288 22 84MB
English Pages 394 Year 2015
Human
Social
and
Biology
®
for
CSEC Richard
Fosbery INCLUDES
Peter
Givens
Pamela
Mark
CD
Hunte
Morris
Angela
Ramjit-Delochan
0
C
0
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835292
HSB
for
CSEC
2e
Edition
cover.indd
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a
in
a
B.1.6.9
National
Disease
14
16
18
..
20
2
4
~
t
6
8
10
(years)
Growth
Center
for
charts
Health
Prevention
12
Age
and
for
boys
Statistics
Health
in
and
16
18
20
girls
collaboration
Promotion
14
(years)
with
the
National
Center
for
(2000)
0
✔
Questions
1
A
doctor
23.
Use
calculates
the
growth
the
BMI
chart
for
for
four
boys
10-year-old
in
Figure
boys
B.1.6.9
as
and
13,
18,
T able
21
Making
and
B.1.6.4
Study
the
to
the
BMI
categories
for
the
four
girls
of
different
ages
each
have
a
13
and
16.
What
advice
would
the
BMI
of
24.
The
girls’
ages
the
answer
by
reference
to
the
doctor
growth
3
T able
Suggest
to
summarise
malnutrition
the
form
give
to
the
girls?
chart
for
girls
in
Figure
effects
to
of
will
all
help
on
the
malnutrition
body.
include
the
vitamin
Don’t
and
Explain deciencies
from
Unit
B.1
B.1.6.9 (pages
and
of
are
mineral
your
table
match
forget
10,
tip
boys.
with Three
a
forms
you determine
2
overeating
overweight.
BMI
kg
has
population
girls
variation
example,
and
64
and
65).
B.1.6.4.
two
ways
in
which
parents
contribute
to
their
children
becoming
overweight.
0
Talk
about
?
Discuss
The
the
with
World
Health
world’s
bulimia,
make
family,
have
friends
Organization
greatest
can
sure
your
health
very
people
eat
and
has
threats.
serious
teachers
identied
Eating
effects
on
the
the
statement
obesity
disorders,
young
epidemic
such
people.
below.
as
as
one
anorexia
What
can
be
of
and
done
to
properly? p
Figure
B.1.6.10
sedentary
energy
the
ways
content
obesity
Lack
of
…
of
life,
all
exercise,
foods
factors
with
that
high
fuel
epidemic
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Undereating
and
Nutrition
overeating
Questions
1
What
is
meant
2
Define
3
What
is
the
cause
of
kwashiorkor?
4
What
is
the
cause
of
marasmus?
5
What
causes
6
Calculate
7
Identify
8
Give
9
Describe
a
balanced
diet?
malnutrition
obesity?
the
BMI
three
three
Discuss
uses
of
is
man
of
1.73 m,
who
with
associated
weighs
70 kg.
obesity.
BMI.
the
dietary
advice
a
nutritionist
might
give
to
an
obese.
health
the
a
explain
who
Caribbean
for
diseases
and
individual
10
by
risks
countries
associated
with
overeating,
especially
in
the
today.
Summary
Nutrition
●
A
balanced
out.
Energy
and
fats.
cells
●
The
is
The
and
provides
provided
diet
tissues,
essential
●
diet
fatty
must
in
acids
Vitamin
A
gums,
water;
is
also
for
are
provide
essential
making
for
for
B
energy
A,
D,
vision,
for
all
macronutrients
cell
vitamins
vitamins
needed
vitamin
the
including
micronutrients
soluble
enough
by
molecules
acids
minerals.
and
K
vitamin
respiration,
activities
we
carbohydrates,
for
for
making
carry
proteins
building
proteins
and
membranes.
and
E
biological
amino
the
–
are
C
vitamin
for
D
Vitamins
fat
making
for
B
and
C
are
soluble.
collagen
absorbing
and
in
skin
and
depositing
1
calcium
●
T wo
for
●
bone.
minerals
that
transporting
The
q
in
table
T able
Food
need
to
oxygen,
shows
the
be
and
tests
in
the
diet
calcium
for
are
for
iron
for
making
strengthening
identifying
food
haemoglobin
bones
and
teeth.
substances:
B.1.6.5
substances
Biochemical
Proteins
Biuret
test
copper
Starch
Iodine
–
test
sodium
sulphate
in
hydroxide
solution
and
solution
potassium
iodide
solution
(iodine
solution)
Reducing
fructose,
sugars,
maltose
Non-reducing
Lipids
(fats
Vitamin
●
Water
urea
sugars,
and
glucose,
Benedict’ s
is
e.g.
sucrose
Positive
result
reacting
with
oils)
Emulsion
required
in
the
in
the
gut
by
transporting
many
other
body
as
a
hydrolysis
blood
useful
sugar,
and
as
for
the
DCPIP
test after
acid
solution
breaking
major
hormones,
waste
s Benedict’
test
solvent,
and
with
hydrochloric
Decolourising
for
and
solution
lactose
C
molecules
plasma
e.g.
and
down
food
component
carbon
dioxide,
in
blood
salts,
substances.
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Nutrition
●
●
Undereating
Dietary
The
fibre
cause
symptom
of
bacterium
in
●
the
prevents
of
many
food
leads
children
quantities
●
Body
of
in
to
in
against
the
including
bowel
diet.
food
poisoning
cancer.
Diarrhoea
poisoning
is
but
in
a
Anorexia
often
is
by
poor
it
by
variety
and
with
of
with
are
a
the
hygiene
dividing
T wo
result
of
or
are
disorders
their
even
as
young
extremes
reduce
such
body
the
lack
mostly
eating
normal
measures,
by
affects
anorexia
eat
is
complete
ways.
bulimia
bulimia
extreme
calculated
Obesity
A
malnutrition
People
people
is
required.
energy
women.
lose
(BMI)
undernutrition.
than
starvation
young
food
fibre
food
and
food
Protein
marasmus.
index
of
protects
of
disorders
overeating
considerably;
mass
and
lack
cause
energy
respond
and
mainly
intake
The
the
overeating
food.
starvation.
who
affect
food
more
to
kwashiorkor
that
of
includes
consuming
is
intestinal
Salmonella.
preparation
Malnutrition
of
constipation
constipation
and
large
vomiting.
mass
in
kilograms
2
by
●
(height
The
first
in
set
permanent
into
●
food
Each
The
the
●
such
of
on
activities
Regular
are
speed
the
in
These
are
molars
is
are
replaced
incisors
that
enamel
pulp
tooth
chew
that
cavity
above
full
the
and
food
a
cells,
gum,
the
that
bite
(mastication).
covers
of
by
canines
softer
blood
the
root
dentine.
vessels
is
the
and
part
of
bone.
feed
to
brushing
to
teeth.
teeth
hard
the
leading
as
of
and
is
teeth
visits
the
water
proteins
up
As
the
on
sugar
tooth
teeth
and
at
least
are
convert
Decay
decay.
dentist
catalysed
such
as
twice
a
essential
it
to
can
day
in
acid
be
which
breaks
prevented
and
using
identifying
by
dental
early
stages
of
affects
extends
into
over
below
or
associated
intestine
biological
without
end
of
a
catalysts
being
used
reaction
the
breakdown
triglycerides.
water
soluble
enzymes.
which
is
The
steeply
maximum
up
they
catalyse
This
of
large
food
converts
molecules
that
large,
can
be
rate
body
steeply
rate
from
of
of
reactions
low
temperatures
reaction
occurs
temperature.
because
they
After
are
at
the
37°C,
denatured
by
40°C.
enzymes.
stomach
pH
All
has
has
with
enzymes
an
an
have
optimum
optimum
enzymes
being
an
pH
pH
optimum
of
of
2.0
8.0.
denatured
and
pH.
trypsin
Activity
at
values
of
range.
consists
of
mouth,
(duodenum
(colon,
The
intestine
of
organs:
of
increase
37°C,
of
of
this
system
intestine
the
and
small
decreases
the
range
and
large
of
small
above
digestive
at
catalyse
proteins
into
activity
37°C.
into
the
The
small
to
activity
a
enzymes
enzymes
excess
secreted
secreted
pH
the
are
again.
the
enzymes
in
They
reactions
blood.
temperature
activity
Pepsin
up
cells.
unchanged
starch,
human
temperatures
pH
as
by
chemical
molecules
the
10°C
optimum
are
over
affects
by
of
system,
insoluble
T emperature
the
and
into
made
rate
they
digestive
absorbed
such
the
over
molecules
●
of
milk
with
tooth
enamel
reactions
●
the
crown
themselves.
●
covered
living
Enzymes
In
the
types
decay.
that
●
is
The
embedded
the
floss.
●
teeth
premolars
is
The
tooth
down
of
and
centre
Bacteria
of
teeth.
tooth
nerves.
metres)
and
rectum,
the
main
salivary
ileum),
regions
glands,
of
the
alimentary
oesophagus,
pancreas,
liver,
gall
canal
stomach,
bladder
and
anus).
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Undereating
and
Nutrition
overeating
●
The
mouth
moves
is
food
to
contraction.
acid
●
The
to
kill
small
surface
stores
●
Villi
lacteal
●
The
for
excess
which
acids
of
of
epithelial
digestion
the
(adipose)
Egestion
excretion
is
acids
glycerol
in
to
large
cells
are
liver
urea
is
of
has
be
and
acids
it
digestion
has
absorbs
the
a
very
muscular
by
of
by
blood
to
water
and
defecation.
increase
capillaries
protein.
large
remaining
anus
which
many
of
hydrochloric
the
and
one
digestion.
are
are
stored
so
into
into
in
the
the
body
liver
or
synthesised
used
excreted
recombined
waves
supplied
through
glycogen
they
as
microvilli,
villus
are
containing
well
intestine
with
oesophagus
chemical
assimilated
as
amino
the
juice
the
and
out
products
cannot
are
villi
each
stored
body;
body:
start
the
which
gastric
absorption
passed
absorption;
converted
and
The
of
to
for
many
are
transport
in
the
of
digestion,
peristalsis,
pepsin
food.
they
Glucose
amino
is
in
for
products
everywhere
●
until
by
secretes
adapted
composed
the
absorbed.
organs
and
is
absorbed
area
mechanical
stomach
bacteria
covered
surface
for
stomach
intestine
faeces
are
the
The
area
transport
adapted
are
to
after
is
into
make
through
the
into
kidneys;
and
are
proteins
plasma
deaminated
triglycerides
they
respired
in
all
proteins;
ammonia,
fatty
stored
in
fat
tissue.
is
is
the
the
removal
removal
of
of
undigested
waste
food
products
from
of
the
large
intestine;
metabolism.
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Nutrition
Practice
9
Practice
From
t he
table
below,
features
which
best
Questions
describe
Questions enzymes?
Section
1
A
Which
of
t he
following
is
a
list
of
fat
soluble
Biological
Contains
Affected
Affected
catalyst
active
by
temperature
2
A,
B
B,
C
A,
D
B,
C,
E,
D,
C,
Which
by
û
ü
ü
û
K
K
D,
pH
vitamins?
A
A
sites
E,
K
B
û
û
ü
ü
C
ü
ü
û
ü
D
ü
ü
ü
ü
D
type
of
teet h
are
responsible
for
most
of
t he KEY
mechanical
digestion
in
t he
mout h? =
ü
A
û
3
B
molars
C
canines
D
premolars
The
10
=
NO
Which
of
of
salad
which
to
your
diet
can
help
in
t he
following
is
an
example
of
a
A
cellulose
B
starch
C
glucose
D
maltose
t he
disease?
constipation
B
rickets
C
diarrhoea
D
anaemia
Section
1 4
of
monosaccharide?
addition
prevention
A
YES
incisors
The
biuret
colour
test
change
is
carried
from
out
blue
to
on
a
sample
violet
is
of
seen.
milk.
This
B
a
Define
b
Malnutrition
t he
term
which
of
t he
following
nutrients
is
can
be
diet
caused
[2]
by
undereating
and
indicates overeating.
t hat
balanced
A
i)
Complete
t he
table
below
about
under
present? nutrition.
A
sugar
B
starch
C
fat
D
protein
Nutrient
Vitamin
Deficiency
Nutrient
Disease
food
source
A
Anaemia
5
The
enzyme
amylase
is
found
in
our
digestive
tract.
Kwashiorkor
Which
pH
A
pH
9
B
pH
3
C
pH
5
D
pH
7
does
t his
enzyme
work
best
[5]
ii)
Obesity
by
is
an
Someone
t he
lacking
vitamin
C
in
t heir
diet
can
healt h
deformation
in
t he
weakness
C
night
c
Identify
Harold
bleeding
Marasmus
is
A
lack
carbohydrates
B
increased
of
a
condition
due
to
D
of
t he
two
factors
obesity.
ot her
t han
diet
t hat
can
a
[2]
chocolate
determine
if
fats
muffin
(lipids)
for
are
breakfast.
present
in
He
his
Write
a
list
of
steps
for
t he
procedure
to
test
[3]
a
Distinguish
b
Explain
between
what
excretion
happens
in
t he
and
large
egestion.
intestines
[3]
of
t he
proteins
increased
of
to
lipids.
digestive
tract
Our
are
for
t he
formation
of
faeces.
[4]
calcium cells
i) All
is
iron
c
8
which
obesity
t he:
2
lack
caused
in
gums
for
C
wit h
way
[3]
bought
to
muffin.
7
person
disease
blindness wants
D
a
a
one
bones lead
B
of
of
Describe
experience: iii)
A
example
overeating.
affected.
6
Meat
at?
following
are
conditions
related
to
List
made
t hree
up
uses
of
of
almost
water
in
70%
t he
of
water.
body.
[3]
obesity
ii)
Name
two
diseases/conditions
t hat
are
caused
except:
by A
coronar y
B
ast hma
hear t
a
lack
of
Give
t hree
conditions diabetes
D
hyper tension
in
t he
diet.
[2]
disease
iii)
C
water
signs
or
named
symptoms
in
(c)
(ii)
of
t he
above.
diseases/
[3]
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Practice
3
We
Nutrition
Questions
need
to
balanced
only
t hree
a
i)
eat
diet
a
is
balanced
made
undergo
t he
diet
of
for
us
different
to
be
healt hy.
nutrients
of
A
which
a
Name
b
What
digestion.
Complete
products
up
t he
of
following
table
t hat
are
about
t he
absorbed
c
into
What
b
[3]
d
End
product
of
is
Delroy
A
to
name
B?
D
of
on
t he
t he
diagram.
enzyme
[4]
released
by
t he
par t
[1]
t he
above?
t he
Nutrient
par ts
t he
labelled
digestion
bloodstream.
t he
is
function
of
t he
enzyme
named
in
[1]
had
blank
a
slice
spaces
of
in
fish
t he
as
par t
diagram
of
a
meal.
below
Fill
which
in
shows
digestion
stages
in
t he
digestion
of
t he
protein
in
t he
fish.
[6]
Carbohydrates
Proteins
1.
Mouth:
Teeth
crush
2.
Stomach:
Enzyme___________
Fats and
grind
smaller
ii)
Name
two
balanced
each.
b
Food
i)
and
give
a
present
food
in
source
pieces.
a
for
for
consumption
must
be
done
under
conditions.
Make
when
ii)
diet
nutrients
into
[4]
prepared
hygienic
ot her
food
a
list
Diarrhoea
infection
hygiene
two
of
4
hygienic
preparing
is
in
a
food.
condition
t he
during
gut
by
food
practices
a
caused
vir us
by
due
preparation.
signs/symptoms
to
PROTEIN
follow
[4]
of
t his
an
to
poor
Suggest
disease
and
3.
two
Small
the
measures
of
treatment
t hat
can
be
taken.
Intestines(I):
______________
enzyme
4.
juice
contains
_____________
diagram
below
shows
t he
human
alimentar y
juice
contains
the
that
polypeptides
to
__________________
peptides.
The
intestines(II):
[4] converts
4
Small
Intestinal
e
The
digested
from
the
the
materials
alimentar y
bloodstream.
allow
5
to
_____________________.
canal.
Samuel
them
ate
a
to
of
the
canal
State
absorb
hamburger
protein
through
THREE
features
digested
for
are
the
of
materials
lunch
at
absorbed
villi
and
the
into
villi
that
quickly.
[3]
school.
B
a
Name
b
Explain
teet h
two
in
major
how
his
Samuel’s
toot h
to
i)
t he
are
different
involved
brot her
for
t hey
toot h
of
present
in
his
types
in
meal.
[2]
of
mechanical
[4]
little
ac hes
dentist,
each
mout h
digestion.
c
nutrients
some
found
Keron
time.
out
has
Af ter
t hat
been
having
c hec king
Keron
had
a
wit h
cavity
a
due
decay.
Describe
t he
process
of
toot h
decay.
[5]
A
ii)
Make
a
follow
list
to
of
care
four
for
guidelines
his
teet h
for
and
Keron
prevent
to
any
D
ot her
cavities.
[4]
C
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Unit
B
The
B.2
B.2.1
The
exchange
respiratory
(gas
structure
of
the
exchange)
breathing
and
gas
system
Learning
system
By
the
end
should
Are
you
a
rst
aider?
If
you
are,
you
will
know
what
to
do
if
someone
in
an
accident
and
stops
breat hing.
You
should
also
know
of
this
able
topic
you
to:
is
●
involved
be
outcomes
explain
the
importance
of
why
breathing
breat hing
out
expired
air
into
someone
else’s
lungs
will
help
to
keep
●
t hem
alive.
This
chapter
deals
wit h
t he
impor tance
of
how
we
relate
the
breathing
and
what
happens
to
t he
oxygen
t hat
t he
trainee
rst
aiders
structures
of
system
their
the
breat he
watching
to
t he
functions
demonstration
in
t he
photograph
may
one
day
have
to
provide.
●
distinguish
breathing,
Structure
of
the
respiratory
(breathing)
between
gas
exchange
and
system respiration
Breathing
is
t he
exchange
of
surface
t he
ow
oxygen
of
and
air
in
and
carbon
out
of
dioxide
t he
by
lungs.
Gas
diffusion
at
exchange
t he
gas
is
t he
●
explain
vital
In
in
humans,
lungs
and
nasal
cavity:
small
hairs
cells
stale
dust
also
moistens
and
a
air
in
carbon
is
in
fresh,
t he
lungs,
par t
oxygen-rich
dioxide,
is
air
removed
t he
from
to
leading
capacity.
our
into
our
lungs.
of
to
tube
middle
ear
good
that
warmed
palate:
nasal
closes
opening
when
swallowing
p
Figure
B.2.1.1
demonstrates closes
A
first
mouth
aid
to
instructor
mouth
larynx
breathing when
by
respirator y
brought
Eustachian
soft
epiglottis:
meant
air;
so
is
of
is
opening
bacteria;
very
supply
inspired
rich
surface
ensures
goblet
mucus)
trap
blood
air,
exchange
which
contains
(secrete
contains
gas
system
and
is
lungs.
t he
(breat hing)
what
exchange
–
closing
the
nostrils
and
swallowing
tilting
back
the
head
of
the
model
oesophagus
larynx:
contains
vocal trachea
cords.
When
air
passes
Key over
and
them
they
speech
terms
!
vibrate
results
Breathing
bronchiole
bronchus
diaphragm
in
and
Gas left
out
of
movement
ribcage
the
exchange
to
of
the
move
air
lungs.
The
diffusion
lung
of
rib
oxygen
between
intercostal
The
and
and
air
carbon
and
blood
dioxide
in
the
lungs.
muscle
alveoli
pleurae:
which
contain
cushions
diaphragm
fluid
muscle
lungs diaphragm
when
p
breathing
Figure
B.2.1.2
breathing
A
vertical
section
through
the
head
and
thorax
showing
the
system
97
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Topic
2.indd
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16:05
The
structure
of
the
breathing
and
gas
exchange
The
The
system
terms
respiration
remember
t hat
and
breat hing
respiration
is
t he
are
respiratory
of ten
process
t hat
(gas
confused.
occurs
exchange)
You
inside
system
should
cells,
oesophagus
no
cartilage
reduce
to
t hroughout
t he
glucose
fat).
and
to
release
Breat hing
is
energy
t he
ow
from
of
air
nutrient
into
and
molecules
out
of
t he
(mostly
lungs
friction
brought with
body,
about
by
movement
of
t he
diaphragm
and
ribcage.
oesophagus
cartilage:
Breat hing
supports
trachea
is
also
in
in
is
known
t hrough
also
as
t he
known
as
expiration
mout h
inspiration
and
and/or
and
exhalation.
nose,
passes
inhalation;
Dur ing
t hrough
breat hing
inspiration
t he
t hroat
air
out
ows
and
lar ynx
lumen
and
to
inner
lining
into
end
in
dust
tiny
air ways
poc kets,
t hat
called
extends
alveoli.
into
You
t he
can
dept hs
trace
of
t his
t he
lungs
pat hway
in
B.2.1.2.
bacteria
Figures trapped;
cilia
beat
to
B.2.1.2
plus
debris
B.2.1.3
Transverse
the
B.2.1.3
t he
show
head
and
t he
str uctures
t horax
t hat
(chest).
are
The
involved
upper
in
respirator y
tract
oesophagus
as
far
as
t he
lar ynx;
t he
lower
respirator y
tract
extends
from
t he
sections
top through
wit hin
upwards
extends
Figure
and
drive
breat hing
p
air
of
epithelium;
and
mucus
system
of
Figure ciliated
a
and
of
t he
trachea
to
t he
alveoli.
