering the impact of vaccine refusal on immunocompromised individuals who cannot be fully protected by vaccination. [2]
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4QuestionRole of White Blood CellsAssessment Practice
6 marks~9 minCriterion D
A low-income country's Ministry of Health is considering reducing measles vaccination funding to reallocate resources to other priorities. Epidemiological data collected over ten years is shown below.

Year2014201520162017201820192020202120222023
Vaccination coverage (%)85838075706560555045
Measles outbreak frequency (outbreaks/year)234681012151822
a
Analyse the relationship between vaccination coverage and measles outbreak frequency shown in the data. [2]
b
Explain how vaccination stimulates memory B-cells and memory T-cells, and connect this mechanism to the concept of herd immunity for measles. [2]
c
Evaluate the long-term societal consequences of continuing to reduce vaccination coverage in this country, considering population density, healthcare infrastructure, and at least one environmental factor affecting vaccine delivery. [2]
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5QuestionImmune Response MechanismsAssessment Practice
8 marks~12 minCriterion A
Two individuals are infected with the same pathogen on Day 0. Person A was vaccinated against this pathogen two years ago; Person B has had no prior exposure. Their serum antibody concentrations (arbitrary units) over 14 days are shown below.

Day03571014
Person A IgM05401006020
Person A IgG0280300500450
Person B IgM001080200150
Person B IgG0052050100
a
Describe the pattern of antibody class switching from IgM to IgG in Person A and in Person B. [2]
b
Deduce which individual is likely to experience a shorter and less severe illness, using the data to support your reasoning. [2]
c
Justify the difference in immune responses between Person A and Person B by discussing the roles of memory B cells and naive B cells, and evaluate how each response affects the ability to control the infection. [4]
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