Question 1
Read the passage below. Use the information in the passage and your own knowledge to answer the questions that follow.
Treating Kidney Disease
Chronic kidney disease affects approximately 12% of the world’s population and many people are unable to obtain treatment. One method of treating chronic kidney disease is by dialysis. The diagram shows how kidney dialysis is done.
During dialysis, blood is taken from an artery in the arm and is pumped through a dialyser. In the dialyser, the blood passes through a long, coiled dialysis tube made of a thin partially permeable membrane. The tube is surrounded by dialysis fluid. The dialysis fluid contains glucose and ions at concentrations normally found in blood plasma, but does not contain urea. The urea passes from the blood into the dialysis fluid. The temperature in the dialyser is kept at 40C. After passing through the dialyser, the blood is returned to a vein in the arm. Kidney dialysis can take up to three hours and must be done three times a week.
Scientists have now designed a new bioartificial kidney. This artificial kidney is a combination of engineering and living cells. This artificial kidney has a haemofilter made from artificial membranes that filter the blood. The substances filtered out of the blood then pass through a device called a bioreactor. This bioreactor absorbs useful substances back into the blood. The bioreactor is made of living nephron cells that are grown from stem cells. These cells are separated from the patient’s blood by a silicon membrane to prevent the immune system rejecting them. Bioartificial kidneys are the same size as a human kidney and will be fitted inside the body to replace a kidney. The bioartificial kidney can react to changes in the body in the same way as a normal kidney.
In 2021, the world’s population was 7 900 000 000.
Calculate the number of people in the world who have chronic kidney disease (Lines 1 and 2).
Give your answer in standard form.
(2)
Urea is an excretory product that is released by the kidneys.
Give the name of an excretory product that is released by the lungs.
(1)
Explain two ways that the dialyser is designed to increase the rate of removal of urea from the blood (Lines 5 to 11).
(4)
The haemofilter in the bioartificial kidney filters the blood (Lines 13 and 14).
Where does ultrafiltration occur in a nephron?
(1)
The cells in the bioreactor absorb glucose from the filtrate in a way that is similar to the cells in a nephron (Lines 14 to 17).
Describe how the nephron absorbs glucose back into the blood from the filtrate.
(2)
The bioartificial kidney is connected to blood vessels and to the tube that transports urine to the bladder in the same way as the human kidney.
Which row of the table is correct?
(1)
Explain how the pituitary gland and the nephron cells in the bioreactor will respond in a patient who is dehydrated (Lines 20 and 21).
(3)