Table
B.2.1.1
describes
t he
str ucture
and
the
functions
of
t he
par ts
of
t he
respirator y
tract.
trachea
q
T able
Name
Study
✔
B.2.1.1
of
part
Figures
and
T able
names
B.2.1.2
B.2.1.1
and
and
functions
of
the
human
Structure
respiratory
Function(s)
and
to
functions
learn
of
Made
the
of
nine
muscles;
B.2.1.3
Trachea
A
wide
rings
these
tube
of
pieces
contains
of
the
stiffened
cartilage
vocal
by
and
Vocal
cords
in
the
gas
vibrate
and
produce
sound
cords
C-shaped
Allows
cartilage
air
bronchi.
to
ow
from
Cartilage
C-shaped
structures
tract
tip
Larynx
Use
Structure
ring
throat
holds
allows
the
the
to
tube
open.
oesophagus
exchange behind
it
to
expand
when
it
carries
food
system. (see
Bronchi
T wo
branches
surrounded
for
Bronchioles
of
by
the
Allows
trachea
blocks
of
(singular:
thin
tubes
to
ow
in
single
branching
air
layer
surrounded
from
the
Allows
air
to
ow
between
of
by
sacs.
thin
Lined
cells
blood
Gas
by
exchange
diffuses
and
dioxide
capillaries
alveolar
mucus-secreting
goblet
The
diaphragm
out
of
of
t he
tissue;
t he
ribs
The
Ciliated
separates
t he
lungs.
it
is
to
t he
t horax
diaphragm
The
central
surrounded
t he
t he
bronchi
B.2.1.4).
by
sternum.
move
trachea,
Figure B.2.1.4
of
and
contract
Figure
out
of
each
bronchi
and
from
t he
from
occurs
air
diffuses
to
here
blood;
from
–
oxygen
carbon
blood
into
the
air
abdominal
cavity.
cell
Movements
p
and
alveoli
Blind-ending
a
air
support
Very
alveolus)
B.2.1.3)
lung
cartilage
bronchi
Alveoli
Figure
The
par t
t he
of
t hick
up
ribcage
t he
t he
and
t hat
ribs
are
is
air
is
a
to
joined
t he
ow
tough
to
t he
intercostal
into
and
brous
sheet
backbone,
muscles
t hat
down.
bronchioles
mucus-secreting
cause
diaphragm
muscle
Between
ribcage
and
and
are
cells
lined
make
by
a
ciliated
sticky
epit helium
mucus
t hat
(see
covers
epithelium
t he
to
epit helium.
t he
mucus.
mucus
ver y
air
along
Gas
from
of
par ticles
cilia
beat
air ways
way
to
of
back
and
towards
protect
t he
dust,
t he
pollen,
for t h
in
t hroat.
lungs
bacteria
a
coordinated
This
against
and
vir uses
way
epit helium
damage
from
to
stick
move
provides
par ticles
a
in
t he
infection.
exchange
Sections
full
The
t he
effective
and
Small
t hrough
air.
Lung
t he
tissue
lungs
is
like
ver y
t he
one
spongy
in
and
Figure
most
of
B.2.1.5
what
show
you
t he
can
lungs
see
as
lling
98
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16:05
The
t he
respiratory
upper
t heir
can
par t
ver y
right,
widen
of
when
t he
allow
you
system
photograph
There
folded
blood
a
you
are
air
to
sections
two
internal
more
are
The
linings
reach
t hrough
bronchioles
t he
so
at
during
alveoli.
t he
t he
deep
The
alveoli
bottom
‘tube’
of
the
breathing
t his
fairly
t he
alveoli
constant
breat he
of
process
direction.
oxygen
t hat
it
in,
air
out
oxygen
oxygen
around
The
t hat
has
Follow
so
t hat
enter ing
t he
t he
concentration
alveoli
and
t he
blood
it
can
t he
air
of
a
inside
is
oxygen
alveoli
recoil
t hat
of
makes
little
to
occurs
air
in
carbon
into
t he
t he
is
constantly
and
carbon
t hem
help
exchange
and
t hey
a
cross
refreshed
out
a
bit;
some
of
owing
lungs
t hrough
and
enters
t he
carbon
all
t he
has
about
blood
dioxide
t he
in
70%
carries
blood
t he
of
opposite
t he
carbon
total
dioxide
tissue.
in
owing
During
into
diffuses
respiring
capillar y
time.
Figure
passed
B.2.1.6.
t he
alveolus.
p
is
blood
t hat
has
been
pumped
by
t he
hear t
to
t he
Figure
Oxygen
dissolves
in
t he
lm
of
water
lining
t he
B.2.1.5
alveolus.
and
tissue
showing
transverse
bronchioles
Oxygen
diffuses
gradient
t he
cells
plasma,
down
t hrough
t hat
and
line
t he
its
alveolar
sections
and
a
blood
through
vessel
cells
t he
capillar y,
lining
surface
t he
t he
blood
Oxygen
two
(x18)
alveolus,
blood
membrane
of
t he red
red
of
tissue
concentration
t he
cell
Photomicrograph
lungs.
lung
4
system
dioxide.
enlarge
push
alveolus
dioxide
deoxygenated
oxygen
blood
t he
and
ows
This
while
dioxide
from
alveolus
carr y.
pat hway
Deoxygenated
carbon
diffuses
absorbed
t he
This
3
gas
vessel.
breat he
capillaries
2
and
wit h
lef t
breat hing
t hird
structure
air.
Exchange
1
t he
ventilates
achieve
When
exchange)
linings.
have
to
a
Breat hing
to
of
t hin
which
section
(gas
blood
cell
cell.
combines
temporar ily
wit h
capillar y
haemoglobin
to
for m
oxyhaemoglobin.
The
movement
oxygen
red
blood
cell
transpor ts
oxygen
to
5
in
Blood
t he
is
alveolus
body.
now
movement
carbon
of
dioxide
respir ing the
cells
of
into
out
of
the
alveolus
fully
saturated
wit h
oxygen
2
and 4
ows
into
a
vein
t hat
takes
blood
from
diusion
t he
oxygen
3
lungs
back
to
t he
of
into
diusion
the
blood
carbon
from
Features
of
gas
of
hear t.
exchange
dioxide
the
blood
surfaces
cells
The
alveoli
share
t he
following
lining
the
characteristics alveolus
wit h
t he
gas
exchange
surfaces
of
ot her
ver tebrate
animals.
●
A
ver y
space
large
for
surface
molecules
area
of
so
t here
carbon
is
plenty
dioxide
of
and
p
oxygen
t hese
●
A
to
diffuse
gases
ver y
t hat
good
oxygen
and
–
are
blood
t his
maximises
exchanged
supply
carbon
to
dioxide
t he
volumes
between
maintain
between
air
and
blood
B.2.1.6
Gas
exchange
in
an
alveolus
blood.
concentration
t he
Figure
of
and
gradients
t he
air
in
for
t he
alveoli.
Key
term
! ●
A
lining
A
t hin
t hat
is
permeable
to
oxygen
and
carbon
dioxide.
Deoxygenated ●
lining,
so
t here
is
a
shor t
distance
for
t he
molecules
to
has
The
lining
of
the
alveoli
is
made
of
ver y
thin
cells
that
are
similar
to
the
cells
about
blood
it
dioxide
that
line
capillaries.
These
two
layers
of
thin
cells
separate
air
blood
Blood
that
diffuse.
from
70%
can
than
of
carry
is
in
the
and
maximum
more
carbon
oxygenated
blood.
blood.
99
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Topic
2.indd
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16:05
The
structure
of
the
breathing
and
gas
exchange
The
The
effect
of
gas
composition
from
Table
q
The
system
t he
of
t he
composition
B.2.1.2
T able
exchange
shows
B.2.1.2
air
of
t hese
of
Inspired
Oxygen
21
dioxide
Nitrogen
Water
%
%
vapour
alveoli
you
air
breat he
t hat
you
inspired
and
the
out
exchange)
composition
(expired
breat he
expired
air
in
air)
of
system
the
air
differs
(inspired
air).
air
Expired
air
16
0.04
4
79
79
Variable
(depends
on
the
Saturated
humidity)
with
evaporated
T emperature
Variable
Warm
Purity
Variable
Most
Practical
to
on
(gas
differences.
Component
Carbon
the
t hat
t he
Comparison
%
in
respiratory
dust
water
from
the
particles
vapour
lining
of
that
the
has
airways
removed
Activity
disinfected
Showing
that
expired
air
contains
more
carbon
dioxide
than
inspired
air
mouthpiece
Requirements
●
apparatus
●
lime
●
dilute
Lime
lime
p
Figure
B.2.1.7
apparatus
for
inspired
and
The
of
shown
in
Figure
B.2.1.7
two
●
solution
water
pieces
sign
turns
of
disinfectant
milky
when
eye
●
carbon
dioxide
is
(+)
of
paper
drawn
on
with
each
a
plus
one
protection
passed
into
it.
water
‘huff
and
carbon
expired
1
Sterilise
2
Put
3
With
a
a
clip
mouthpiece
on
your
and
nose
or
attach
hold
it
to
your
the
nose
apparatus
with
your
on
the
apparatus.
fingers.
puff’
comparing
concentrations
as
water
dioxide
your
several
in
mouth
over
the
mouthpiece,
breathe
gently
in
and
out
times.
air
4
In
Observe
which
ask,
breathing
6
Clean
and
A
until
out
or
B,
B
as
does
asks
pieces
you
the
have
apparatus
the
steps
to
breathe
to
disappear
and
2,
in
of
Douglas
are
shown
out
in
The
student
and
the
the
the
into
the
breathe.
lime
water
turned
and
refill
paper
it
with
turn
milky
rst?
Y ou
can
continue
milky.
with
the
limewater,
crosses
sterilise
drawn
on
the
mouthpiece
them
underneath
used
an
4,
but
this
time
mouthpiece.
tubes
results
A
and
you
start
Time
a
timer
how
as
long
it
soon
takes
as
for
you
the
start
cross
B.
obtain.
1
air
to
collect
empty
samples
Douglas
bag.
of
air.
The
In
bag
an
investigation,
was
tted
with
a
student
ow
valves
diagram.
breathed
volume
the
skills
of
bags
and
both
explain
Composition
breathed
3
through
Maths
as
and
flasks.
Repeat
Record
A
both
the
place
both
7
flasks
of
air
out
four
inside
in
times
the
into
bag
the
was
bag.
The
measured.
bag
A
was
sealed
sample
of
air
100
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Topic
2.indd
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16:05
The
respiratory
from
the
bag
(gas
was
exchange)
analysed
system
for
the
The
composition
of
oxygen,
structure
of
the
breathing
and
gas
exchange
carbon atmospheric
dioxide
and
system
air
nitrogen.
valve
The
the
student
then
exercise,
the
did
some
student
vigorous
repeated
exercise
the
for
5
procedure
minutes.
to
collect
Immediately
a
second
after
sample valve
of
air.
The
In
both
results
cases
of
the
his
breathing
investigation
rates
are
was
shown
12
in
breaths
T able
per
minute.
air
bag
B.2.1.3.
of
q
T able
breathed
B.2.1.3
for
collection
breathed
breathed
Sample
of
exercise
out
out
air
air
air
p Before
out
After
Figure
B.2.1.8
This
student
is
filling
a
exercise
Douglas
bag
with
expired
air
3
Volume
of
air/cm
2000
15 000
3
Mean
volume
of
air
per
Percentage
of
oxygen
Percentage
of
carbon
Percentage
of
nitrogen
1
Calculate
the
2
Calculate
the
Douglas
3
The
4
air
Calculate
Use
figures
samples
to
15.3
3.6
5.5
74.9
74.7
in
the
air
into
table
the
per
in
breath
the
compared
the
student’s
the
calculate
of
change
exercise
moved
volume.
the
volume
percentage
after
of
500
17.2
dioxide
mean
bag
volume
breath/cm
for
minute
the
volume
volume
with
lungs
after
in
of
air
collected
in
the
before.
1
minute
volume
percentage
of
exercise.
oxygen
is
called
before
of
and
oxygen
absorbed
by
the
after
in
the
the
minute
exercise.
two
student
in
3
dm
5
per
minute
Calculate
the
before
volume
and
of
after
carbon
exercise.
dioxide
breathed
out
by
the
student
in
3
dm
In
a
the
per
separate
air
he
alveolar
●
air
those
Vital
air
B.2.1.9
is
the
This
exercise.
student
air
is
carbon
●
the
percentages
rst
out
you
is
as
in
sample
much
as
have
using
capacity
in
not
and
t he
air
much
just
a
is
breat hing
move
It
14%
the
breat hing
af ter
out.
after
from
collected
the
only
alveoli.
the
The
very
last
part
composition
of
of
his
of
of
dioxide
oxygen
expired
air
5.6%
and
that
carbon
he
nitrogen
●
dioxide
are
80.4%
different
from
collected.
capacity
Breat he
Vit al
and
was:
why
in
before
investigation,
breathed
oxygen
Explain
The
minute
t he
out
tot al
to
can.
you
your
is
lungs
volume
of
take
a
ver y
Now
breat he
is
your
vital
her
vital
out
record
This
Now
can.
maximum
fully.
of
you
as
breat hed
meter
in
as
air
volume
t he
breat h
hard
capacity.
of
air
of
t hat
air
breat hing
lungs
as
as
The
by
you
girl
in
can.
Figure
capacity.
volume
when
your
deep
out
because
can
t hat
as
be
deeply
you
exhaled
you
can
can
as
possible.
never
breat he
3
out
all
alveoli
It
is
to
a
t he
air.
There
is
always
about
1
dm
remaining
to
keep
your
inated.
possible
band
volume
to
record
around
of
your
p
your
your
chest
breat hing
chest.
are
As
you
recorded
movements
breat he
on
a
in
char t
by
and
attaching
out
(Figure
t he
a
Figure
B.2.1.9
Measuring
vital
capacity
sensor
changes
in
B.2.1.10).
101
835292
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Topic
2.indd
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16:05
The
structure
of
the
breathing
and
gas
exchange
Yo u
The
system
can
see
from
t he
Figure
B.2.1.10
respiratory
t h at
t he
(gas
p er so n
exchange)
b reat h ed
in
system
and
ou t
3
about
50 0 cm
while
breat hing
n o r mally
(t h is
volume
is
3
1
as
t he
3
dm
tidal
volume)
and
t h ey
3
Note:
It
is
age.
p
kn own
Figure
B.2.1.10
movements
Volume
recorded
of
over
a
vit al
c apac it y
of
50 0 0 c m
3
1dm
=
possible
Such
h ave
1000
to
cm
predict
calculators
a
person’s
are
vital
available
as
capacity
based
on
t heir
height
and
apps.
chest
time
Practical
Measuring
tidal
Activity
volume
and
vital
capacity
Requirements
3
bell
jar
plastic
(or
large
●
bell
jar
●
a
●
three
1
Set
marked
in
dm
trough
●
tubing
●
dilute
solution
of
disinfectant
wedges
up
the
apparatus
as
shown
above,
ensuring
that
the
water
level
is
on
container)
the
scale.
Sterilise
the
mouthpiece.
3
volume
scale /dm
2
Record
the
initial
3
T ake
4
Measure
5
This
6
Repeat
steps
volume
can
volume.
blow
a
deep
breath
then
breathe
out
fully
through
the
mouthpiece.
here
the
decrease
in
volume
in
the
bell
jar.
tubing
3
connected
to
is
your
vital
capacity
in
dm
disinfected
water mouthpiece
wedge
free
of
to
to
4,
only
this
time
exhale
normally,
so
that
the
tidal
be
measured.
water
Ask
p
1
allow
circulation
Figure
B.2.1.11
measuring
vital
Apparatus
capacity
for
and
other
capacity
students
and
tidal
in
your
class
volumes.
to
Use
use
an
the
app
to
apparatus
predict
to
their
measure
vital
their
capacity
vital
and
see
tidal
how
many
match
the
predictions.
Now
try
Maths
skills
2.
volume
Maths
Is
there
a
correlation
Researchers
referred
to
age;
sample
q
of
T able
BMI
calculated
they
correlation
in
the
a
the
BMI
people
vital
North
determined
between
the
2
between
measured
hospitals
researchers
and
skills
BMI
and
vital
capacities
American
predicted
the
and
BMI
of
vital
are
over
for
person
vital
300
lung
capacity
each
predicted
investigated
of
city
capacity?
from
to
in
each
see
capacity.
shown
people
function
T able
if
The
who
were
tests.
The
person’s
there
is
results
height
any
for
a
small
B.2.1.4.
B.2.1.4
Vital
of
capacity/%
BMI
predicted
Vital
of
capacity/%
BMI
predicted
Vital
of
capacity/%
predicted
50
61
35
95
20
96
56
75
30
85
22
130
45
90
31
98
52
77
42
84
25
82
27
92
43
102
24
110
38
75
1
Describe
2
Plot
how
these
the
results
researchers
on
a
calculated
scattergraph
with
the
BMI
BMI
on
of
the
each
person.
horizontal
axis.
102
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Unit
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Topic
2.indd
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16:05
The
respiratory
(gas
exchange)
system
The
breathing
mechanism
a 2
3
Do
you
the
think
there
evidence
for
is
a
your
correlation
between
BMI
and
vital
capacity?
Give
answer.
3
Suggest
the
limitations
5
Suggest
the
problems
of
the
that
information
people
with
a
in
T able
high
md / ria
4
B.2.1.4.
BMI
might
have
with
their
fo
1
emulov
breathing.
Questions 0
0
1
Refer
to
Figures
B.2.1.2
and
B.2.1.5
to
list
the
pathway
taken
by
10
20
30
40
50
60
a time / s
molecule
of
oxygen
from
the
atmosphere
to
the
gas
exchange
surface. b 2
2
Refer
gas
to
Figure
exchange
B.2.1.6
in
the
to
list
the
route
taken
by
carbon
dioxide
during
lungs. 3
Refer
to
are
4
What
the
5
Distinguish
6
Some
adapted
role
of
the
between
students
and
for
B.2.1.6
gas
in
the
exchange
investigated
describe
three
ways
in
which
exchange.
cartilage
gas
to
the
trachea
and
and
in
the
1
emulov
is
well
B.2.1.5
fo
alveoli
Figures
md / ria
3
bronchi?
breathing.
breathing
of
a
16-year
old
male
athlete. 0
Figure
B.2.1.12a
shows
his
pattern
of
breathing
for
a
minute
0
when
10
20
30
40
50
60
time / s
resting.
took
Figure
some
B.2.1.12b
shows
the
pattern
of
his
breathing
while
he
exercise.
p
Figure
of
a
Make
a
table
to
compare
his
breathing
at
rest
and
during
a
●
●
●
b
in
the
volume
the
rate
the
volume
of
of
the
breathing
when
The
air
breathed
breathing
Calculate
B.2.2
air
in
percentage
he
in
takes
with
breaths
breathed
in
each
per
resting
change
in
a
breat hing
each
of
Include
these
your
aspects
answers
of
in
exchange
1
minute
while
1
minute
exercising
table.
mechanism
Learning
the
end
outcomes
of
this
topic
you
breathing
mechanism
of
b
his
the
ensures
t hat
t he
air
in
t he
alveoli
is
refreshed
gases
in
t he
lungs
continues
be
able
to:
so ●
t hat
patterns
a
minute.
should
The
athlete;
breath
By
of
breathing
minute
during
exercise.
breathing
Mechanism
The
male
table:
the
of
old
exercise. while
Include
B.2.1.12
16-year
describe
the
breathing
efciently.
mechanism
Movement
high
of
pressure
air
during
region
to
breathing
a
low
depends
pressure
on
region.
the
Air
fact
is
that
air
breathed
moves
in
from
a
●
outline
the
when
than
our
chests
expand.
atmospheric
This
pressure
so
makes
that
the
air
is
pressure
pushed
of
by
air
the
inside
higher
the
our
lungs
pressure
less
●
rate
explain
of
lungs.
This
so
Air
makes
that
is
the
some
of
breathed
pressure
the
air
out
(expiration)
inside
is
our
pushed
chests
out
by
when
we
greater
the
compress
than
higher
affecting
our
breathing
rescue
breathing
into (artificial
our
factors
(inspiration)
resuscitation).
chests.
atmospheric
pressure
pressure.
Inspiration
During
inspiration
backbone,
par t
made
t he
of
t he
lower
tough
muscles
ribs
and
brous
of
t he
t he
diaphragm
sternum
tissue.
The
t hat
contract
external
connect
and
atten
intercostal
to
t he
t he
muscles
central
contract
103
835292
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HSB
Unit
B
Topic
2.indd
103
08/01/2015
16:05
The
breathing
The
mechanism
and
t he
internal
outwards.
These
decreasing
is
greater
air ways
During
●
t he
t han
air
pressure
t he
inating
muscles
air
t he
relax.
increase
inside
pressure
t he
of
The
t he
ribcage
volume
lungs.
inside
Now
lungs,
moves
inside
t he
so
exchange)
t he
upwards
chest
moves
into
and
(t horax),
atmospheric
air
system
pressure
t he
lungs.
external
muscles
contract
intercostal
muscles
to
move
contract
passage passage
t he
(gas
inspiration:
diaphragm
●
intercostal
movements
respiratory
of
t he
to
diaphragm
move
t he
down
ribcage
up
and
out.
air
air
trachea trachea
external
external
intercostal
intercostal
muscles muscles
relax
contract
ribs
move
and
out
up
ribs
move
and
in
down
lungs
lungs
ribcage ribcage
diaphragm
the
volume
the
chest
the
volume
the
chest
of
of
cavity
cavity
diaphragm
decreases increases
contracts
and
diaphragm
relaxes
and
diaphragm
moves
upwards
down
front front
p
view
Figure
during
rib
cage
up
chest
side
B.2.2.1(a)
breathing
Movement
of
the
of
rib
cage
and
down
moves
diaphragm
diaphragm
thorax
volume
increases
and
the
ribcage
down
moves
view
of
chest
p
Figure
B.2.2.1(b)
breathing
Movement
of
the
diaphragm
and
the
ribcage
out
up
of
thorax
t he
expiration
abdomen
shape.
The
t he
diaphragm
pushes
internal
t he
muscles
central
intercostal
relax
brous
muscles
and
tissue
contract
t he
pressure
upwards
and
t he
into
a
exer ted
dome
external
decreases
These
of
side
Expiration
intercostal
volume
chest
inwards
by
of
of
chest
During
volume
view
during
out
moves
view
in
moves
and
diaphragm
of
bulges
lungs
volume
increases
of
lungs
muscles
movements
pressure
inside
relax
so
decrease
t he
lungs.
t he
t he
The
ribcage
moves
volume
inside
elastic
tissue
downwards
t he
t horax,
around
t he
and
inwards.
increasing
alveoli
recoils
t he
air
and
decreases
t his
helps
to
force
air
out
of
t he
lungs.
Note that the diaphragm muscles and intercostal muscles are used together air
pressure
in
lungs
air
decreases
pressure
in
lungs
when you breathe in and out. Sometimes when breathing with shallow breaths
increases
you can just use your diaphragm and the intercostal muscles are not used at all.
The air
flows
into
the
breathing
p
Figure
lungs
air
IN
flows
out
of
breathing
B.2.2.2
Flow
charts
the
breathing
Tr y
OUT
happens
breathing
during
breathing
out
is
summarised
in
the
ow
charts
in
Figure
B.2.2.2.
this
yourself
showing
Making what
mechanism
lungs
in
a
model
of
the
breathing
mechanism
and
Requirements
●
2
balloons
●
a
clear
●
a
pair
1
Cut
the
plastic
of
off
for
a
one-lung
water
model
bottle
(without
cap)
●
a
thumbtack
●
sticky
tape
or
masking
tape
scissors
the
balloon
part
is
of
the
going
to
balloon
be
the
with
the
hole
diaphragm
in
for
blowing
your
into.
The
rest
of
model.
104
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HSB
Unit
B
Topic
2.indd
104
08/01/2015
16:05
The
respiratory
2
Use
of
3
the
the
the
in
exchange)
thumbtack
water
Cover
stays
(gas
to
system
make
a
The
small
hole
about
3
mm
wide
in
the
breathing
mechanism
bottom
bottle.
bottom
place
of
you
the
can
water
fix
it
bottle
with
with
the
balloon.
T o
make
sure
it
tape. balloon
4
Put
the
around
the
of
second
the
top.
the
rim
Y ou
balloon
of
can
the
use
inside
bottle
more
the
so
bottle.
the
sticky
Fold
balloon
tape
to
the
hangs
hold
top
of
into
the
the
the
balloon
bottle
balloon
onto
from
the
rim
bottle.
plastic
5
Now
use
your
model
to
show
what
happens
to
the
lungs
during
drinks
breathing bottle
in
6
and
breathing
Match
a
the
Which
out.
structures
parts
between
are
the
of
your
respiratory
represented
bottle
and
the
by:
the
system
bottle,
balloon,
the
to
the
the
parts
balloon,
of
the
the
model.
space
balloon
diaphragm?
cut
b
Which
c
What
in
7
Use
T ake
some
we
Y ou
can
some
respiratory
with
your
system
model
as
a
are
not
way
of
represented
in
demonstrating
the
the
make
and
to
teach
a
artist
two-lung
tubing.
be
to
to
The
secured
someone
show
draw
by
model
an
air
how
for
plastic
else
in
a
tubing
tight
your
much
us
with
in
better
Figure
Y -
or
a
must
seal.
family
your
how
we
model
breathing
p
Figure
brain
brain
of
exercise
detects
each
changes
of
t he
time
integrates
determines
inuences
●
A
one-lung
model
to
breathe
is
than
the
B.2.2.3.
T -shaped
t
inside
Modelling
connector
the
clay
opening
could
be
and
of
the
used
on
in
blood
breathing
t he
and
oxygen
t he
and
extent
carbon
to
which
t he
Study
✔
dioxide
you
breat he
in
and
out.
The
lungs
breat hing
t he
our
in
an
an
increase
increase
increase
t he
information
and
rate
of
from
inside
breat hing.
and
outside
Exercise
is
one
t he
body
factor
effects
in
in
in
of
exercise
breat hing
t he
dept h
t he
on
breat hing
and
t hat
minute
information
make
happens
a
table
to
breathing
in
this
in
the
showing
following
and
chapter
what
during
breathing
●
diaphragm
●
intercostal
●
ribcage
●
volume
of
thorax
●
volume
of
lungs
●
air
●
movement
out:
muscles
are:
rate
of
the
t he
breat hing.
shor t-term
an
all
dept h
tip
are
centre
to
●
we
breathe.
Use
stretched
●
B.2.2.3
how
this.
concentrations
The
top
model?
show
photographs
asked
Effects
The
the
wrong
model
plastic
bottle
for
is
of
humans?
the
one
parts
with
off
breat hing
volume
(volume
of
air
breat hed
in
during
pressure
in
the
lungs
a of
air
in
the
airways
minute)
●
an
increase
Regular
exercise
physiology.
●
●
●
in
t he
also
These
an
increase
an
expansion
an
increase
diaphragm
in
in
amount
has
of
carbon
long-term
dioxide
benecial
in
expired
effects
on
air.
t he
body’s
include:
t he
of
number
t he
size
of
capillaries
in
t he
lungs
alveoli
and
strengt h
of
t he
intercostal
muscles
and
muscles.
105
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CSEC
HSB
Unit
B
Topic
2.indd
105
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16:05
The
breathing
The
mechanism
Other
factors
that
affect
respiratory
(gas
exchange)
system
breathing
Drugs
Some
dr ugs,
breat hing.
e.g.
amphetamines,
Ot hers
are
are
depressants
stimulants
and
have
and
t he
speed
opposite
up
t he
rate
of
effect.
Anxiety
If
we
are
frightened
increase
needs
our
to
be
adrenaline
removed.
and
t his
Environmental
You
may
and
t here
increase
brain
to
have
is
in
or
breat hing
worried
as
about
more
This
is
because
increases
somet hing,
oxygen
t he
is
needed
when
rate
of
t hen
and
anxious
t his
is
more
we
likely
carbon
tend
to
to
dioxide
secrete
more
respiration.
factors
noticed
little
carbon
increase
t hat
if
you
ventilation
dioxide
t he
are
t hat
in
you
a
small
star t
concentrations
breat hing
rate
and
room
wit h
yawning.
in
also
t he
to
This
air.
This
ot her
is
t he
people
effect
stimulates
of
an
t he
yawn.
Altitude
As
you
move
up
concentration
g round
t his,
about
t he
level
our
limit
is
at
2250
is
and
metres
for
difculties
mountain
t here
dept h
5500
a
remains
less
rate
to
above
air
but
oxygen
pressure
as
in
50%
live.
sea
less
People
when
t he
t he
breat hing
is
breat hing
metres
t he
21%,
of
t here
humans
in
at
decreases.
air
air
is
muc h
breat hed
increases.
oxygen
At
t han
used
to
living
to
cities
in.
ver y
at
travelling
The
In
at
at
to
altitudes
level.
sea
t han
response
high
sea
like
oxygen
t hinner
This
level
is
of
about
exper ience
Mexico
City,
whic h
level.
Weight
Excess
weight
because
it
is
can
cause
difcult
for
people
t he
to
become
diaphragm
to
breat hless.
move
This
down
is
mainly
properly.
Sleep
This
at
will
reduce
Fresh
This
air
breat hing
rate
as
ver y
rate
as
t he
little
carbon
dioxide
is
produced
will
environment
reduce
Effective
Sometimes
gas
‘t he
kiss
During
in
is
t he
of
who
has
had
To
sensitive
exchange
to
lack
accident
of
to
oxygen
wit hin
called
will
breat hing.
organs
for
a
level
be
low.
resuscitation)
stops
damage
begin
(once
dioxide
(articial
prevent
must
breat hing
an
carbon
its
few
–
own
This
slows
especially
t he
respiration
minutes.
mout h-to-mout h
This
–
can
be
resuscitation
life’).
breat hing
person.
This
breat hing
t hemselves
perform
breathing
lungs.
ver y
rescue
rescue
injured
Rescue
by
breat hing
person
gaseous
achieved
for
a
which
efcient
t he
rescue
exchange
brain,
or
t he
rest.
rescue
should
again
air
is
moved
substitutes
or
be
into
t he
continued
until
breat hing
for
aid
from
successfully
and
out
person’s
until
a
t he
t he
should
lungs
of
breat hing
person
breat hing
you
of
own
begins
machine
follow
is
t he
t he
movements.
to
breat he
available.
steps
To
below.
106
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HSB
Unit
B
Topic
2.indd
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16:05
The
respiratory
(gas
exchange)
1
Lift
the
Pinch
the
hand,
lower
This
the
the
the
The
nostrils
shut
with
the
fingers
breathing
mechanism
of
chin one
Tilt
system
will
air
then
jaw
tilt
the
forward
force
the
head
so
back
the
tongue
chin
and
juts
forward
push
out.
and
open
passages.
head
backward
2
Take
your
a
deep
mouth
against
the
breath,
and
seal
person’s
then
your
open
lips
mouth.
3 Breathe
out
firmly
but
Lift
the
person’s
your
mouth
to
look
into
the
at
off,
then
person’s
turn
your
chest.
If
head
you
so
have
successful
you
will
see
that
it
has
risen
lungs.
and
4
is
now
Repeat
The
Figure
B.2.2.4
Step
1:
Lie
t he
Step
2:
Place
Rescue
injured
one
gently
steps
t he
2
as
air
and
colour
comes
3
at
a
should
breathing
out
steady
of
start
lungs.
rate.
improve
should
the
up
and
again.
breathing
person
hand
tilt
falling
person’s
eventually
p
the
and
been so
mouth
gently
as into
on
on
top
head
of
t heir
t he
back.
head,
backwards
to
two
open
ngers
t he
air
under
t he
chin
and
passageway.
Step 3: Push the chin up to lift the tongue and search for and remove any
debris (including false teeth) in the mouth.
Step
4:
Pinch
t he
nostrils
of
t he
injured
person,
take
a
deep
breat h,
seal
t he
p
Figure
chest
mout h
wit h
your
lips
and
breat he
out
B.2.2.5
is
rising
Checking
and
falling
to
see
during
if
the
rescue
deeply. breathing
Step
5:
Repeat
Step
6:
Check
twice.
t hat
indicates
Step
7:
Check
etc.
for
for
for
Step
8:
signs
When
of
t he
position
of
of
If
yes,
a
rate
circulation
person
(see
injured
breat hs
circulation,
circulation
(at
t he
rescue
seconds.
of
compressions
for
chest
t he
signs
ten
signs
t he
t hat
is
Figure
of
e.g.
give
ever y
10
per
is
rising
effective
colour,
breat hs
minute.
100
ever y
person
are
If
and
per
minute
give
to
This
B.2.2.5).
swallowing,
and
cycles
two
falling.
Figure
movement,
no,
minute)
(see
of
check
15
breat hs
chest
and
check
minute.
breat hing
normally,
put
t hem
into
t he
recover y
p
B.2.2.6).
Figure
put
NB
It
is
essential
t hat
an
ambulance
and
medical
help
are
B.2.2.6
into
the
The
person
recovery
should
position
be
when
called. they
are
breathing
normally
107
835292
CSEC
HSB
Unit
B
Topic
2.indd
107
08/01/2015
16:05
The
Smoking
respiratory
(gas
exchange)
system
Questions
1
The
diaphragm
During
the
forced
2
a
State
5500
3
State
4
How
By
the
end
should
●
be
of
this
able
outline
why
topic
you
of
is
so
●
volume
percentage
b
you
the
the
other
why
than
the
used
for
muscles
thorax?
b
of
breathing
altitude,
the
that
biological
As
at
difficult
result,
affect
principle
an
at
breathing.
contract,
a
pressure
oxygen
is
gentle
also
diaphragm.
concentration
explain
aid
of
are
abdominal
against
Explain
factors,
first
smoke
constituents
smoking
the
the
up
muscles
in
the
will
lungs?
altitude
that
pushing
what
of
altitude.
breathing.
of
rescue
breathing
to
a
volunteers?
Smoking
Cigarette
to:
the
would
B.2.3
outcomes
a
organs
metres.
five
group
Learning
to:
intercostal
expiration,
abdominal
happen
and
nicotine
has
over
4000
substances
in
it.
The
impor tant
are:
–
t he
dr ug
in
tobacco
t hat
is
absorbed
into
t he
blood
addictive ●
●
explain
the
damage
carbon
monoxide
–
a
gas
produced
when
substances
do
not
burn
that
efciently smoking
●
explain
causes
the
monoxide
to
effect
on
the
the
of
lungs
●
carbon
tar
●
●
black
the
effects
on
carcinogens
Tobacco
health
against
smoking
present
graphs
data
and
on
smoking
a
charts.
dr ug
t hat
settles
cancer-causing
acts
difcult
nicotine
as
a
to
has
and
blood
The
carbon
in
t he
bronchi
and
bronchioles
chemicals.
into
B.2.3.1
The
adverse
effects
on
health
people
are
widely
people
smoke
is
a
choose
feel
that
personal
to
the
right
dr ug
to
t he
a
on
into
wit h
is
t hat
t he
one
dr ug
of
t he
healt h
of
people
most
a
defence
dried
inhale.
and
interferes
say
t hat
t hat
addictive
dr ugs
body
also
has
of ten
we
is
wit h
t he
it
people
cardiovascular
t hen
Nicotine
t hroughout
Smokers
one
as
are
t hat
cells
and
t he
makes
leaves
body
ner ve
awareness.
powerful
t he
plant
tobacco
vapour
taken
increase
is
t he
When
interacts
Nicotine
effects
blood
to
t he
in
by
carbon
by
up
tobacco
have
to
isolated
it
smoke
haemoglobin.
monoxide.
10%.
circulator y
air ways
t he
bronchi.
a
nd
know
system
(hear t
This
also
is
reduces
leads
to
t he
volume
because
t he
hear t
of
oxygen
haemoglobin
oxygen
disease
t hat
and
binds
can
damaged
system.
many
settles
It
reduces
This
on
compounds
t he
from
epit helium
at
tar.
t he
When
base
of
it
is
t he
breat hed
trachea
Tar
eventually
destroys
t he
cilia
t hat
line
much
of
our
and
gas
known
exchange still
up.
in
substance
This
which
of
in smoking
t he
a
monoxide
t he
in
present
Nicotine
transpor ted
Chemists
is
nicotine,
herbivores.
vessels).
permanently
ar teries
is
serious
in
by
stimulant
give
it
carried
Figure
it
effect.
and
be
contain
because
calming
Many
liquid
eaten
physiology.
and
but
–
leaves
being
smoked,
as
our
p
oily
oxygen
outline
of
a
transport ●
of
–
system
(see
page
97).
Cilia
protect
our
lungs
by
carr ying
mucus,
smoke.
decision
to
wit h
it
is
trapped
t he
site
and
bacteria,
from
t he
air
passages
into
t he
t hroat,
where
swallowed.
Smokers
of
dust
go
on
lungs.
for
secreting
Mucus
bacteria.
epit helial
cells
The
leads
lots
collects
of
in
mucus
t he
destr uction
to
t he
but
have
bronchi
of
cilia
formation
of
and
and
scar
lost
t he
cilia
becomes
t he
a
continual
tissue
(see
to
move
good
irritation
Figure
it
out
breeding
of
t he
B.2.3.2).
108
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Unit
B
Topic
2.indd
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16:05
The
respiratory
(gas
exchange)
system
a
Smoking
b
ciliated
cilia
cells
mucus
move
along
dust
these
particles
make
cells
✔
mucus
Study
There
is
about
drugs
use
tip
much
nicotine
more
in
Unit
as
an
information
D.7.
You
example
can
of
a
stimulant.
p
Figure
B.2.3.2
airways,
Many
and
smokers
developing
Wit hout
become
alveoli.
lining
t he
t he
alveoli
the
cannot
Many
is
t he
bronchi.
not
repaired
is
t he
a
genes
t he
star t
may
to
break
if
t his
It
took
for
so
which
wit h
and
a
t he
bronchi
phlegm.
greater
The
risk
of
white
much
alveoli
dust
blood
The
to
and
that
cells
white
reach
they
in
t he
lungs
bacteria
t hrough
blood
them.
break
can
enter
t he
t he
cells
Eventually
down
cells
digest
and
a
p
this
B.2.3.3
cancer
begins
form
burst,
smoke
or
leaves
people
remove
enter
t he
DNA
gasping
carbon
bronchitis
wit h
changes
It
and
a
and
dioxide
breath
how
cell
tumour
like
lung
divides
this
to
(x50)
as
efciently.
of
epit helial
damage
The
it.
If
cells
t his
permanent
lining
damage
change
is
in
t hat
are
cells
one
is
It
t hat
not
by
divide
may
air ways
and
spread
t hese
out
take
causes
of
20
mutations
control
years
symptoms
discovered
block
off
affected
can
it
and
into
may
g row
blood
ot her
before
(see
are
and
a
vessels.
Worse,
a
a
Cancers
t hat
for m
t his
B.2.3.4
occupy
organs.
to
tumour
Figures
to
t hose
star t
par t
are
of
has
B.2.3.5).
area
far
cell
tumour
size
and
large
control
a
of
t he
t he
If
lung
tumour
harder
to
treat
scientists
lung
to
a
sur pr isingly
cancer.
r ise,
e.g.
Indeed,
in
t he
UK
long
when
in
t he
time
t he
to
realise
number
1930s
and
of
t hat
cases
1940s,
cigarette
of
lung
cigarette
smoking
cancer
smoking
Figure
B.2.3.4
cancer
ends
area
at
the
from
a
even
suspected
pollution
a
or
t he
team
of
as
a
cause!
tar mac
medical
t hat
It
was
was
put
scientists
t hought
on
led
t he
by
t hat
ot her
roads,
Richard
factors,
might
Doll
be
such
–
This
the
top
heavy
of
is
how
cancer
this
smoker
lung
is
lung
after
the
white
removed
death.
The
was whole
Then,
is
one
happens.
causes
not
small
This
–
emphysema.
nuclei
permanently.
for
p
began
Figure
exchange.
both
interact
DNA
t he
of
alveoli
oxygen
have
cilia,
bacteria.
the
gas
in
obstr ucted
coughing
and
emphysema.
tobacco
t hey
of
the
diseases.
send
t hese
in
smoke
condition
Par ticles
to
alveoli
enough
B.2.3.3).
into
tumour
and
Here
t hen
Figure
grown
in
is
epithelium
who
mutation.
division,
(see
the
area
smokers
t hen
mucus
lining
called
absorb
long-term
carcinogens
DNA
of
surface
condition
of
a
and
heavy
ot her
damaged.
destroy
the
walls
the
are
response
to
people
inamed
and
protection
body’s
ciliated
in
bronchitis,
bronchitis
through
reducing
If
of
replaces
bronchi,
become
pneumonia
The
weakens
they
the
permanently
pathway
This
tissue
in
develop
bronchioles
consequences
The
Scar
especially
as
lung
is
full
of
deposits
of
tar
air
responsible.
showed
t hat
t here
Key
terms
! was
a
statistical
cancer.
was
a
He
high
link
studied
between
many
correlation
cigarette
tens
of
between
smoking
t housands
t he
people
of
and
t he
people
who
incidence
and
found
developed
lung
of
t hat
lung
t here
cancer
and
Emphysema
in
which
large
smoking.
This
convinced
most
people
of
t he
work
was
not
experimental.
Instead,
it
‘holes’
involved
using
data
about
of
lung
cancer
in
non-smokers
as
a
sor t
of
control
to
baseline
for
comparison
wit h
t he
the
decreasing
the
to
lung
leave
surface
for
gaseous
frequency
in
smokers.
The
exchange.
Any
change
in
the
DNA
establish in
a
of
down
t he Mutation
frequency
break
link.
area
Doll’s
Disease
alveoli
graph
a
cell.
in
109
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Topic
2.indd
109
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16:05
The
Smoking
Figure
B.2.3.6
1910
to
from
lung
cancer
In
a
t he
t heir
had
of
of
an
B.2.3.5
area
that
to
the
should
This
right
be
CAT
of
black
scan
the
to
indicate
He
for
developed
lung
and
cancer.
c hanges.
lung
dogs
t he
of
This
from
It
same
on
to
cancer
the
has
same
enlarged
grown
level
in
with
this
in
the
the
cancer
were
out
found
t hat
not
exper imental
tobacco
smoke
if
New
smoke
occur
forced
work
in
men
of
each
deat hs
and
t he
in
to
later
of
system
year
men
t he
in
did
work
link
conducted
cause
had
t he
not
on
lung
examined
t hat
people
later
conr med
can
dogs
smoke
and
York,
smoking
t hat
smoked
early
stages
develop
isolating
between
t he
smoking
cancer.
are
a
number
of
social
factor s
t hat
on
which
contr ibute
is
patient
lung
to
cancer
an
increased
caused
unemployment,
30000
especially
rep
4000
20000
fo
nosrep
2000 deaths
per
year
rep
rebmun
10000 lung
cancer
for
1000
bot h
class
lower
to
who
ver y
women
group,
sexes.
like
people
get
t han
years
would
recnac
from
t he
r isk
of
smoking.
pover ty,
among
men
15–25
morf
smoked
More
raey
hcae
setteragic
of
cigarettes 3000
by
developing
These
and
include
culture
socioeconomic
g roups.
gnul
raey
dekoms
shtaed
5000
number
by
number
researc her
nd
cigarette
He
c hanges
t hat
smoked
t he
exchange)
air.
lungs
heart
a
to
inhale
cancer.
cigarettes
shows
(gas
period.
dogs
There A
of
also
Auerbac h,
same
Dogs
UK.
t he
Oscar
signs
number
t he
over
forced
carcinogens
shows
backbone
Dr
t he
in
exper iments
lungs
t hese
Figure
1980
1960s,
ser ies
cancer.
p
shows
from
respiratory
Most
give
irritated
infringements
on
On
do
by
t he
people
up.
smoke
smoke,
where
what
t heir
who
t he
not
except
in
numbers
smoke
ot her
want
t hey
to
personal
as
age
similar
say
hand,
give
see
t he
are
t hey
many
up
and
increasing
liber ty
as
smoking
0
is 1910
1920
1930
1940
1950
1960
1970
banned
in
more
and
more
public
places.
1980
year
p
Figure
cause
B.2.3.6
of
lung
Evidence
for
the
idea
that
smoking
is
the
cancer
Maths Study
✔
Presenting Statistics
in
on
different
Incidence
disease
ways.
is
the
are
Three
of
number
a
disease
that
occur
data
these
of
time
period,
during
e.g.
are:
Smoking
is
responsible
month
or
per
activity
per
a
is
the
disease
in
charts
number
a
of
same
Mortality
that
proportion
of
early
deaths.
is
about
and
presenting
use
the
data.
program
to
Y ou
can
present
enter
the
the
data
data
or
you
into
can
a
draw
and
graphs
by
hand.
Data
on
tobacco
and
its
impact
on
your
health
from
every
country
in
the
world.
T able
B.2.3.1
shows
selected
is
data
13
countries
including
some
from
the
Caribbean
as
published
in
the
2012
at of
the
T obacco
Atlas.
The
table
shows:
time.
is
occur
period,
high
people
population
edition
the
very
year.
for
with
a
week,
collected
Prevalence
for
a
own
per
smoking
cases
spreadsheet
specic
on
expressed
This
of
skills
tip
the
number
over
e.g.
per
a
of
deaths
particular
week,
time
month
or
●
the
number
●
the
percentage
year .
of
cigarettes
smoked
per
of
the
adult
male
adult
female
person
population
per
who
year
smoke
(prevalence
of
smoking)
●
the
percentage
of
the
●
the
percentage
of
deaths
as
a
population
result
of
who
smoking
in
smoke
males
and
females
110
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The
q
respiratory
T able
(gas
exchange)
system
Smoking
B.2.3.1
Country
Cigarettes
Male
Female
Male
Female
per
person
prevalence/%
prevalence/%
deaths/%
deaths/%
per
year
Barbados
Bulgaria
344
15
2
4
0
2822
50
28
22
5
809
23
16
23
20
Canada
Cuba
1261
31
16
21
18
Czech
2125
43
30
26
10
339
12
3
9
13
Republic
Dominica
p
Figure
taking Guyana
49
29
3
3
283
23
8
12
6
1841
38
11
22
12
539
46
2
22
15
1106
30
21
10
1
Jamaica
Japan
B.2.3.7
risks
This
with
9-year-old
his
boy
is
health
1
Did
you
know?
? Malaysia
In Trinidad
and
2014,
was
T obago
of UK
750
22
21
22
1028
31
23
US$23.6
23
who
the
Present
the
countries
lowest
data
from
on
cigarette
T able
cigarette
B.2.3.1,
consumption
including
the
as
a
bar
chart
by
with
the
countries
to
Is
there
of
any
deaths
against
3
Is
4
Discuss
5
Suggest
linked
to
between
smoking?
of
deaths
correlation
smoking?
the
other
smoking,
cigarette
Plot
in
the
data
the
data
from
disease
in
of
to
find
in
1996
of
of
a
lung
choosing
highest
six
and
Her
informing
of
lawyers
company
was
people
consuming
argued
that
negligent
of
the
in
dangers
tobacco.
death
the
of
to
percentage
consumption
find
out.
smoking
and
July
2014.
from
BBC
News
20th
http://www.bbc.co.uk/
news/world-us-canada-28389273
deaths
out.
in
countries
early
and
cigarette
females
presented
these
and
and
prevalence
scattergraphs
of
consumption
scattergraphs
males
between
Plot
limitations
what
between
Case
correlation
any
to
damages
widow
consumption.
percentage
there
linked
company
pay
the
died
[Information
2
to
23
cancer.
1
tobacco
20
man USA
a
ordered
the
table.
would
much
make
the
link
clearer.
study
Evidence
for
the
link
between
smoking
and
lung
cancer
53
100
a
page
what
famous
109).
might
doctors
habits
Toget her
to
was
take
British
of
In
he
par t
in
obtained
his
t he
in
disease.
information
1951,
and
of
epidemiologist
collected
it.
patterns
he
began
researchers
study.
1951
a
and
who
on
worked
lung
recr uited
inter vals
in
cancer
long-term
Information
at
Professor
nd
of
34 439
about
Richard
Oxford
to
study
t heir
t hereaf ter
Sir
out
British
male
British
smoking
until
t he
study
egatnecrep
doctors.
He
cause
study
lavivrus
(see
was
t he
80
morf
Doll
is
ega
Epidemiology
60
cigarette
smokers
40
20
0
was
ended
in
2001.
When
each
doctor
died,
t he
researchers
recorded 40
50
60
70
80
90
100
age / years
t he
cause
smokers
of
deat h.
were
The
cancer,
most
common
respirator y
causes
diseases
and
of
deat h
hear t
among
t he
disease. p
Figure
B.2.3.8
doctors
Figure
B.2.3.8
shows
t he
sur vival
of
smokers
and
non-smokers
doctors
who
were
50
or
younger
when
t he
study
The
survival
between
of
1900
male
and
among
1930
t he
bor n
–
some
of
the
results
from
the
star ted. British
Doctors
Study
111
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Cell
The
respiration
respiratory
(gas
exchange)
system
Questions
Talk
about
? 1
Ban
Why
smoking!
Consider
the
of
following:
2
do
t his
you
t hink
long-term
Professor
Doll
chose
male
doctors
as
t he
subjects
study?
Use the information in Figure B.2.3.8 to state the percentage of male
British doctors who had died by the age of 70 in each of the two groups. Over
●
die
90%
from
the
lung
smoked
●
of
people
cancer
who
have
3
Describe
cigarettes.
Up
to
50%
die
early
of
t he
smokers
trends
shown
in
t he
results
of
t his
study
numbers
of
cases
as
shown
in
graph.
may
4 from
t he
In
many
in
females
par ts
of
t he
world
t he
of
lung
cancer
smoking-related
has
risen
shar ply
in
recent
years.
Suggest
why
t his
has
diseases.
happened. Smokers
●
die
in
are
more
middle
age
likely
than
to
non-
5
Suggest
smokers.
T obacco
●
than
5
use
causes
million
The
deaths
by
per
a
is
the
costs
smoking
time
complete
smoking
your
to
tobacco.
of
ill
are
1
Name
and
on
two
this
2
State
the
end
3
Suggest
of
this
able
explain
define
topic
the
role
of
than
lung
cancer,
which
are
associated
with
pieces
of
evidence
that
link
smoking
to
lung
cancer.
some
and
people
have
lower
vital
capacities
than
predicted
by
height.
Cell
respiration
heat.
is
the
Energy
breakdown
was
dened
of
on
food
page
to
release
20
as
the
energy
ability
in
to
t he
do
form
work.
of
ATP
Examples
ATP
between
anaerobic
cells
in
our
bodies
doing
the
work
enzymes
are
to
and
applications
and
all
cells
energy
to
do
t his
work
lose
a
triphosphate
muscle
cells
taking
comes
phosphate
(ATP).
group
and
cells
contracting,
engulng
bacteria,
ner ve
cells
pancreas
up
ions
by
active
cells
transpor t.
from
This
a
chemical
releases
form
its
present
adenosine
energy
in
when
all
it
cells,
breaks
down
diphosphate:
of
adenosine
anaerobic
blood
of
adenosine
industrial
domestic
white
respiration
concept
debt
describe
impulses,
aerobic
The explain
oxygen
●
other
respiration
distinguish
and
t he
you
making
●
diseases,
why
age
transmitting
●
reduce
to:
of
●
to
Caribbean.
outcomes
and
●
attempt
t he
smoking.
two
Respiration be
can
in
with
B.2.4
should
cancer
teachers.
their
By
lung
health
huge.
ban
Discuss
family
Learning
governments
of
introduce
worldwide
friends,
which
cases
year
cigarette Now
in
new
Questions
economic
caused
of
more
worldwide.
●
ways
number
adenosine
respiration.
triphosphate
(ATP)
diphosphate
(ADP)
+
phosphate
(P
)
+
energy
i
All
cells
stay
Key
in
all
Cell respiration
chemical
breakdown
(carbohydrate,
using
oxygen
form
and
of
of
protein
to
ATP
nutrients
and
release
and
cells
–
it
breakdown
●
fat)
energy
breakdown
stored
respiration
of
oxygen
form
using
of
supply
out
of
t heir
ATP
in
various
t heir
cells
functions.
if
t hey
ATP
is
are
t he
to
continue
‘energy
to
nutrients
to
ATP
release
and
t he
is
form
t he
in
which
process
by
all
energy
which
t his
transactions
ATP
is
made.
are
currency’
It
conducted.
involves
t he:
in
of
t heir
nutrients
(mainly
glucose
and
lipid)
to
release
t he
energy
molecules
in
use
of
some
of
t his
energy
to
rebuild
ATP
from
ADP
and
phosphate:
heat.
+
phosphate
energy
(p
)
+
energy
from
nutrients
ATP
i
without
heat
diphosphate
The
●
loss
of
t he
rest
of
t he
energy
as
heat.
in
There the
carr y
is
respiration
adenosine Anaerobic
using
a
The
●
the
alive
have
terms
!
Aerobic
must
are
two
types
of
respiration:
aerobic
respiration
and
anaerobic
without
respiration
oxygen.
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The
respiratory
Aerobic
(gas
exchange)
system
Cell
respiration
respiration
ADP
Energy +
In
t his
process
t he
breakdown
of
nutrients
(glucose
and
lipids)
Pi
involves
for
cell
e.g.
t he
use
of
oxygen.
Carbon
dioxide
and
water
are
always
produced
as
activities,
movement,
waste making
products
and
energy
to
rebuild
ATP
is
released.
The
most
commonly
active
substrate,
Aerobic
and
t he
only
respiration
of
one
t hat
glucose
cells
can
in
be
our
brains
represented
can
by
use,
t he
is
protein,
used transport
glucose.
word
equation:
ATP
glucose
+
oxygen
carbon
dioxide
+
water
+
energy
energy
Aerobic
respiration
occurs
inside
t he
mitochondria
of
our
cells
(see
used
B.2.4.2
by
a
and
B.2.4.3)
molecule
of
and
releases
glucose
in
a
great
aerobic
deal
of
respiration
energy.
is
The
enough
energy
to
released
rebuild
up
Pi
30
molecules
of
ATP
from
ADP
and
to
during
cells.
ATP
Cristae
is
and
sausage-shaped
infoldings
of
Figure
B.2.4.1
recycles
organelles
t he
inner
found
in
membrane
t he
of
cytoplasm
t his
organelle
for
respiration
t hat
cells
do
not
receive
enough
oxygen
for
all
t he
t hey
want
to
do.
For tunately,
t his
does
not
respiration
back
slows
down
or
stops.
Cells
can
still
carr y
out
many
chemical
reactions
mitochondria
absence
t his
of
because
oxygen
process
cannot
respire
anaerobic
respire
bacteria
Instead
of
anaerobic
acid
of
respiration
is
t he
fat
t he
wit h
lack
breakdown
by
to
provide
activities
but
t hey
are
unable
to
oxygen.
when
of
respiration,
as
in
a
glucose
This
does
respiration,
make
many
and
e.g.
produced
oxygen.
greater
We
making
dioxide
a
of
form
to
of
use
lactic
acid
is
or
of
not
only
lesser
use
fungi
and
in
plants,
respiration
in
remind
energy.
write
about
respiration
occurs
in
cells
make
process
sure
to
the
role
of
you
ATP .
t he
involve
glucose.
extent;
oxygen.
All
some
anaerobic
We
organisms
can
microorganisms
respiration
in
yeasts
ot her
bacteria
and
waste
in
products
animals
are
produced
(including
in
humans),
product:
lactic
acid
+
energy
known
as
Figure
B.2.4.2
micrograph
lactate.)
et hanol
and
carbon
dioxide
are
produced
as
added
products:
are
glucose
to
and
energy-consuming
of
An
a
mitochondrion.
waste
A.2
cells
products.
water,
waste
also
Unit
t heir
p
t hat
to
respiration.
anaerobic
respiration
carbon
is
of
anaerobic
glucose
In
cell’s
of
refer
●
continually
A TP
tip
about
you
any
that
(Note
the
into
mean
or
lactic
all
Pi
aerobic
When
and
Respiration
and
Exam
yourself
never
ADP
where
Look
our
use
and
and
respiration
Sometimes
In
ADP
made.
Anaerobic
t he
released
of
✔
t hat
is
from
respiration
energy
are
ATP
P i
Mitochondria
glucose
make
to p
about
from
Figures
et hanol
+
carbon
dioxide
+
to
not
this
red
electron
section
Colour
image
and
–
blue
through
has
a
been
mitochondria
(x 20
000)
energy
cristae
The
waste
substances
substances.
molecules.
from
t he
aerobic
lactic
Anaerobic
Only
two
anaerobic
acid
respiration
molecules
respiration
respiration.
and
When
is
of
of
et hanol
wasteful
ATP
are
glucose.
sprinters
r un
are
of
t he
made
That
t he
still
energy
wit h
is
100
energy-rich
15
t he
times
metres
in
glucose
energy
less
t heir
released
t han
hear t
in
and
matrix
lungs
cannot
respiration
get
so
enough
t hey
have
oxygen
to
use
to
t heir
anaerobic
muscles
to
maintain
respiration
instead.
aerobic
This
uses
lots inner
of
glucose
molecules
to
generate
t he
ATP
t hat
t hey
need.
Their
training
outer
designed
to
have
energy
lots
make
sure
t hat
stored
as
by
t he
time
glycogen
t he
star ter
because
so
gun
much
goes
of
t he
t heir
t he
lactic
acid
t hey
membrane
muscles
energy
is
wasted p
in
membrane
is
Figure
B.2.4.3
Compare
the
structure
produce. of
the
with
mitochondrion
this
in
Figure
B.2.4.2
diagram
113
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Cell
The
respiration
q
Study
✔
T able
B.2.4.1
Comparison
of
aerobic
and
respiratory
anaerobic
(gas
respiration
in
of
is
an
opportunity
maths
skills.
actual
size
Figure
B.2.4.2?
of
the
to
What
Anaerobic
practise
is
the
Is
mitochondrion
oxygen
required?
Yes
No
in
How
per
much
energy
molecule
What
are
of
the
is
released
A
lot
A
Does
you
it
end
occur
little
glucose?
products?
CO
and
H
2
Did
animals
respiration
Aerobic
your
system
tip T ype
Here
exchange)
in
mitochondria?
O
Lactic
acid
2
Yes
No
know?
?
Mitochondria
lead
a
semi-
Oxygen independent
They
the
take
rest
A TP
in
in
of
life
from
cell
return.
your
and
Y ou
from
your
fertilised
in
to
the
egg
become
Humans
back
dur ing
your
mother
are
cells
as
Exam
produced
cell
that
shor t
of
key
much
glucose
waste
t here
is
oxygen,
energy
here
is
an
oxygen
an
the
Lactic
diffuses
acid
to
t he
acid
you
start
lactic
builds
we
die.
However,
to
active
muscle
anaerobically.
Lactic
acid
up
in
t he
muscle
cells
t hat
is
muscle
fatigue
and
soreness.
Dur ing
are
t his
because
soon
oxygen
is
going
to
be
time
needed
to
hear t
acid.
out
and
of
t he
per
a e ro b i c a l ly.
fo r
p rov i d e
molecule
end
of
all
respiration.
of
sto ra g e
t he
lactic
Fi g u re
muscle
l i ve r.
cells
Hear t
i n to
t he
muscle
blood
uses
and
is
ox yg e n
car r ied
to
of
and
the
as
difference
debt.
exercise
decit
we
we
L i ve r
cells
glyc o g e n
c o nve r t
and
some
re s p i re
t he
of
t he
re st
lactic
re s p i re
acid
a e ro b i c a l ly
i n to
to
build
cannot
to
acid
wit h
e n e r g y.
re s p i re
has
lactic
been
The
acid
e x t ra
is
re m ove d ,
ox yg e n
called
t he
up
t he
ox yg e n
t hat
t he
is
needed
ox yg e n
debt
has
debt.
been
at
t he
Once
re p a i d
B.2.4.4).
ideal
know
as
t h e m s e lve s
e xe rc i s e
tip
decit
oxygen
respire
oxygen
delivered
deficit
and
a
–
real
difference
oxygen
between
an
update
oxygen
negyxO
At
and
be
ekatpu
sure
to
decit
t he
oxygen
between
some
product
wit hout
cannot
that
releases
aerobic
Exam
Make
t hat
leading
metabolise
(see
✔
so
oxygen
you.
respiration
than
enough
a
aerobically:
tip
message
less
as
respire
exercise,
was
gl u c o s e
anaerobic
to
descended
lactic
The
have
vigorous
quic kly
away
✔
debt
cells.
from
give
inherited
mitochondria
those
your
compounds
the
mitochondria
all
inside
that
debt
is
lactic
–
needed
extra
to
oxygen
convert
acid resting
get oxygen
enough
result
oxygen
we
have
anaerobic
debt
is
into
lots
our
of
lactic
respiration.
the
volume
of
bodies.
The
acid
As
a
uptake
from
oxygen
oxygen
that before
needs
to
respire
be
the
‘repaid’
lactic
after
exercise
to
Study
tip
Figure
carefully
at
the
graph.
The
is
much
the
the
curve
oxygen
that
was
shows
taken
make
up
exercise
Oxygen
uses
much
use
uptake
of
of
into
the
body
anaerobic
t he
products
of
before,
during
and
after
strenuous
exercise
respiration
anaerobic
respiration
in
yeast
and
We
use
t hese
microorganisms
in
many
industrial
and
domestic
how
by
processes,
also
athlete.
after
red
bacteria. line
B.2.4.4
Economic
We Look
exercise
Time
acid.
p
✔
during
exercise
in
Yeast
not
providing
is
a
and
respire
Usually
for
t he
making
ser vices
single-celled
aerobically
cells
only
such
fungus
yeast
as
initial
page
When
anaerobically
has
such
breaking
(see
anaerobically.
glucose
substances
access
to
to
9)
down
t hat
t here
for m
as
is
a
beer
our
can
oxygen
so
yoghur t,
but
wastes.
respire
lac k
et hanol
and
of
and
t hat
bot h
oxygen,
it
carbon
respires
yeast
dioxide.
aerobically,
114
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CSEC
HSB
Unit
B
Topic
2.indd
114
08/01/2015
16:05
The
respiratory
produces
t hen
t hat
and
a
lot
of
decreases
is
exchange)
ATP
and
required.
it
For
and
system
t herefore
st ar ts
divides
respir ing
centur ies
Cell
rapidly.
anaerobically
humans
have
The
to
oxygen
produce
exploited
yeast
in
respiration
supply
t he
product
brewing
breadmaking.
Many
bacter ia
decreases
of
(gas
milk .
t he
It
pH
might
organisms
do
refr igeration
most
also
of
t he
seem
not
and
common
respire
wit hout
sur roundings
strange
g row
oxygen
well,
freezing,
met hods
to
if
at
all,
sour ing
of
food
and
make
to
has
milk
in
and
produce
acid
been
go
preser vation.
used
sour,
pH.
salting
In
lactic
but
t he
foods
Think
in
t he
food
days
were
of
acid.
This
sour ing
spoilage
before
two
of
yoghur t
t he
and p
salted
cod
Figure
B.2.4.5
These
sprinters
rely
sh. on
anaerobic
respiration
in
their
leg
muscles
Today
fermentation
domestic
yeast
and
bacteria
Domestic
Many
uses
foods
respiration
make
(see
beer,
Tr y
is
used
consumption.
mass
home
are
also
produce
beverages
and
wine
yourself
uses
t he
to
produce
industries
a
range
large
and
of
foods
small
for
t hat
use
foods.
fermentation
yeasts
home
this
Industrial
of
and
of
to
in
There
on
be
made
in
bacteria,
can
some
examples
making,
pages
bread
t he
making
home
using
are
and
t he
home
yoghur t
anaerobic
brewing
to
making
1 16–17).
of
fermentation
of
beer
Brewing p
The
in
production
Guyana
brewing
into
is
is
t hen
respires
t he
This
Hot
and
t he
t he
is
spent
group
is
widely
Red
to
in
Stripe
t he
in
germinated
used
added
glucose
t he
B
is
and
grain
water
yeast
process,
especially
Barbados
grain.
maltose.
cooled
of
and
occurs
to
to
it.
Yeast
form
yeast
extract
be
Jamaica.
so
t he
and
breaks
et hanol
can
Caribbean,
seeds
dissolve
down
and
eaten,
The
it
is
a
raw
Banks
breakdown
t he
to
for
and
t his
glucose
and
At
source
Figure
B2.4.6
These
runners
(5000
aerobic
respiration
long
metres)
in
distance
depend
their
leg
on
muscles
starch
maltose
dioxide.
rich
Beer
material
maltose
carbon
as
e.g.
t he
of
end
vitamins,
vitamins.
Breadmaking
Dough
will
is
produced
allow
dioxide.
causes
it
et hanol
t he
The
to
yeast
by
to
carbon
rise.
dioxide
When
t he
our,
down
causes
dough
water,
t he
is
sugar
sugar,
t he
dough
baked,
and
yeast.
producing
t he
to
increase
yeast
Gentle
et hanol
cells
in
die
warming
and
volume
and
carbon
t hat
t he
evaporates.
Practical
Rising
mixing
break
Activity
dough
p
Figure
B.2.4.7
Mauby,
which
is
made
Requirements from
●
stirring
●
measuring
jug
●
measuring
cylinder,
●
thermometer,
●
timer
●
laboratory
fermented
bark
rod
3
e.g.
e.g.
50
cm
0–100°C
balance
115
835292
CSEC
HSB
Unit
B
Topic
2.indd
115
08/01/2015
16:05
Cell
The
respiration
●
water
●
plain
●
dried
baths
set
at
a
variety
of
respiratory
temperatures,
(gas
exchange)
including
system
40°C
flour
yeast
made
into
a
yeast
suspension
(add
7
g
dried
yeast
to
3
450
warm
water
and
stir)
sugar
●
1
cm
Add
25
add
1
g
g
of
of
flour
to
a
measuring
jug
or
other
to
the
suitable
container
and
then
sugar.
3
2
Add
30
cm
have
made
Pour
the
of
a
the
yeast
smooth
suspension
paste
that
can
be
flour
and
sugar.
Stir
until
you
poured.
3
3
to p
Figure
for
B.2.4.8
industrial
Fermenting
alcohol
sugar
let
paste
the
into
paste
a
50
touch
cm
the
measuring
sides
–
this
cylinder
is
very
and
take
great
care
not
important.
cane
production
4
Note
the
water
2
volume
baths.
minutes
for
Repeat
steps
6
Record
your
7
Plot
Y ou
of
can
more
use
plot
the
the
for
the
than
Describe
b
Explain
c
Suggest
should
of
if
the
the
Suggest
a
cylinder.
different
Place
and
note
the
the
cylinder
volume
in
of
one
of
paste
the
every
temperature
each
time.
table.
the
for
they
volume
the
are
on
of
different
the
the
separate
allows
graphs.
and
Alternatively,
dough
increases
temperatures
results
spreadsheet
graph.
print
use
you
It
is
them
the
on
to
the
graph
for
time.
same
compare
quicker,
out
with
pair
them
however,
everyone
drawing
to
to
facility
of
program.
effect
effect
suitable
be
the
presenting
on
the
spreadsheet
a
a
how
results
way
plotting
in
show
in
temperature
minutes.
using
results
a
d
to
This
easily
collect
1– 4
the
30
results
graph
axes.
paste
about
5
a
of
Record
of
of
different
temperatures
temperature
controls
for
this
on
the
on
rising
the
of
investigation
dough.
dough.
and
explain
why
they
included.
ways
to
improve
the
investigation.
Yoghurt
Bacteria,
They
t he
such
ferment
protein,
yoghur t
is
Making
Lactobacillus
lactose
lowers
not
avourings
Tr y
as
t he
to
and
this
t he
and
sugar
pH
and
ever yone’s
in
Streptococcus
milk
gives
taste
so
to
t he
give
are
used
lactic
yoghur t
a
sour
manufacturers
to
acid,
add
make
which
taste.
such
yoghur t.
coagulates
Natural
t hings
as
fr uit.
yourself
yoghurt
Requirements
p
Figure
B.2.4.9
Homemade
yoghurt
●
any
●
spoon
type
●
stirring
●
measuring
●
sterilised
●
pot
of
of
milk
rod
jug
container,
live
yoghurt
glass
(check
jar
or
the
plastic
label
to
cup
make
sure
it
contains
live
bacteria)
116
835292
CSEC
HSB
Unit
B
Topic
2.indd
116
08/01/2015
16:05
The
respiratory
●
a
●
foil
1
Heat
(gas
exchange)
system
Cell
respiration
thermometer
or
cling
wrap
some
milk
in
a
saucepan
to
about
75°C.
Allow
to
cool
to
room
temperature.
3
2
Pour
50
cm
into
a
sterilised
container.
3
3
Add
1
cm
4
Cover
the
5
Place
to
6
6
If
the
hours
you
a
do
and
try
in
a
not
of
the
with
different
live
ingredients
things
to
add
a
What
b
Research
of
is
it
doesn’t
is
the
if
different
yoghurts
almost
to
as
hygiene
of
it
hourly
and
fruit,
intervals.
keep
this
of
the
precautions
in
milk,
a
school
even
at
In
order
42– 43°C
for
of
you
milk
adding
the
nuts,
milk.
eat
the
and
coconut
live
yoghurt;
the
bacteria;
seeds,
may
lab.
goat’s
before
source
–
thoroughly.
37.7°C.
powder
the
at
try
appearance
make
types
yoghurts
Try
adding
oatmeal.
The
range
endless.
nutritional
online
the
milk
but
wrap.
below
you
gently
observe
drop
in
stir
should
suitable
product
your
and
you
changes
with
and
cling
place
skimmed
to
milk
or
bacteria,
any
some
the
foil
warm
kitchen
eat
adding
using
a
ensure
record
Do
different
of
in
to
with
cultivate
experimenting
milk;
try
milk
this
product.
yoghurt
container
properly
Keep
Try
live
value
find
out
of
yoghurt?
what
food
additives
are
in
different
brands
yoghurt.
c
What
are
d
Design
these
an
additives
investigation
for?
to
find
the
best
temperature
to
use
for
of
star ter
making
yoghurt.
Case
study
Acidophilus
The
yoghurts
production
cultures
of
two
of
all
yoghur ts
bacteria:
star ts
wit h
Lactobacillus
t he
addition
bulgar icus
and
✔
Study
tip
Streptococcus Microorganisms
thermophilus.
If
a
food
is
to
be
marketed
as
a
‘yoghur t’
t hen
it
has
services
be
made
using
t hese
two
bacteria
t hat
can
sur vive
in
milk,
respire
for
(milk
sugar)
and
make
lactic
commonly
acidophilus
added
to
is
anot her
yoghur ts.
species
This
is
of
bacter ium
because
it
has
t hat
unique
is
are
benecial
to
human
to
sur vive
stomach
acid
healt h.
before
not
conditions
of
climate.
gut
it
has
This
infections.
promote
a
many
healt h
benets
‘good
of
bacter ial
in
t he
break
Firstly,
it
is
highly
enter ing
our
resilient
intestines
to
t he
gut
har mful
known
as
a
wall
and
down
‘pro-biotic ’
which
is
promote
for
its
why
it
the
in
human
aerobic
anaerobic
biogas
page
118).
generators
Make
a
list
of
all
the
and of
microorganisms
and
add
to
and,
microorganisms
environment,
often
an
t hat
you
work
through
the
book.
acidic
cause
ability
is
as
to
now
yoghur t.
brands
can
diarrhoea
is
bind
of
Lactobacillus
bacteria’
This
to
deter
t herefore
leading
and
wellbeing.
is
found
Today,
gassiness
It
ability
helps
positive
commonly
t hese
an
acid
many
sewage
proper ties
it
secondly,
works
although
conditions
uses
able
in
also
(see
t hat
provide
Bacteria
acid. wastes,
Lactobacillus
us.
t he treatment
lactose
also
to
help
and
because
yoghur t
to
so
are
acidophilus.
alleviate
bacteria
to
an
based
brands
symptoms
contribute
t hese
marketed
Leading
such
increased
increase
in
on
t he
claim
as
sense
number
t hat
bloating,
in
of
t he
117
835292
CSEC
HSB
Unit
B
Topic
2.indd
117
08/01/2015
16:05
Cell
The
respiration
large
intestine,
digestion.
intestine
people
is
t he
Some
of
t he
yeast
for
Danone
which
t heir
uses
t hey
Yoghur t
a
per
and
ar ticial
of
to
have
to
yoghur t
a
have
of
adver tisements
also
claimed
t hat
claims
t hey
are
not
effect.
t he
large
When
consequence
intestine.
drinks
as
have
developed
extravagant
healt h
company
Bidobacter ium
of
between
However,
sucrose,
and
had
improving
antibiotics.
Spanish–French
‘bad
probiotic
have
t hereby
system
lactis,
ActiRegularis®.
contain
yeasts
exchange)
repopulate
made
population
probiotic
which
t hese
as
a
drinks
sweeteners,
Some
bacterial
have
(gas
unwanted
large
known
Bidus
of
an
have
Bidobacter ium,
as
use
t he
t he
and
also
yoghur t
and
example,
trademarked
pot
t he
in
and
bacteria
can
diseases,
bacteria
For
bacteria’
and
bacterial
yoghur ts
products.
strain
Manufacturers
diseases.
of
‘bad
yoghur ts
infections
for
probiotic
have
needs
million
yogur ts
of
t he
t hese
benecial
manufacturers
strains
out
in
antibiotics
deat h
claims
or
crowding
bacteria
following
take
special
20
The
respiratory
to
suppor ted
fr uit
by
and
of
sugars
bacteria’
yoghur ts
be
10
many
feed
on.
prevent
wit hdrawn
scientic
t hese
(fr uctose)
childhood
from
evidence.
Question
How
would
benets
of
you
design
probiotic
a
long-term
study
to
investigate
t he
healt h
yoghur ts?
tap
Biogas to
production
house
Some
types
met hane
of
bacteria
(CH
)
as
t he
sur vive
waste
entirely
product
in
of
anaerobic
t heir
conditions
respiration.
and
Met hane
release
is
a
gas
4
methane
+
CO 2
water
seal
t hat
is
a
way
to
useful
source
of
energy;
it
is
one
of
t he
gases
in
natural
gas.
One
inlet
tank
dispose
bacteria
Figure
ground pump
and
of
human,
collect
B.2.4.10
is
a
t he
animal
gas
diagram
and
plant
wastes
is
to
mix
it
wit h
t hese
produced.
of
a
small
scale
biogas
generator.
Many
of
t hese
digested
are
level
used
across
t he
world,
especially
in
remote
places
where
t here
is
no
sludge
mains (used
drainage
and
unreliable
or
non-existent
supplies
of
power.
They
are
as
fertilizer)
also
used
to
supplement
national
power
supplies,
e.g.
China
where
t here
partition
are
millions
of
t hem.
The
met hane
is
used
for
cooking
and
heating
and
(retains
may
coarse
also
be
used
to
generate
electricity.
sludge)
Questions sludge
p
Figure
B.2.4.10
generator
wastes
and
cooking
used
to
uses
A
turns
and
domestic
animal
it
into
heating
generate
and
biogas
methane
and
1
a
What
does
ATP
stand
2
Describe
the
role
3
What
the
waste
for?
b
Where
is
most
ATP
produced
in
the
cell?
human
can
gas
also
be
of
ATP
in
a
human
cell.
for
electricity
are
respiration
4
What
5
Explain
as
6
are
in
the
why
products
human
waste
long
muscle
a
aerobic
respiration,
b
anaerobic
tissue?
products
distance
of
of
anaerobic
runners
cannot
respiration
run
as
fast
in
yeast
during
cells?
their
event
sprinters.
List
the
products
that
are
made
by
bacteria
and
yeasts
for
human
consumption.
118
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CSEC
HSB
Unit
B
Topic
2.indd
118
08/01/2015
16:05
The
respiratory
(gas
exchange)
system
Cell
respiration
Summary
The
●
respiratory
Breathing
is
refreshes
●
●
carbon
The
airways
upper
–
lower
The
many
The
in
of
the
and
so
have
–
are
a
the
Expiration
the
increases
rate
dioxide
●
●
Vital
in
●
of
much
Respiration
ATP
is
the
in
with
into
into
air
the
blood
and
larynx
cartilage,
ciliated
and
and
which
alveoli.
prevents
epithelium
protects
exchange
that
alveoli
the
includes
from
dust.
surface.
carbon
gases
two:
bronchioles
viruses
distance
to
give
to
the
in
Gaseous
dioxide
diffuse
that
across
of
the
occurs
the
cell
linings
of
to
big
space
the
in
for
steep
oxygen
and
diffusion
to
carbon
occur
concentration
relax
the
in
part
and
thorax
oxygen
the
(chest)
contract
gradients
and
carbon
that
Air
pull
there
moves
down
intercostal
is
a
down
the
muscles
ribcage.
of
muscles
the
the
the
ribcage
the
brain.
increases,
altitude
and
relax
and
diaphragm
atmosphere
by
so
to
external
decreases,
blood
drugs,
of
atmosphere.
and
diaphragm
central
the
thorax
the
muscles
raise
than
of
of
alveoli.
than
controlled
some
a
diaphragm
the
the
is
diffusion
concentrations
enlarging
lungs
the
for
maintain
the
Diaphragm
of
total
series
from
falls
air
under
air
is
during
mass
contents
the
the
in
force
the
forced
increases
e.g.
body
the
into
pressure
and
It
up
if
of
lungs
out.
the
carbon
exercise.
all
influence
the
dioxide
mitochondria
efficient
in
air
is
movement
breathed
fully
reactions
energy
that
cilia,
occurs
and
currency
cells,
out
after
breathing
inflated.
glucose
respiration
inside
of
is
are
mainly
the
from
occur
that
lungs
chemical
energy
that
requires
and
where
that
of
the
to
all
such
synthesis
of
as
of
the
the
inside
cells
to
fat.
cells.
It
is
energy-
active
proteins
transport
and
membranes.
respiration
carbon
of
triphosphate)
membranes,
Aerobic
so
macronutrients,
processes
of
volume
possible
transferring
manufacture
are
Inspired
blood
muscles
the
as
(adenosine
consuming
●
is
air
energy
involved
across
lungs.
diffuses
breathing.
release
●
by
and
The
the
dioxide
by
higher
anxiety,
throat
epithelium
oxygen
that
the
push
is
lined
blood
when
breathing
capacity
as
so
concentration
Smoking,
rate
it
open
This
area
contract
volume
so
of
is
short
and
carbon
happens
The
divided
bronchi,
gaseous
of
with
dome
ribs
held
of
out.
are
bacteria,
maintained
Intercostal
gravity.
The
a
air
inside
abdomen
thorax.
●
is
gradient.
fibrous
tract
out
continually
surfaces:
achieved
pressure
between
of
is
diffuses
blood.
surface
are
and
capillaries.
and
pressure
central
●
the
well-ventilated
Inspiration
as
body’s
between
monoxide
the
the
is
cells.
diffusion
into
oxygen
nose/mouth,
tract
such
the
there
oxygen
are
air
so
trachea,
tract
The
well-supplied
for
lower
tract:
tract:
and
large
of
lungs
continually
exchange
thin
–
air
system
respiratory
air,
the
the
dioxide
●
the
form
is
alveoli
are
–
dioxide
respiratory
alveoli
Gaseous
–
the
mucus-secreting
between
●
in
respiratory
exchange
the
movement
air
collapsing.
particles
●
exchange)
respiratory
lower
airways
the
the
and
–
(gas
it
oxygen.
water.
most
releases
of
Many
the
the
The
of
ATP
energy
products
the
is
to
of
reactions
produced.
make
aerobic
occur
Aerobic
about
30
in
respiration
the
respiration
molecules
of
is
ATP .
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16:05
Cell
The
respiration
●
Anaerobic
do
not
molecule
cells
respire
carbon
●
The
not
first
the
falling
The
a
●
●
When
in
scar
T ar
tissue
also
not
the
●
are
Carbon
of
having
away
to
Bacteria
gives
of
the
and
stage
ATP
is
of
lactic
they
two
sure
that
each
muscle
require
breaking
acid
only
Cells
for
exercise,
that
breathing
is
the
but
down
(lactate).
molecules
of
ATP
checking
lungs.
the
airways
gently
to
see
These
but
if
the
stages
are
firmly
chest
should
is
be
unaided.
is
a
off
stimulant
addictive
tar
airways.
the
–
making
most
and
It
the
yet
carbon
claim
it
has
monoxide.
damages
airways
smokers
drugs.
mucus-secreting
blocks
available.
produced
system
the
cells
and
in
cilia
to
so
that
secrete
response
they
more
to
damage
and
cells
and
are
to
leading
form
many
to
tumours
vessels
through
takes
cancer-causing
airways
blood
spread
cancer
that
the
grow
blocking
combines
can
be
bread
lactic
used
of
that
to
for
or
the
and
body
years
to
chemicals.
mutation.
which
airways.
to
form
develop
the
is
birth
the
is
women
to
an
made
milk
to
human,
sewage
to
blood.
exploited
Y oghurt
causes
in
in
pregnant
breakdown
and
haemoglobin
giving
yeasts
making.
acid
generators
so
birth
respiration
with
transported
especially
premature
are
lining
can
The
Cell
These
division
spread
cancer
secondary
sufficiently
cells
cancers
before
symptoms.
that
and
make
biogas
Lung
but
Anaerobic
making
●
a
it
the
carcinogens
cells
monoxide
smokers,
●
in
lungs
any
oxygen
of
stimulates
up
is
into
It
of
Instead
product
involves
third
gone
is
exchange)
respired.
breathes
one
burnt,
fills
controlled
elsewhere.
the
oxygen
ATP
strenuous
lots
efficient
(gas
forms.
DNA
break
there
it
is
stage
no
During
end
less
nicotine.
lining
contains
through
can
is
is
the
is
less
glucose.
glucose
has
person
It
the
which
damage
is
effect.
beating;
mucus,
air
from
breathing
mouth;
the
tobacco
of
there
much
producing
much
second
that
and
respired.
water
is
rescue
tobacco
damages
stop
●
until
drug
and
the
person’s
showing
calming
T ar
of
is
energy
molecule
stage
repeated
●
per
when
rapidly,
the
respiration
obstructed;
into
that
very
all
dioxide
made
occurs
mitochondria
glucose
getting
Anaerobic
are
their
of
can
without
to
respiration
use
respiratory
reduce
This
who
is
are
at
underweight
commercially
by
go
the
bacteria
sour
plant
and
and
volume
serious
all
risk
of
baby.
in
brewing,
that
form
animal
for
greater
respire
wine
lactose
yoghurt.
wastes
in
works.
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The
respiratory
(gas
exchange)
system
Practice
8
Practice
Section
1
Which
carcinogenic
substance
is
found
in
Questions
cigarettes?
Questions A
nicotine
B
tar
C
carbon
D
sulphur
A
Which
of
t he
following
statements
best
describes
vital
monoxide
dioxide
capacity? 9
A
The
maximum
volume
of
air
taken
in
During
inspiration,
air
travels
t hrough
t he
lar ynx
and
during into
which
of
t he
following?
inhalation
B
C
The
maximum
The
maximum
af ter
D
The
a
deep
capacity
volume
of
of
air
air
in
t he
t hat
can
be
move
gas
volume
of
air
taken
in
t he
A
diffusion
B
active
C
osmosis
D
trachea
D
bronchiole
during
10
exchange,
from
bronchus
C
breat h
minimum
During
oesophagus
B
exhaled
inhalation
2
A
lungs
by
alveoli
which
to
t he
process
does
Which
of
oxygen
t he
Carbon
blood?
dioxide
A
Which
of
t he
following
is
not
needed
for
respiration
B
carbon
glucose
D
enzymes
Which
of
t he
following
1
Ribs
2
Volume
3
Diaphragm
4
External
raised
A
1,2,4
B
1,3
4
16
0.04
21
4
a
16
describes
b
Identify
c
Fill
inspiration?
in
the
t he
flowing
of
t horax
Air
decreases.
intercostal
t he
muscles
following
enters
t he
relax.
The
air
t hen
and
t hen
is
not
a
characteristics
of
t he
a
air
splits
sacs
is
blood
humans.
tract.
[1]
about
air
[5]
ows
tract
into
t hrough
called
into
The
two
air
t hrough
t he
t he
nasal
lar ynx
t he
cavity.
(voice
t he
smaller
t hen
tubes
passes
called
t hrough
called
even
which
called
at
t heir
have
ends.
Carl
was
in
a
car
An
accident
emergency
and
had
stopped
responder
t he
scene,
administered
ar tificial
who
was
first
resuscitation
to
supply
revive
Carl.
lining
dioxide
due
to
being
t he
B
almost
C
lower
D
greater
diffuses
t he
from
carbon
t he
dioxide
________________
same
blood
into
t he
concentration
t hat
in
t he
alveoli.
in
t he
ii)
alveoli.
four
Identify
t hat
as
t he
List
major
resuscitation.
t he
will
ar tificial
same
as
steps
in
administering
component
help
ar tificial
[4]
t he
victim
resuscitation
impor tance.
of
t he
who
and
exhaled
is
state
air
receiving
its
[2]
t han
2
a
i)
Name
do
t he
par t
of
t he
respirator y
tract
where
t han
gas
humans
respirator y
in
passage
ventilation
A
What
exchange
following
area
i)
blood
t he
tube
branches
help
Carbon
exchange
gas
on
Thin
t he
respirator y
moves
into
breat hing.
Rich
gaseous
surface?
surface
Good
terms
gaseous
for
and
d Low
of
t hrough
contracts.
smaller
exchange
7
site
blanks
.
of
t he
[3]
upwards.
2,3,4
This
between
breat hing.
3,4
Which
79
B
Differentiate
small
6
79
79
which
D
(%)
21
79
box)
C
Nitrogen
(%)
dioxide
C
B
Oxygen
B
and
A
air?
C
Section
1
5
expired
to
place?
oxygen
D
about
transpor t
A
C
tr ue
breat hing
take
4
is
(%)
0.04
D
3
following
t he
reactions
of
anaerobic
respiration
in
ii)
produce?
A
carbon
dioxide
B
carbon
dioxide
C
lactic
D
et hanol
List
exchange
t hree
surface
iii)
and
lactic
acid
State
[1]
characteristics
found
t he
listed
occurs.
in
impor tance
above
in
a
of
humans.
ii)
of
t he
gas
exchange
[3]
each
characteristic
[3]
acid
and
carbon
dioxide
121
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Practice
b
The
Questions
The
diagram
exchange
in
below
shows
t he
site
of
gas
4
Anaerobic
respiration
microscopic
humans.
a
Define
respiratory
occurs
(gas
bot h
in
exchange)
humans
system
and
in
organisms.
anaerobic
respiration.
[2]
air
b
i)
Write
a
word
respiration Low
in
to
humans.
show
anaerobic
[2]
concentration
ii)
Explain
t he
humans.
c High
equation
i)
Write
impor tance
of
t his
reaction
in
[3]
an
equation
to
show
anaerobic
concentration
respiration
in
yeast.
[2]
X
ii)
Red
blood
5
X
and
ii)
Draw
arrows
direction
move.
iii)
State
in
Charlene
now.
t he
What
ii)
3
One
has
State
is
i)
State
in
on
move
during
process?
t he
Gas
X
gas
[1]
diagram
to
and
show
Gas
Y
name
of
in
exchange.
gas
she
Gas
smoking
was
one
sign
of
t he
and
Define
Explain
a
Y
t hat
The
Two
of
of
term
a
What
for
wit h
five
are
of
t he
Number
of
smoked
per
two
types
vital
you
below
capacity
would
[3]
effects
on
t he
healt h
and
[2]
expect
cigarettes
t he
for
10
vital
capacity
years
to
var y
of
from
[3]
shows
smoking
t he
relationships
lung
cigarettes
day
between
cancer.
Annual
death
cancer
per
rate
100
from
000
0
10
1-14
78
is
the
t his
[2]
ability
to
lung
men
15-24
127
≤25
250
respire.
characteristic
occur
in
Constr uct
bar
above.
graph
of
t he
data
in
t he
[3]
[1]
following
of
table
respiration
which
Describe
in
1
t he
trend
seen
in
t he
graph.
[2]
compares
humans.
Explain
Respiration
how
smoking
cigarettes
can
lead
to
[6]
d Respiration
Give
t he
cancer.
names
of
[3]
two
ot her
diseases
t hat
smoking
2
can mitochondria
a
humans.
lung
Factors
severe
State
bronchitis.
iii) t he
have
[3]
respiration.
[1]
respiration
t hey?
Complete
anaerobic
t he
humans.
years
ii) i)
to
organisms.
non-smoker.
table
b
by
explain
reaction
[2]
disease.
things
impor tance
types
can
smoking
cigarette
are
example,
t his
during
energy
how
table
i) ii)
t he
person
t hat
will
of
smoking
b
t he
released
of
[2]
t his
living
Gas
cigarettes
diagnosed
of
organisms.
X
named
body.
a
c
bronchitis?
characteristic
a
will
which
been
Recently,
i)
Y
what
[2]
involved
c
Gas
by
t he
is
uses
Cigarette
of
exchange
Energy
t hree
X
Gas
a
impor tance
d
i)
Using
cells
lead
to
ot her
t han
cancer.
[2]
of
Location
Cytoplasm
of
cells
cells
6
______________,
Sue
an
Reactants
is
par ticipating
hour
before
t he
in
a
race
school
she
sprint
drinks
a
event.
spor ts
About
drink
half
to
glucose
provide
______________.
a Carbon
energy
Suggest
t he
for
t he
main
respiration
nutrient
in
t hat
her
t he
muscles
spor ts
drink
dioxide, ______________,
supplies
______________,
and
explain
t he
advantage
of
taking
such
a
Products
drink
______________.
before
t he
race.
[4]
______________.
b
Number
of
Explain
during molecules
t he
Sue
race
can
and
develop
how
she
an
oxygen
will
be
debt
able
to
repay
per about
molecule
how
ATP
30
2
t his
debt.
[5]
of
c
glucose
At
home,
Amanda
ii)
For
Respiration
above,
explain
identified
produced
iii)
Describe
as
in
1
described
what
carbon
cells.
t he
role
in
happens
dioxide
t he
to
table
t he
when
it
product
Sue
is
and
her
fascinated
sister
how
the
bread
word
equation,
how
sister
with
was
Amanda
the
bread
made.
bread
is
share
and
Explain,
made
a
sandwich.
asked
using
using
her
the
yeast.
[6]
is
[3]
of
ATP
in
t he
cell.
[3]
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Unit
B
The
B.3
B.3.1
The
role
of
circulatory
blood
system
Learning
By
Why
have
a
circulatory
the
organisms
do
not
need
a
circulator y
system.
The
t he
surface
of
a
single-celled
organism
to
t he
centre
be
is
ver y
oxygen
can
reach
all
of
t he
mitochondria
in
t he
cell
by
diffusion
dioxide
can
pass
out
in
you
explain
why
t he
same
way.
Also
t here
is
enough
humans
need
a
system
and ●
carbon
topic
to:
small
circulatory
so
this
able
distance ●
between
of
system? should
Single-celled
end
outcomes
state
the
composition
of
surface
blood
membrane
in
contact
wit h
t he
surroundings
to
obtain
enough
oxygen
and ●
to
lose
all
t he
carbon
dioxide
produced
in
list
the
substances
respiration.
transported
Many-celled
distances
animals
between
efcient
enough
increase
t he
rate
have
surface
to
of
much
and
deliver
more
centre
oxygen
diffusion
to
bulk
are
all
t hrough
t han
much
t he
an
single-cell
greater
cells
of
organism
and
t he
organisms.
diffusion
body.
decreases
As
is
The
●
describe
many-celled
surface
exposed
demonstrate
area
size
and
and
t he
in
ot her
Maths
The
an
area
surface
most
such
by
animals
as
Figure
by
blood
cells
blood
cells
ratio
It
they
is
do
and
several
three
but
as
wit h
sizes
t he
shows
exchanging
ammonia
relatively
ratio
t hat
oxygen
steeply.
and
little
wit h
an
red
●
describe
the
process
of
clotting.
body
exercise
between
and
of
white
distances
ver y
mat hematical
Calculating
different
for
bodies
simple
and
will
surface
increase
carbon
in
dioxide
urea.
ratio
volume
shows
of
t his.
A
blood
1
cylinders
system,
of
such
volume.
imagining
B.3.1.2
circulatory
wastes
because
compact
surface
volume
to
its
spheres,
principle
less
skills
and
area
organism
have
surroundings.
animals
relatively
excreting
Surface
t heir
impor tance
volume
comes
animals
to
the
roles
not
blood
Most
in
the
of
animal
is
calculated
quite
not
difcult
have
cubes.
A
regular
three
we
the
the
surface
surface
dimensional
can
area
area
of
of
shapes,
demonstrate
the
‘animals’.
‘animals’,
does
dividing
measure
However,
cube-shaped
these
by
to
A,
B
and
C.
Animal
C
has
a
not.
p
Figure
B.3.1.1
medical
from
Phlebotomists
specialists
people
for
who
take
laboratory
are
blood
analysis
A B C
1
mm
3
mm
5
p
Figure
1
Calculate
Figure
2
B.3.1.2
the
Three
cube-shaped
surface
area
and
area
to
‘animals’
the
of
mm
increasing
volumes
of
each
size
of
the
‘animals’
in
B.3.1.2.
Calculate
the
surface
volume
ratio
for
each
‘animal’.
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The
role
of
The
blood
3
Explain
Copy
your
q
why
T able
‘animal’
B.3.1.1
C
(or
has
a
type
circulatory
into
a
system,
spreadsheet)
but
and
circulatory
‘animal’
add
the
A
system
does
results
not.
of
calculations.
T able
B.3.1.1
3
Cube
of
Surface
Volume / mm
Surface
area:
2
side / mm
area / mm
volume
ratio
1
2
24
8
3.0:1
96
64
1.5:1
216
216
1.0:1
3
4
5
6
4
Use
ratio
the
5
Describe
6
Explain
7
Using
the
Humans
will
we
✔
tip
not
do
skin
circulatory
system
is
as
system.
the
It
is
comprising
organ
system
the
heart,
blood
red
of
t he
The
not
and
platelets
confuse
(gaseous
it
white
and
with
t hese
and
much
so
wit h
circulator y
most
surface
to
to
volume
t he
why
from
distances
obtain
carr y
of
humans.
the
surface
area:
1:1.
diffusion
animals,
system
area
axis).
area
explain
that
as
surface
graph.
graph,
to
of
horizontal
the
simple
surface
graph
your
less
adequately
body
As
on
a
the
measure
table
is
cells
cells
enough
a
to
your
of
curve
on
we
t he
are
enough
have
a
body
too
substances
large.
oxygen
special
to
surface
area
and
Also
even
if
for
from
our
gas
all
t he
blood
–
the
circulator y
a
tissue
t hat
system
is
consists
composed
of
of:
cells
suspended
in
a
liquid
which
is
blood
plasma.
the
exchange)
comprising
in
humans
draw
body.
human
mostly cells,
and
the
difficult
trillions
have
of
to
volume
cardiovascular
an
●
vessels,
of
table
(put
also
cells
known
is
permeable.
exchange
The
it
figures
supply
was
your
shape
ratio
have
not
in
volume
the
why
volume
Exam
results
against
Do
respiratory
●
system
trachea,
water
lungs
blood
vessels
smallest
and
between
of
–
tubes
t hese
blood
t hat
tubes
and
carr y
are
t he
‘leaky’
respiring
blood
to
to
allow
all
par ts
exchange
of
of
t he
body.
The
substances
tissues
diaphragm.
●
t he
hear t
–
a
muscular
Functions
of
The
of
functions
amino
of
heat
acids,
blood
oxygen,
t hroughout
defence
against
reproduction,
page
the
t he
t he
t hat
pumps
blood
around
t he
body.
blood
include
carbon
disease
e.g.
organ
body
t he
for
t hrough
penis
transpor t
dioxide
is
and
temperature
t he
made
action
erect
of
substances,
antibodies,
of
by
t he
regulation
white
t he
use
(see
blood
of
e.g.
glucose,
distr ibution
page
cells
blood
197),
and
(see
244).
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The
circulatory
Blood
The
system
The
role
of
blood
structure
composition
of
human
blood
is
represented
as
a
char t
in
Figure
B.3.1.3.
blood
plasma
water
55%
blood
90%
dissolved
erythrocytes
substances
10%,
e.g.
amino
(red
blood
cells
45%
leucocytes
cells)
(white
blood
thrombocytes
cells)
(platelets)
glucose,
acids,
hormones,
antibodies,
proteins
salts,
(fibrinogen,
prothrombin)
p
Figure
Role
B.3.1.3
of
Plasma
is
Composition
t he
liquid
par t
in
Table
information
in
ot her
T able
blood
t he
blood.
which
Its
also
functions
shows
you
in
transpor t
where
to
are
nd
more
Units.
B.3.1.2
transported
in
dioxide
hydrogen
of
B.3.1.2
Substances
Carbon
the
plasma
summarised
q
of
plasma
–
as
Site
of
into
the
absorption
respiring
carbonate
Site
of
delivery
Unit
plasma
and
page
number
tissues
lungs
Unit
B2
pages
98–101
ions
Nutrients
small
intestine
liver
and
all
other
Unit
B1
pages
80–81
organs
Water
small
and
large
kidney
intestine
Hormones
ductless
(endocrine)
specic
glands
Urea
and
all
other
Unit
B5
pages
179–183
organs
for
liver
target
each
organs
Units
hormone
B6
and
219–224
kidneys
Unit
B5
B7
and
pages
252–254
pages
175
and
179–183
Heat
muscles
and
liver
skin,
over
Alt hough
made
are
blood
from
described
Red
Red
numerous
numbers
are
worn
as
a
cells
uid,
have
notice
t hat
impor tant,
all
Unit
almost
but
B5
pages
187
and
197–202
half
specic,
of
it
(45%)
functions
is
which
cells
cells,
of
These
and
body
below.
blood
blood
behaves
cells.
lungs
the
or
our
ever y
out.
er yt hrocytes
blood
day
In
a
to
cells.
They
replace
healt hy
as
t he
t hey
are
also
made
cells
human
are
t hat
each
in
are
drop
known,
bone
are
marrow
destroyed
of
t he
blood
most
in
huge
because
contains
t hey
about
3
5
million
so
red
numerous
widest
blood
blood
t hat
if
cells.
t hey
This
is
equivalent
clumped
toget her
to
1
mm
t hey
of
blood.
would
block
They
all
but
are
t he
p
vessels.
Figure
B.3.1.4
micrograph
Red
blood
cells
do
not
contain
nuclei
or
any
organelles
such
t hat
t here
are
Instead
over
250
t he
cytoplasm
million
is
full
of
haemoglobin
haemoglobin.
molecules
in
In
this
blood
electron
you
can
see
red
as blood
mitochondria.
of
It
each
is
estimated
red
blood
cells
biconcave
cells
with
disc
(yellow)
their
characteristic
shape,
and
white
platelets
blood
(pink)
125
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The
role
of
The
blood
cell.
our
8
Haemoglobin
blood,
Figure
from
B.3.1.6
our
enzyme
lungs
t hat
carbonate
ratio
can
for
pack
surface
shape.
gaseous
in
Large
more
No
to
allow
area
to
nucleus
haemoglobin.
membrane
through
surface
exchange.
Elastic
them
is
t he
pigment
which
makes
t hese
cells,
and
red.
to
shows,
to
t he
catalyses
ions
for
t he
cells
t he
role
of
of
our
haemoglobin
body.
conversion
transpor t
in
t he
Red
of
is
blood
carbon
plasma.
to
transpor t
cells
also
dioxide
This
into
enzyme
oxygen
contain
an
hydrogen
helps
t he
blood
to
volume
remove
so
plenty
of
carbon
dioxide
as
it
ows
t hrough
respiring
tissues.
cell
Our
squeeze
ability
to
transpor t
oxygen
is
affected
by:
capillaries.
●
Anaemia
page
●
–
t he
most
common
Carbon
can
2
Produced
in
the
µm
●
marrow
of
some
bones.
Live
be
monoxide
High
carried
and
17
spleen.
weeks
then
Usually
are
destroyed
between
4
to
6
is
a
lack
of
iron
in
t he
diet
(see
–
this
by
altitudes
–
red
gas
This
blood
t here
is
binds
permanently
binding
cells
less
reduces
and
oxygen
causes
in
t he
the
to
haemoglobin
volume
drowsiness
air
at
high
of
forming
oxygen
and
even
altitudes,
that
death.
but
for
people approximately
cause
64).
carboxyhaemoglobin.
liver
molecule
system
µm
As
Biconcave
appear
circulatory
in
living
or
travelling
t here
acclimatise
by
forming
many
more
red
the
blood
million
cells.
3
per
mm
and
blood.
some
Function
carbon
is
to
transport
oxygen
dioxide.
q
p
Figure
B.3.1.5
lungs
(high
Red
oxygen
blood
T able
B.3.1.3
Comparisons
concentration)
Feature
White
Nucleus
Yes
Mitochondria
Yes
Size / µm
8
Contains
haemoglobin
red
haemoglobin
oxygen
(HbO
to
).
blood
(Hb)
form
(Note
white
blood
cells
and
red
to
blood
cells
blood
Red
cells
blood
cells
No
No
20
8
No
Functions
haemoglobin
between
cells
Yes
Defence
against
•
phagocytosis
•
production
Transports
infections:
carbon
oxygen
and
dioxide
in
cell
combines
of
antibodies
with
oxyhaemoglobin
that
one
molecule
White
blood
cells
8
of
Hb
can
carry
four
oxygen
molecules)
White
oxyhaemoglobin
haemoglobin
‘picks
up’
and
and
some
takes
it
splits
oxygen
of
the
back
up
to
blood
the
dioxide
lungs
There
are
and
vacuoles.
t hat
(low
oxgen
several
in
B.3.1.6
transporting
The
also
1
mm
made
of
in
bone
blood
but
mar row.
t he
There
number
are
about
var ies
quite
10
a
00 0
lot.
different
types
of
white
blood
cell,
including
phagocytes
cells,
are
from
two
bone
pat hogens
types
of
marrow
and
cell
debris,
phagocytes.
to
organs,
and
digest
Monocytes
such
as
t he
are
lungs
t hem
wit hin
phagocytes
and
intestines,
concentration)
t hey
spread Figure
are
in
engulf
There
move
where
p
cells
lymphocytes.
Phagocytes
tissues
cells
3
white haemoglobin
carbon
to
blood
give
role
oxygen
of
of
remain
providing
pat hogens.
an
impor tant
Neutrophils
travel
in
line
t he
of
defence
blood
as
a
against
‘rapid
t he
reaction
haemoglobin
force’;
blood
during
searching
Lymphocytes
concentrated
system
and
invading
Lymph
Figure
an
are
in
spread
lymph
are
on
protein
pathogens.
pathogens
is
pat hogens
pour
and
widely
nodes
reproductive
nodes
process
for
t hey
out
of
t he
destroying
t hroughout
in
system
organ
which
t hem
t he
systems
are
bone
t he
marrow
by
body,
like
most
t he
phagocytosis.
but
t he
into
t hey
gut,
likely
tend
to
be
respirator y
to
be
infected
by
microorganisms.
B.3.3.8
special
infection
part
page
of
the
1 42.
molecules
Antibodies
together
known
as
in
lymphatic
Many
that
kill
of
them
protect
microbes
clumps
system
produce
against
directly
making
which
them
you
antibodies
bacteria,
or
help
easier
can
see
which
vir uses
and
phagocytes
to
engulf.
in
by
This
are
other
‘sticking’
clumping
agglutination.
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The
circulatory
system
The
Monocyte
Neutrophil
role
of
blood
Lymphocyte
nucleus
partially
permeable
membrane
8–10 20
µm
12
µm
µm
vesicles
containing
enzymes
p
Figure
B.3.1.7
The
different
types
of
white
blood
cell
bacteria
phagocyte
foreign
p
‘recognises’
Figure
Looking
this
at
phlebotomist
technician
microscope
through
a
1
Look
2
Use
the
collected
a
the
some
haematology
A
Figures
‘flowing’
it
digests
them
using
enzymes
and
B,
B.3.1.9
blood
from
laboratory
and
and
added
a
B.3.1.10
a
person
smeared
blue
are
stain
two
who
the
to
was
blood
in
good
across
make
the
photographs
health.
two
white
that
blood
he
took
microscope
carefully
at
Figures
drawings
in
B.3.1.9
Figure
and
B.3.1.7
p
Figure
B.3.1.9
Blood
p
Figure
B.3.1.10
smear
A
(x300)
B.3.1.10.
to
identify
the
cells
that
you
can
see
in
photographs.
3
Make
4
Use
drawings
the
you
of
each
magnifications
cell
type
given
to
from
the
calculate
photographs.
the
diameters
of
the
cells
that
draw.
Label
their
your
drawings
with
the
names
of
the
cells
and
add
notes
about
appearance.
Suggest
relative
of
in
light
by
cells
slides,
visible.
them
them
yourself
blood
A
cells
ingests
Phagocytosis
A
6
it
around
B.3.1.8
Tr y
5
the
bacteria
how
you
numbers
would
of
red
use
photographs
blood
cells
and
like
white
these
blood
to
calculate
cells
in
a
the
sample
blood.
Platelets
Key
Blood
smear
B
(x400)
term
! Platelets
are
tiny
non-nucleated
cell
fragments
formed
in
t he
bone Platelets
marrow.
In
a
healt hy
human,
t here
are
approximately
250
000
in
Small
fragments
of
cells
ever y that
do
not
have
nuclei;
these
cell
3
mm
of
blood.
They
are
involved
in
blood
clotting,
a
vital
process
which fragments
prevents
entr y
of
excessive
blood
pat hogens
loss
t hrough
from
damaged
damaged
blood
vessels
and
prevents
t he
start
the
release
blood
substances
clotting
to
process.
skin.
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The
role
of
The
blood
Figure
Key
is
terms
B.3.1.12
formed
shows
when
a
t he
mesh
major
of
stages
protein
in
bres
t he
clotting
traps
red
circulatory
process.
blood
cells
The
to
system
clot
make
itself
an
! impenetrable
Prothrombin
dissolved
changes
in
An
the
into
inactive
plasma
thrombin
enzyme
blood
vessels
barrier
release
when
wounding
chemicals
t hat
occurs.
star t
t his
The
platelets
and
damaged
process.
which
during
Calcium
ions
platelets
to
have
several
roles
in
blood
clotting
including
stimulating
blood
release
substances
t hat
activate
an
enzyme
in
t he
plasma.
This
clotting.
Thrombin
The
plasma
converts
that
enzyme
in
enzyme
conver ts
anot her
enzyme
thrombin.
plasma
protein,
prothrombin,
into
t he
active
blood
brinogen
The
nal
step
in
t he
cascade
is
conversion
by
t hrombin
to
of
t he
plasma
protein
brinogen
into
brin
t hat
forms
a
mesh
to
trap
brin.
blood Fibrinogen
protein
that
A
globular
changes
blood
from
A
brous
brinogen
clotting
to
prevents
T able
protein
during
form
a
blood
Red
blood
mesh
of
Exam
entr y
of
pat hogens.
Summary
table
of
the
functions
of
blood
cells
cell
Functions
cell
1
Transports
oxygen
2
Transports
some
from
lungs
carbon
to
dioxide
tissues
from
blood
(cell
is
cell
fragment)
prepared
such
out
Protection
system
use
if
you
between
and
to
lungs
if
as
phagocytosis
2
producing
Protection
from
blood
brinogen.
someone
is
by:
1
It
by
antibodies
releasing
plasma
is
decient
used
in
factors
by
in
to
activate
removing
diagnostic
the
t he
blood
blood
tests,
such
clotting
process
clotting
as
t he
test
to
iron.
is
a
have
cells,
good
acts
to
on
tissues,
blood
organs
tissues
tip
circulatory
distinguish
B.3.1.4
blood
White
loss.
nd
to
and
that
protein
example
loss
formed
Ser um
The
blood
brin
Platelet
✔
stop
clots.
T ype
Fibrin
and
plasma
into
q
when
cells
organ
systems.
Think
platelets
release
protein
the
prothrombin
of
a
list
blood
heart
starting
cells
and
and
with
red
ending
blood
and
with
white
enzyme
thrombokinase
the
vessels.
thrombin
acts
on
blood
calcium
protein
ions fibrinogen
and
vitamin
also
K
needed
fibrin
fibrin
strands
cells.
These
a
p
Figure
B.3.1.12
scab
The
at
trap
dry
the
red
out
wound
stages
in
blood
and
form
site
blood
clotting
128
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The
circulatory
Case
system
Declan’s
Declan
is
about
t hat
will
of
he
but
is
right
not
small
not
be
do
blood
A,
and
B
B
D.
This
serious
operation.
of
blood
medical
Declan’s
doesn’t
and
t hat
may
require
t he
cell
ABO
D
is
and
during
t he
a
is
blood
are
of
will
Before
of
blood
group
always
A+,
take
impregnated
blood
type
cer tain
supply
nurse
t hat
major
wrong
he
a
are
operation.
order
t hinks
cards
two
doctors
t he
to
because
using
t he
him
His
have
mot her
it
identify
give
staff
matter
test
if
D
cell
Test
groups.
blood
and
If
t hey
t hat
a
wit h
did
could
B,
present
blood
of
t he
and
O.
blood
t hen
In
t he
ABO
are
Rhesus
blood
g roup
in
(so
blood
is
Rhesus
system;
types
(or
not
A
because
t here
positive
do
people.
g roup
called
system
known
which
most
blood
four
Rhesus
membrane
molecules
system
There
t he
is
surface
minor
transfusion
of
group
t he
cell
Rhesus
monkeys).
AB
t he
in
t heir
more
molecules
Rhesus
A,
on
ot her
in
are
just
D
it
two.
positive)
negative
(or
negative).
cards
drop
drop
surface
t hen
not
also
molecule
in
system:
is
molecules
are
consideration
surface
present
simply
have
There
discovered
t he
A
cells
and
are
t he
was
If
type.
blood
t hey
a
begin,
antibodies
t his,
usually
is
of
of
like
t he
water
blood
is
is
one
in
added
added
Figure
to
to
B.3.1.13
each
each
test
test
are
area
area
used
to
and
to
test
activate
mixed
Declan’s
t he
wit h
blood.
antibodies.
t he
liquid.
A
The
Anti-A
rst
t hree
t hat
in
t he
t he
areas
test
detect
card
four t h
is
A,
B
and
working
D.
The
properly.
four t h
The
area
blood
is
a
control
should
not
to
AB+.
If
they
shows
t he
results
for
Declan’s
positive
test
with
negative
all
three
with
all
test
of
areas,
them
-
Nome
blood.
the
the
person’s
blood
When
work
out
carr ying
that
out
there
are
operations
eight
t hat
different
type
blood
is
O−.
group
staff
almost
always
uses
may
blood
blood
require
of
t he
types
blood
same
You
-
Focha
de
can
ABO
stocks
are
low
it
may
be
possible
to
use
a
example
blood
of
type
O−
can
be
given
to
all
as
blood
ot her
Rhosus
t he
so
does
it
has
not
none
of
stimulate
t he
t he
t hree
cell
patient
surface
to
-
Fecha
Signature
-
2003-09-04
Firma
SA
Figure
B.3.1.13
Declan’s
A,
antibodies
The
results
blood
to
after
the
card
group,
blood
molecules,
produce
Data
patient.
find
out
B
or
t hat
his
blood
group.
Was
his
groups mother
because
Anti-
altogether.
to
for
Dirección
transfusions,
type
different
Nacimianto
Pos.
adding
If
-
is
p
hospital
Adrress
BMJ
A
probably
control
coagulate
Born
tests
Anti-D/Anti-Rho
area.
B.3.1.13
blood
Anti-B
check
Name
Figure
If
blood
fatal.
Red
as
of
group
transfusions
cer tain.
of
blood
have
can
blood
sample
special
to
need
operation
t he
role
study
Find ing
t he
The
D
correct?
and
will
control
anti-A
anti-B
anti-D
Person
agglutinate
in
t he
emergencies
Immediately
t he
patient’s
blood
if
and
t here
before
blood
an
is
block
no
blood
time
to
operation,
wit h
t he
a
blood
vessels.
nd
out
nurse
Blood
t he
by
type
patient’s
repeats
supplied
of
t he
t he
test
blood
O−
blood
to
is
used
type.
cross
W
match
bank.
X
Figure
B.3.1.14
(W,
Y
X,
and
shows
Z).
results
Identify
t he
of
testing
blood
blood
groups
of
from
t he
four
four
people
people
tested.
Y
Sometimes
t he
t he
t hemselves.
patient
blood
t hat
is
This
used
in
transfusions
happens
in
cases
of
has
rare
been
donated
blood
groups
by
wit h
Z
uncommon
if
t he
types
patient
diseases.
In
is
of
molecules
worried
most
cases,
about
on
t he
t hough,
t he
surface
risks
blood
of
of
t he
infection
comes
from
blood
wit h
a
cells
and
blood-borne
blood
bank
and
is
p
Figure
tests
B.3.1.14
of
four
Results
of
blood
people
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The
role
of
The
blood
normally
as
HIV
People
and
to
q
t heir
Blood
is
kept
future
blood
groups
T able
donated
volunteer
result
rarest
blood
as
blood
to
le
so
been
t he
r un
blood
t he
donations.
groups
in
donate
on
tested
will
staff
Blood
low.
Jamaican
for
major
vir uses,
such
of
rst
t he
banks
Table
have
t heir
blood
blood
bank
know
of ten
B.3.1.5
nd
shows
t hat
t he
tested
how
supplies
of
distribution
of
population.
B.3.1.5
group
Percentage
the
of
Blood
group
Percentage
population
the
23.0
A−
2.0
B+
20.0
B−
1.0
AB+
23.0
AB−
0.5
47.0
O−
3.5
Jamaican
National
Blood
Transfusion
Service:
of
population
A+
O+
Source:
has
system
hepatitis.
who
t his
label
t he
safe
and
circulatory
http://www.nbts.gov.jm/pages.
php?id=6
1
Choose
Table
and
draw
B.3.1.5
to
an
effective
teach
a
group
way
of
to
present
younger
t he
information
students
about
in
blood
groups.
2
Explain
being
3
why
it
is
admitted
Explain
why
impor tant
to
hospital
blood
is
cross
to
know
for
t he
blood
group
of
patients
operations.
matched
immediately
before
an
operation.
In
September
repor ted
getting
4
5
its
t he
stocks
Jamaican
of
O+
National
and
AB−
Blood
blood
Transfusion
were
low
and
A+
Ser vice
was
low.
Suggest
AB−
t hat
2014,
why
t he
Jamaican
blood
bank
had
low
stocks
of
O+,
A+
and
blood.
How
would
you
encourage
people
to
give
blood?
Questions
1
Why
2
State
3
Explain
4
Describe
the
role
5
Describe
the
process
6
Explain
7
State
8
How
high
9
do
single-celled
three
functions
why
the
three
does
organisms
oxygen
role
of
ways
the
of
of
is
body
need
a
circulatory
system?
blood.
not
included
in
T able
B.3.1.2.
lymphocytes.
of
phagocytosis
platelets
in
not
which
a
in
the
red
acclimatise
using
bullet
points.
blood.
blood
to
the
cell
low
is
adapted
content
of
to
its
function.
oxygen
in
the
air
at
altitude?
Using
the
between
circulatory
cells,
system
tissues,
as
organs
an
and
example,
organ
explain
the
relationship
systems.
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The
circulatory
B.3.2
system
Heart
Heart
structure
and
function
Learning
By
Structure
of
the
the
end
hear t
is
a
muscular
organ
t hat
pumps
blood
t hrough
blood
t he
body.
Figure
B.3.2.1
shows
what
t he
human
hear t
be
from
t he
muscle
which
looks
of
describe
front.
The
tissue
t hat
makes
up
most
of
t he
hear t
is
is
shown
found
here
and
nowhere
else
in
t he
body.
Cardiac
in
are
relate
Figure
B.3.2.2.
connected.
Notice
Cardiac
t hat
muscle
t he
bres
bres
are
at
t he
bottom
branched
communicate
wit h
each
ot her
and
contract
like
of
right
right
coronary
the
explain
left
atrium
left
coronary
blood
explain
the
(b)
A
vein
cava
drawing
of
the
heart
aorta
and
the
major
blood
vessels Figure
is
two
pumps
lying
side
by
side
(Figure
B.3.2.3).
Each
side
blood
from
into
ventricle
t he
from
t hat
ventricles.
There
to
is
veins
atrium
so
and
to
t he
of
walls
atrium
resistance
atria
ows
do
into
an
contraction
ventricle
Each
no
move,
which
whose
ventricle
atrium
t he
to
not
t he
are
of
walls
t he
each
a
at
side
as
from
into
prevent
t hick
low
blood
as
Blood
blood
t he
an
t he
atrium
ar ter y.
(a)
viewed
The
dark
An
external
from
red
the
view
front
structure
at
of
of
the
right
of
the
heart
is
the
left
the
atrium
ows
Valves
backow
of
hear tbeat.
not
blood
ow
have
on
during
atria
pumps
atrium.
forces
B.3.2.1
heart
receives top
Notice
pulse.
ventricle
body.
blood
pressure
ventricle
the
between
heart
explain
artery
p
a
‘lubb–dupp’
the
artery
B.3.2.1
hear t
the
of
atrium
descending
The
within
functions
cava
vena
Figure
their
arch
cardiac
p
structures
to
toget her.
left
right
and
heart
so
●
vena
structure
the
t he
t his
●
aortic
the
of
heart
sound
t hey
you
muscle
●
photograph
topic
to:
cardiac
the
tissue
this
like
●
is
outcomes
able
function
viewed
function
vessels ●
around
and
heart should
The
structure
and
t hick
as
t he
pressure
as
t he
t he
walls
into
blood
of
t he
t he
ventricles.
does
not
have
far
ventricles.
Did
you
know?
? The
walls
muscle
pumps
of
t he
of
to
t he
pump
blood
body.
t herefore
ventricles
to
t he
t he
The
t he
blood
lungs
lungs
blood
are
are
t hicker
against
and
t he
sof t,
pressure
in
a
because
greater
lef t
have
resistance.
ventricle
spongy
t he
t hey
organs
The
pumps
because
pulmonar y
ar ter y
much
right
blood
t hey
does
more
to
are
not
cardiac
ventricle
t he
full
rest
of
have
air;
to
be
Cardiac
type
of
fatigue.
of
high
as
lungs
do
not
give
much
resistance
to
t he
ow
of
is
a
much
circulation
and
lef t
give
a
higher
ventricle
t han
t he
greater
because
has
right
t he
resistance
organs
resistance
to
create
a
to
are
t he
high
to
t he
not
ow
like
blood.
pressure
of
t he
To
blood
lungs;
overcome
and
in
t he
t hey
rest
are
t his
t herefore
of
t he
much
denser
resistance,
has
–
–
is
the
that
other
two
smooth
become
only
does
not
types
and
fatigued
if
blood.
they
There
The
muscle
skeletal
ver y
muscle
muscle
a
t hicker
t he
wall
work
muscle
body
is
is
like
for
in
long.
tubular
the
attached
Unit
too
gut;
to
the
Smooth
organs
skeletal
in
the
muscle
skeleton
(see
B.4).
ventricle.
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Heart
structure
and
The
function
circulatory
system
T o get an idea of pressure and resistance, think about turning on a tap attached
to a hose pipe. If you turn on the tap a little way, no water comes out of the
other end of the hose pipe because the pressure is too low. Now gradually turn
the tap further to give a higher pressure and you nd that water will overcome
the resistance of the hose pipe and emerge from the far end.
carotid
superior
vena
artery
cava
pulmonary
vein
pulmonary aorta artery
left right
p
Figure
B.3.2.2
Cardiac
muscle
tissue
atrium atrium
from
a
taken
has
ventricle.
with
had
fibres
an
This
photograph
electron
colour
(brown,
added
pink
was
microscope
to
and
show
and
semilunar
inferior
vena
muscle
purple),
a
bicuspid tricuspid
capillary
fibres
the
(orange)
that
and
transmit
ventricles
modified
impulses
(green)
(mitral)
though
cords
(x750).
p
(valve
Figure
=
deoxygenated
=
oxygenated
B.3.2.3
showing
the
blood
blood
Structure
pathway
ventricle
of
taken
the
by
heart
and
associated
blood
vessels
blood
bicuspid
B.3.2.4
Human
heart
tendons)
ventricle
left
Figure
valve
valve
muscle
right
p
valve
cava
valve
dissected
semilunar
to
show
the
the
heart
Y ou
can
at
left
the
see
side
top
the
with
of
very
the
the
top
thick
wall
of
the
tricuspid
left
its
ventricle,
tendons.
B.3.2.3
and
the
bicuspid
Compare
valves
of
photograph.
valve
with
valve
and
Figures
B.3.2.5 X Y
p
Figure
of
the
Figure
B.3.2.5
viewed
X
Y
is
is
B.3.2.5
from
t he
t he
A
drawing
made
of
a
cross
section
of
the
heart
at
the
level
valves
shows
above.
valve
valve
at
at
t he
t he
a
section
The
base
base
across
valves
of
of
t he
t he
t he
labelled
aor ta
hear t
X
and
where
pulmonar y
it
to
Y
show
t he
four
valves
are
t he
semi-lunar
joins
t he
lef t
ar ter y
where
it
valves.
ventricle.
joins
t he
right
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The
circulatory
ventricle.
t he
When
ar teries,
you
t he
can
system
see
t he
blood
in
t he
Heart
pressure
ows
in
back
drawing
t he
ventricles
towards
so
closing
t he
t he
is
less
t han
ventricles,
valve
lls
t he
t he
preventing
pressure
t hat
Study
✔
tip
hear t.
It
The
heart’s
is
and
blue
conventional
The
hear t
people
t here
beats
have
is
a
at
about
hear t
special
rates
tissue
pacemaker.
Muscle
impulses
regular
in
72
beats
higher
and
known
t he
per
t he
minute,
lower
t han
sino-atrial
sino-atrial
alt hough
node
t his.
node
In
perfectly
t he
which
contracts
and
right
is
t he
emits
healt hy
atrium
does
hear t’s
inter vals.
These
impulses
spread
across
t he
not
colour
own
electrical
t he
t he
rest
of
t he
cardiac
muscle
to
contract,
rst
t he
blue.
can
increase
along
speed
also
that
blue
to
lungs.
in
and
blue.
blood
red
as
Blood
This
changes
it
is
Deoxygenated
goes
red,
atria
red
and
oxygenated
blood
blood
is
is
and
red.
These
colours
are
not
ventricles. very
brain
the
red
hear t
bright
t hen
show
in
blood
mean
from
through
dark
stimulating
blood
deoxygenated
never
at
to
pacemaker oxygenated
to
function
into
Red
We
and
in
‘pockets’
backow
structure
up
speeds
and
ner ves
t he
up
decrease
t hat
hear t
t he
end
rate
t he
on
and
hear t
t he
to
rate
by
sino-atrial
slow
it
sending
node.
down.
The
impulses
We
send
from
out
hormones
t he
to
use
that
impulses
different
is
blue
the
contain
adrenaline
people
hear t.
muscle
closed
bicuspid
diagrams
colour
of
with
because
veins
deoxygenated
decided
that
blood
light-coloured
in
skin.
semilunar
closed
tricuspid
in
someone
sphincter
semilunar
valves
so
valves
bicuspid
and
tricuspid
valves
open
and
valves closed
open
deoxygenated
oxygenated
a
Diastole
(between
blood
blood
beats) b
p
Figure
Blood
The
B.3.2.6
ow
The
through
contraction
state,
when
contractions
t he
of
a
the
chamber
cardiac
of
heart
during
systole
one
(atria
heart
contract)
c
Ventricular
on
each
side
of
t he
hear t
is
t he
hear t
not
is
called
contracting,
systole.
is
called
The
diastole.
Study
✔
resting
contract
and
relax
at
t he
same
time.
The
The
same
and
relax
time
as
involves
Stage
from
(a):
t he
venae
backow
Stage
each
of
(b):
t hem
stage,
so
and
t he
t hat
atria
systole
two next
a
different
complete
time
hear t
from
beat
is
t he
atria
called
a
but
at
cardiac
section
t he
cycle
the
on
blood
understand
an
heart
is
if
have
animation
you
or
a
much
ow
easier
access
YouTube
to
to
clip.
stages.
and
ventricles
pulmonar y
t he
tricuspid
is
–
relax
veins.
pulmonar y
bot h
volume
Blood
muscles
blood
One
and
from
t heir
increases.
bicuspid
–
at
tip
and
blood
Semilunar
ar ter y
and
enters
valves
aor ta
into
t he
hear t
prevent
t he
any
ventricles
(a)).
Atrial
consequence,
ot her.
cavae
blood
B.3.2.6
contract
following
Diastole
t he
(Figure
and
contract)
two through
ventricles
(ventricles
beat
The
atria
systole
heart
of
muscle
the
Atrial
at
will
valves
one
higher
into
t he
contract
decrease
slightly
around
forced
atria
t he
so
into
t he
t hat
ventricles
t he
veins
same
t he
pressure
pulmonar y
way
at
blood
ows
As
B.3.2.6
venae
a
pressure
t hrough
(Figure
and
time.
wit hin
t he
(b)).
cavae
At
t his
constrict
ventricles.
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Heart
structure
and
The
function
Stage
(c):
Ventricular
contracted.
decreases
t he
The
so
t hat
ventricles
valves
are
higher
blood
is
t he
t han
t hat
into
in
Use
happens
what
you
t han
As
t he
t he
–
bot h
relax.
pressure
shut.
Written
What
now
greater
pushed
ows
systole
atria
in
t he
t hem
t hat
t he
ventricles
As
in
increases.
t he
pressure
ar teries,
t he
pulmonar y
contract
ventricles
atria,
in
t he
and
af ter
contract,
t he
so
t he
valves
aor ta
t he
bicuspid
also
are
(Figure
system
atria
t heir
Eventually
ventricles
semilunar
ar ter y
circulatory
have
volume
pressure
and
in
tricuspid
becomes
pushed
open
and
B.3.2.6(c)).
Activity
during
have
one
just
heart
read
and
beat
the
diagrams
of
the
heart
to
answer
these
questions.
1
What
happens
during
to
a
ventricular
2
What
are
3
What
is
4
Suggest
the
the
a
roles
role
role
photographs
of
of
for
and
the
volume
systole
the
the
the
Explain
why
the
left
6
Explain
why
the
walls
the
bicuspid
semilunar
valve
diagrams
5
and
when
the
pressure
in
the
ventricles
contract?
tricuspid
valves?
valves?
the
is
the
and
tendons
of
ventricle
of
b
ventricles
that
thicker
atria
you
can
see
in
the
heart.
are
than
much
the
right
thinner
ventricle.
than
those
of
the
ventricles.
7
Using
take
8 0
0.5
1.0
1.5
Figure
in
What
B.3.2.3,
getting
type
of
from
blood
describe
the
right
vessel
is
the
pathway
atrium
a
the
to
the
aorta;
that
a
red
blood
cell
would
aorta.
b
the
vena
cava?
2.0
time / s
Figure
B.3.2.7
is
a
timeline
of
changes
that
occur
as
the
heart
beats
three
times.
diastole
Use
p
Figure
Figure
B.3.2.7
to
answer
these
questions.
B.3.2.7
9
Calculate
10
List
11
At
the
12
At
q
T able
a
what
and
b
heart
sequence
what
valves
the
stages
open,
in
rate
of
stages
in
B.3.2.1
the
cardiac
The
parts
of
the
Function
cavae
these
atrium
ventricle
Pulmonary
arteries
Pulmonary
veins
ventricle
Aorta
one
heart
cycle
do
the
tricuspid
and
cycle
do
the
semilunar
beat.
bicuspid
valves
a
open,
heart,
blood
its
associated
ows
from
the
blood
body
to
vessels
the
right
and
their
atrium
functions
through
deoxygenated
blood
from
the
body
and
pumps
it
into
the
ventricle
Pumps
deoxygenated
Deoxygenated
Oxygenated
Receives
left
Left
during
veins
Receives
right
atrium
occurs
close?
Deoxygenated
Left
minute.
close?
Venae
Right
per
that
cardiac
b
Structure
Right
beats
events
the
and
in
blood
blood
blood
ows
ows
oxygenated
into
from
from
blood
the
the
the
pulmonary
heart
lungs
from
the
to
to
the
the
artery
lungs
left
pulmonary
through
atrium
veins
these
through
and
arteries
these
pumps
it
veins
into
the
ventricle
Pumps
oxygenated
Oxygenated
through
this
blood
artery
blood
ows
(the
into
from
largest
the
the
in
aorta
left
the
ventricle
to
the
rest
of
the
body
body)
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The
circulatory
Heart
lungs
Figure
●
If
are
‘lubb’
●
–
search
for
sounds
The
as
t he
of
to
t he
body
closure
of
bicuspid
t he
can
borrow
makes
and
a
t hat
such
as
t he
blood
in
ar teries
from
hear t
be
action
pumped
is
t he
pulmonar y
of
in
normal
be
t he
sounds
hear t.
valves
(sof ter
stet hoscope
from
(see
These
hear t
and
by
par ticular
(louder
sound)
hear
t hem
sounds
t he
for
online.
number
of
yourself
If
you
different
problems.
t he
aor ta
are
t he
of
and
tissue.
builds
up
t he
blood
t he
high
ar ter y
ventricles
and
pressure
system.
The
t hat
enables
contraction
of
t he
pressure.
pulmonar y
As
stretched
a
circulator y
expand.
remain
contract,
As
t he
relatively
t he
aor ta
ventricles
constant
and
relax,
t hese p
t he
recoil
As
The
its
t he
as
person’s
ar ter y.
ow.
The
As
a
cuff
cuff
is
to
are
a
t he
is
This
to
is
t he
blood
of
blood
gradually
t he
bit
t he
not
an
kilopascals
t he
SI
for
unit
unit
(kPa).
so
and
a
fall
to
t he
t he
stop
rst
t he
systolic
band
for
t he
hears
80
in
Figure
B.3.2.8
stethoscope
of
along
stretches
his
to
A
doctor
listen
to
uses
the
a
heart
beat
patient
in
ar ter y
of
blood
sound
and
diastole.
pressure.
of
t his
ar ter y
up
and
owing.
systole
at
largely
an
goes
resistance
mmHg
in
ow
t he
pressure.
depends
example
t he
(millimetres
so
blood
ow
diastolic
pressure,
owing
between
brachial
blood
and
in
vessel
blood
t he
reducing
of
The
blood
ventricular
mmHg
for
in
impor tant
blood
friction
blood
keep
nurse
t he
narrower,
to
pressure
pressure
mmHg
use
or
during
t he
causes
pressure
deated
pressure
to
ver y
band.
system,
a
is
ventricle.
resistance
inated
doctor
more,
systolic
120
is
keep
lef t
becomes
t he
recoil
elastic
t hrough
increases
cuff
an
t he
vessels
ows
vessel
t he
of
and
circulator y
disease,
The
wit h
blood
pressure
take
profession
pressure.
mmHg
a
t his
t he
This
pressure
diastole
blood
happens
pressure
medical
of
result
deates
pressures
blood
If
may
corresponding
t he
model
t hrough
walls
diameter.
blood
during
B.3.2.9).
t his
t he
can
blood
staff
Figure
original
which
diameter.
Medical
(see
You
recoils
wit h
narrowing
t he
t heir
travels
and
ease
to
maintain
and
blood
blood
on
to
ar teries.
systole
function
sound).
hear t
sur prised
indicate
hear t
source
elastic
ar ter y
t he
around
main
contain
helping
and
valves.
tricuspid
valves
of
may
of
sounds
t he
semilunar
you
sounds,
movement
‘lubb–dupp’
t he
sounds’
hear t
pressures
vessels
structure
pressure
to
t hey
listen
demonstrations
‘hear t
ventricles
The
of
you
some
pumping
blood
if
t he
by
closure
t he
Blood
and
see
to
to
breat hing,
closure
possible,
listen
used
caused
–
‘dupp’
or
are
during
B.3.2.8)
sounds
Heart
sounds
Stet hoscopes
t he
system
for
in
to
of
blood
t hen,
The
as
two
normal
diastolic.
we
arm
t he
blood
These
mercur y)
book
t he
in
for
will
The
blood
conver t
p
Figure
B.3.2.9
Measuring
blood
pressure
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Heart
structure
and
The
function
q
T able
the
Part
B.3.2.2
Shows
circulatory
of
the
blood
pressures
circulatory
Maximum
pressure
atrium
Left
ventricle
artery
(in
Figure
cuff
B.3.2.10
records
The
blood
blood
pressure
pressure,
heart
Femoral
to
it
blood
the
is
the
flow
patient’s
displayed.
data
systolic
to
diastolic
kPa)
per
and
phone
person’s
pressure
(12.7
transmits
smartphone
The
the
kPa),
beats
and
is
the
is
pressure
the
leg)
blood
(kPa)
0
10.7
16.0
10.7
16.0
10.7
4.7
2.0
1.3
0.7
0.4
0
vein
cava
data
send
mmHg
heart
Minimum
Right
atrium
1.1
0
Right
ventricle
3.3
0
where
can
doctor.
147
pressure
the
of
rate Vena
and
parts
16.0
Capillary
p
blood
(kPa)
1.1
Aorta
Femoral
different
system
system.
system
Left
in
circulatory
95
rate
His Pulmonary
artery
3.3
1.1
Pulmonary
vein
1.1
0.8
(19.6
mmHg
is
77
minute
Many
doctor s
blood
pressure.
pressure
and
and
clinics
Figure
use
a ppa ra tus
Th e re
t he
to
t he
da t a
allow
are
n ow
t h ey
shown
ma ny
co lle ct
do c tor s
to
in
Fig u re
dig it al
c an
be
mon itor
B.3. 2. 9
meter s
stored
t h eir
for
and
to
me asur ing
sen t
patie n ts
measure
to
b lood
su rger ies
remotely
(se e
B.3.2.10).
Pulse
The
ar ter ies
relax
over
feel
is
t he
wr ist
is
we
centre
decrease
t he
hear t
t he
and
adrenal
where
Several
it
factors
yourself
affect
ar ter y
72
alter
rate
t he
glands
in
increases
affect
opposite),
hear t
rate.
of
to
for
t he
t hick
t he
pass
movement
pulse
wr ist
when
near
t hat
to
muscle)
rate.
An
be
and
bones).
area
stimulate
t he
Hormones,
The
stress.
hear t
pulse
and
over
required.
times
over
recoil
t hey
to
t he
you
felt
on
The
skin
can
are
t he
in
t he
inside
usual
pulse
rate
t he
pulse
This
places
and
ar ter ies
minute.
impulses
as
t he
t he
diet
per
contract
where
bone.
passes
pulse
alter
ner ve
hear t
or
felt
passes
beats
the
be
common
ar ter y
ner ves
sends
t he
ventr icles
to
muscle
most
carotid
earlier,
pacemaker
by
like
The
(where
which
saw
cardiac
or
t he
r m
t he
swelling
approximately
Factors
As
when
slight
pulse.
(where
t he
rate
a
somet hing
neck
of
expand
causing
hormone
It
travels
in
t he
brain
pacemaker
too,
stimulate
adrenaline
in
t he
is
called
to
t he
increase
t he
produced
bloodstream
to
t he
rate.
rate,
stress,
for
example
which
of ten
exercise
leads
to
(see
t he
Tr y
t his
secretion
of
adrenaline.
136
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The
circulatory
Tr y
The
system
this
effect
of
Heart
structure
and
function
yourself
exercise
on
pulse
rate
Requirements
●
Timer
●
Graph
A
good
and
a
Start
to
how
heart
this
determine
long
person
is,
wrist
your
own
as
rate
monitor
five
someone’s
takes
by
shown
pulse,
After
it
the
activity
your
1
electronic
paper
way
see
tter
or
to
return
quicker
their
nding
your
in
then
Figure
sit
minutes
heart
beat
pulse
quietly
your
is
normal
to
pulse
a
returns
set
to
ve
for
you
their
resting
amount
its
counting
When
for
measure
after
and
B.3.2.11.
down
count
tness
to
it.
are
of
resting
Place
heart
exercise.
rate
The
value.
two
condent
ngers
about
over
taking
minutes.
30
seconds
and
multiply
p
the
Figure
pulse.
answer
by
2
to
give
your
pulse
rate
in
beats
per
at
2
Wait
30
seconds
and
repeat
step
1.
Repeat
again
and
calculate
the
Y ou
A
to
should
good
to
to
down
4
After
5
30
an
or
the
seconds
your
Wait
30
your
pulse
flight
10
pulse
for
that
of
activity
is
to
if
you
see
are
how
in
long
good
it
your
heart
Repeat
8
Plot
9
a
Find
of
step
6
graph
raise
five
your
times,
heart
rate,
running
such
on
the
as
out
from
30
the
task,
seconds
then,
exercise
for
your
heart
your
wrist
thumb
for
two
Repeat
this
again,
and
heart
rate
graph
your
heart
investigation
good
subjects.
level
of
Y ou
might
activity
neck.
Do
here
not
when
taking
the
use
pulse
measure
and
your
multiplying
measure
multiplying
your
by
heart
by
heart
rate
by
2.
rate
by
1 40
counting
1 00
80
60
40
20
2.
0
rate
against
has
returned
to
its
resting
return
how
to
long
normal
it
takes
(see
from
Figure
1
2
with
Make
other
sure
people.
first
that
it
Friends
is
safe
and
for
and
like
to
their
see
if
there
recovery
is
a
correlation
4
the
to
5
6
7
8
9
10
Time/ min
before
during
after
task
task
task
end
B.3.2.12).
family
them
3
value.
time.
approximately
rate
to
p
Figure
B.3.2.12
heart
A
rate
graph
showing
might
be
what
before
a
and
members
do
between
a
period
of
exercise.
Notice
how
the the
exercise.
the
120
after
make
on
160
person’s
10
or
walking
spot
down.
of
seconds
until
of
own
either
rate
0
7
felt
health.
takes
ups.
sit
end
for
and
30
will
stairs
press
the
seconds
this
fitness
exercise
after
your
be
exercise.
activity
doing
doing
counting
after
a
with
your
nim rep staeb /etar t raeH
on
up
can
rest.
continue
Decide
and
at
assess
normal
minutes
6
rate
only
way
return
3
pulse
T aking
pulse
your your
mean
B.3.2.11
The
minute.
their
heart
case
rate.
rate
about
recover
takes
five
after
and
the
some
a
half
exercise
time,
in
this
minutes,
has
to
stopped
Questions
1
What
2
Where
3
What
4
Which
5
What
6
Explain
the
7
In
terms
is
is
the
of
the
used
heart’s
blood
part
is
are
for
a
pacemaker?
pressure?
the
contraction
heart
What
How
does
produces
b
relaxation
does
it
‘120/80’
the
highest
of
heart
control
(cardiac)
the
heart
muscle?
rate?
mean?
pressure?
pulse?
why
the
blood
pressure
does
not
decrease
along
the
length
of
arteries.
which
part
of
the
blood
system
does
the
greatest
fall
in
pressure
occur?
137
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The
circulatory
Learning
By
the
end
The
system
B.3.3
outcomes
of
this
topic
The
be
able
define
the
term
circulatory
all
the
structure
of
the
circulatory
hear t
the
to
their
have
of
a
t he
double
body,
a
circulation
red
blood
(Figure
cell
will
B.3.3.1).
pass
This
t hrough
To
understand
t his,
look
at
Figure
B.3.3.1.
Imagine
a
red
in
to
t he
lungs.
return
to
its
Look
at
how
original
many
times
it
goes
t hrough
t he
hear t
position.
veins
and
B.3.3.1
shows
t he
two
circuits
taken
by
t he
blood:
t he
pulmonar y
of
systemic
circulations.
Pulmonar y
circulation
is
t he
circulation
of
blood
capillaries
from
t he
hear t
to
t he
lungs
and
back.
Systemic
circulation
is
t he
circulation
functions
of
●
circuit
system
structure
and arteries,
humans
each
twice.
cell
order
Figure relate
for
human
in
●
mammals,
t hat
and
blood
function
system
system
t he
describe
circulatory
double
means
●
system
to:
Like ●
system
you
Double should
circulatory
circulatory
describe
the
structure
blood
t he function
of
the
from
t he
hear t
to
t he
rest
of
t he
body
(not
t he
lungs)
and
back
to
and
hear t.
lymphatic
system
The advantages of a double
●
describe
how
tissue
fluid
circulation are
LUNGS
and
lymph
are
oxygenated
formed. Low
blood (red on diagrams) and
O
PULMONARY
2
High
CO
deoxygenated blood
CIRCUIT
2
(blue)
are kept separate and the left
Key
terms
ventricle pumps blood at a much
!
higher pressure into the systemic
Double
circulation
Blood
travels
circulation than the right ventricle through
the
heart
twice
in
one High
pumps blood to the lungs.
O 2
complete
circulation
of
the
body. Low
CO 2
Oxygenated
almost
fully
blood
Blood
saturated
with
that
Figure B.3.3.2 shows a more
is
detailed version of the circulatory
oxygen; SYSTEMIC
it
carries
its
maximum
volume
system. You will recognise some of
of CIRCUIT
oxygen
and
less
carbon
dioxide
than
the names of the blood vessels from BODY
deoxygenated
blood.
Deoxygenated
has
about
oxygen
carbon
it
70%
can
of
the
carry
dioxide
earlier Units and you will learn
blood
that
p
Figure
B.3.3.1
u
Figure
B.3.3.2
human
double
Double
about others in Units to come.
circulation
maximum
and
than
Blood
is
The
details
of
the
HEAD
more
circulatory
ARMS
in
pulmonary
oxygenated
&
system
artery
pulmonary
vein
blood. superior
vena
LUNGS
cava
aorta
Heart
hepatic
vein
hepatic
artery
LIVER
hepatic
portal
inferior
vena
vein
STOMACH
cava
&
INTESTINES
renal
vein
renal
artery
KIDNEYS
t
Figure
body.
B.3.3.3
This
The
virtual
computer LOWER
generated
image
shows
circulatory
system
upper
of
part
the
in
the
&
BODY
LEGS
the
body Deoxygenated
blood
Oxygenated
blood
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The
circulatory
system
The
circulatory
system
Artery
This artery
small
ver y
muscular
wall
wit h
lumen
many
t he
elastic
ar ter y
to
bres
allows
wit hstand
endothelium
and
maintain
a
high
blood
collagen
pressure.
fibres
elastic
and
fibres
smooth
muscle
×10
Vein
Veins
have
much
t hinner
vein
walls
elastic
fibres
t han
pressure
is
t he
much
muscle
lower.
large
as
and
blood smooth
ar teries
lumen
easily
blood
collagen
fibres
They
if
t he
can
increases
during
exercise.
semilunar
expand
volume
as
of
happens
Veins
valves
to
have
prevent
endothelium
backow.
×120
Capillary
The lining of capillaries is capillary
made from one layer of very
thin
endothelium
thin cells. There are tiny holes (one
cell
thick)
between the cells which make
capillaries ‘leaky’. This is ideal
for the exchange of substances
(e.g. glucose) between the
blood and tissue uid. As the
cells are thin there is a very
short distance for diffusion of
oxygen and carbon dioxide.
×4000
p
Figure
B.3.3.4
The
structure
of
arteries,
veins
and
capillaries
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The
circulatory
The
system
●
In
Unit
t he
B.1
delivering
●
In
Unit
circuit
In
B.2
Unit
and
q
saw
you
B.5
to
and
t he
t he
one
followed
t he
t he
t hat
system
blood
from
t hrough
●
you
digestive
hear t
in
will
taking
t he
t he
pulmonar y
you
hepatic
liver.
por tal
Note
it
t hat
vein
t he
circulatory
transpor ts
liver
has
blood
two
system
from
blood
vessels
away.
pat hway
of
pulmonar y
blood
t hrough
ar ter y
to
t he
t he
pulmonar y
lungs
and
back
vein.
follow
t he
circulation
from
t he
hear t
to
t he
kidneys
back.
T able
B.3.3.1
Summary
table
showing
the
differences
between
arteries,
veins
and
capillaries
Artery
Thick,
Vein
elastic
wall
Capillary
Thinner
wall
with
less
elastic
Very
tissue
No
valves
Valves
Blood
under
Blood
ows
Normally
high
in
pressure
spurts
carries
oxygenated
How
Veins
so
●
blood
low
●
A
capillary
ows
low
pressure
smoothly
is
not
carries
Skeletal
muscle
t he
from
legs.
Valves
t he
–
vein
Par tial
As
t he
–
t hese
deoxygenated
veins
back
vacuum
t he
in
one
cell
valves
Blood
under
ows
Oxygen
heart
low
and
carbon
exchanged
Connects
pressure
smoothly
an
dioxide
here
artery
to
a
vein
to
push
the
the
blood
helping
if
we
are
contract
hear t.
The
all
blood
the
to
standing
by
get
or
skeletal
t hey
pressure
way
back
back
to
sitting
muscle,
squeeze
in
the
to
the
veins
the
hear t.
upright.
par ticularly
t he
veins,
pushing
t he
muscle
contain.
t he
B.3.3.5).
to
the
surrounded
muscles
t hey
i.e.
heart
in
region
are
to
back
to
essential
prevent
(Figure
the
pressure
head
t hese
blood
to
blood
sufcient
are
wall,
Blood
are
Carries
low
following
direction
B.3.3.6
it
heart
at
–
t he
Figure
under
Blood
returns
blood
that
The
against
p
the
Gravity
in
●
from
blood
carr y
hear t.
●
Blood
blood
Carries
is
No
Normally
blood
thin
thick
backow
As
a
result,
of
blood
t he
when
blood
must
ow
in
squeezes
one
hear t.
chest
–
during
inspiration
t he
pressure
in
t he
chest
network
cavity
decreases
atmospheric
move
along
a)
air
t he
muscle
(see
to
page
be
103).
drawn
major
veins
This
into
and
relaxed
par tial
our
into
b)
vacuum
lungs,
t he
muscle
but
it
not
also
only
causes
causes
blood
to
hear t.
contracted
blood
pushed
vein
through
open
valve
valves
closed
valve
prevents
back
flow
p
Figure
B.3.3.5
The
action
of
semilunar
valves
in
veins
140
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B
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3.indd
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16:07
The
circulatory
Tissue
If
blood
cells
system
never
t he
lef t
t he
can
t hrough
of
back
one
walls
to
layer
t he
blood
nutrients
t hrough
Refer
of
of
ver y
need.
ar teries
t he
Figure
vessels,
t hey
t hin
B.3.3.4
t hin
and
walls
to
cells
it
would
Oxygen
veins
of
see
substances
capillaries
because
be
able
to
nutrients
t hey
are
supply
cannot
too
body
leave
t hick,
but
t hey
t he
pores
lining
of
between
t he
capillar y
t hem.
This
consists
to
and
be
exchanged
bat he
t he
body
by
diffusion.
cells
form
t he
The
small
makes
tissue
molecules
it
easy
t hat
term
!
leave
uid
Tissue
uid
surrounds
Figure
B.3.3.6
shows
a
dense
capillar y
network
under
t he
epit helium
in
Figure
close
to
Note
t hat,
●
a
t here
B.3.3.7
is
in
a
t hrough
●
red
t he
are
which
t he
●
at
surrounded
gaining
far
end
of
t he
blood
and
t he
blood
pressure
pressure
t he
of
t he
t he
of
each
cell
in
a
tissue
is
It
is
that
of
blood
formed
by
plasma.
ver y
by
leaves
the
ar teriole
ions
end
from
t he
of
t he
blood
wit h
and
near
a
so
and
to
ions)
fatty
taken
in
t he
much
nutrients
acids,
and
(e.g.
t hey
t he
capillar y
exchange
passing
out
t he
loss
t he
vessel
pressure
of
inside
t heir
products
wastes
t he
venule
acids,
by
and
venule,
blood
t he
stay
which
ot her
t he
result,
t hat
leads
proteins,
glucose,
cells
t hen
molecules
wall
now
tissue
and
vitamins
is
of
less
uid
into
waste
(e.g.
is
from
causes
t han
t he
reabsorbed
veins.
products
carbon
metabolites,
given
dioxide,
excess
out
by
cells
unwanted
ions)
the
capillaries
at
end
capillary
the
t he
and
nutrients
between
As
uid
and
fluid
uid
dioxide
fall.
t hat
e.g.
and
capillar y
tissue
at
molecules
tissue
oxygen
to
uid:
pressure
molecules,
amino
of
how
uid
capillar y
friction
capillaries
tissue
small
t he
oxygen
tissue
showing
blood
carbon
t he
into
of
large
hormones),
t he
high
forces
lining
cells,
substances,
(e.g.
diagram
formation
relatively
blood
cells
a
The
cells.
capillar y.
capillaries
●
is
the
t he ltration
colon;
system
capillaries.
t hat
wit h
not
and
Key
for
circulatory
uid
wit h
pass
The
venule
arteriole
network
some
back
tissue
into
fluid
the
passes
capillaries
arteriole
the
rest
enters
of
the
the
tissue
lymph
fluid
capillaries
Key
term
!
Lymph
system.
into
p
Figure
B.3.3.7
Formation
of
tissue
fluid
and
The
It
uid
drains
lymph
in
the
from
lymphatic
tissue
uid
vessels.
lymph
141
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3.indd
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16:07
The
circulatory
The
system
Lymphatic
right
into
lymphatic
the
right
duct
empties
subclavian
left
vein
subclavian
Not
all
of
the
lymph
These
veins
uid
by
in
ows
in
in
small
vessels
by
muscles
nodes
t he
t he
The
lymphatic
When
a
of
to
larger
ensure
The
it
body
these
is
uid
the
inside
moved
that
slowly
squeeze
of ten;
more
energy
a
colourless
many
uid,
white
rich
the
blood
in
cells.
contain
valves;
vessels
are
(see
page
like
t he
t he
lymph
is
have
in
in
t he
system
t hrough
Figure
blood
lengt h,
These
groin,
lymph
veins
are
neck
accumulate
immune
Eventually,
of
t heir
nodes.
t he
Lymphocytes
339).
(see
Along
lymph
common
surrounding
movement
legs).
impor tant
blood
t he
of
here
response
returns
in
t he
to
neck
B.3.3.8).
exercise
person
more
star ts
the
to
exercise,
muscles
which
is
do
their
much
provided
by
muscles
more
work.
respiration.
star t
This
The
contracting
means
that
respirator y
harder
they
rate
and
need
increases
tip because
need an
organ
we
muscles
more
so
far.
It
is
(see
other
pages
organs,
105
and
such
1 12).
as
the
The
diaphragm
breathing
and
rate
hear t,
and
depth
of
both
increase
and
the
cardiac
output
of
the
hear t
also
increases
to
situated
supply the
ATP
and
have
breathing mentioned
of
the
and
into
of
B.3.3.7 .
thin-walled
valves
contraction
of
armpits.
region
system
Effects
is
(rat her
veins
and
t he
side
like
Some
Figure
intestine
and
the
of
in
drain
are
direction.
contains
par ticularly
to
system.
shown
lymph
Lymph
and
lymph
not
into
blind-ended
villi
in
is
one
is
into
vessels
lacteals
moved
spleen
are
which
movements
Lymph of
The
lymph
semi-lunar
vessels
lipids
from
Study
reabsorbed
duct
lymphatic
✔
is
drains
capillaries
vessels
vessels.
B.3.3.8
uid
Some
the
lymph
with
these
Figure
tissue
capillaries
lymph
p
system
capillaries.
capillaries
lymph
system
vein
the
thoracic
circulatory
stomach
the
body
with
the
increased
oxygen
needed
for
aerobic
respiration.
and, 3
like
It
is
the
liver,
also
cells
led
and
people
is
with
–
to
you
with
white
lymphatic
have
removed
lled
their
live
Some
spleens
without
cardiac
each
blood
tissue.
have
can
The
blood.
output
minute.
hear t
beats
volume
of
This
per
is
is
the
achieved
minute
blood
volume
by
of
out
of
in
increasing
increases),
pumped
blood
and
the
dm
the
increasing
hear t
with
pumped
hear t
the
each
rate
out
(the
stroke
beat
of
the
hear t
number
volume
of
(the
increases).
it.
cardiac
output
(volume
hear t
rate
stroke
volume
3
of
blood
from
The
in
hear t
extra
blood
dm
per
is
=
minute)
volume
t hat
(volume
of
3
pumped
of
stored
t he
per
×
minute)
blood
in
(beats
coming
liver
and
into
blood
of
t he
spleen
in
hear t
dm
per
circulation
when
at
pumped
out
beat)
during
exercise
is
rest.
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The
circulatory
system
The
Practical
The
beep
This
is
a
circulatory
system
Activity
test
popular
oxygen
to
names:
beep
way
support
test,
to
test
aerobic
bleep
the
efciency
respiration
test,
shuttle
of
during
runs,
the
heart
and
exercise.
multi-stage
It
lungs
has
a
tness
in
providing
variety
of
test.
Requirements
●
T ape
●
two
●
CD
measure
markers
player,
20
test
with
Y ou
apart.
1
Find
a
2
Warm
only
flat
up
with
20
beep
metres
test
apart
app,
continuously
runs,
beeps
laptop
surface
5
to
10
are
with
and
between
sometimes
that
continue
for
set
a
running
These
pre-recorded
should
rule
running
a
program
with
beeps
involves
metres
metre
person
phone
pre-recorded
This
or
per
played
this
mark
at
activity
two
minutes
called
by
if
points
doing
set
two
points
shuttle
intervals
you
that
are
are
some
in
that
runs,
of
are
exactly
kept
in
time
time.
good
exactly
jogging
are
health.
20
and
metres
apart.
stretching
exercises.
3
Start
one
the
foot
beep
on
test
or
software.
just
over
the
At
each
line.
The
beep,
beeps
you
are
need
set
to
so
have
you
at
will
least
start
to
−1
move
until
4
at
8.5
you
After
a
km
hear
while,
.
h
the
If
you
are
too
fast
you
will
have
to
wait
at
the
line
beep.
there
will
be
a
double
beep
which
indicates
the
speed
is
−1
5
increasing
by
rest
test.
of
When
read
the
you
your
before
miss
your
km
the
fitness
failing
oxygen
0.5
to
h
beep
score
keep
body
.
on
from
up
can
This
is
will
two
the
your
absorb
now
happen
consecutive
program
score.
during
or
This
at
regular
occasions,
app.
The
score
exercise.
It
is
is
intervals
stop
highest
the
the
test
level
maximum
known
as
the
for
the
and
you
reach
volume
VO
of
max
2
3
and
6
is
Warm
Try
the
measured
down
test
by
and
Bleep
in
cm
doing
compare
3
oxygen
some
your
per
kilogram
stretching
level
of
per
minute
(cm
−1
kg
−1
min
).
exercises.
tness
with
others.
Test
54.5 3
Fitness:
Next
cm
beep:
2
sec
Speed:
-1
kg
-1
min
13.5
km/h
20
p
Figure
B.3.3.9
measure
their
These
aerobic
two
students
are
doing
shuttle
m
runs
to
fitness
143
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The
circulatory
The
system
Written
The
output
of
of
a
student
measurements
q
T able
heart
were
while
system
Activity
the
Measurements
circulatory
at
made
resting
are
in
rest
of
the
and
T able
and
during
heart
during
rate
some
exercise
and
the
cardiac
strenuous
output
exercise.
The
B.3.3.2.
B.3.3.2
At
rest
During
strenuous
exercise
−1
Heart
rate
/
beats
min
3
Cardiac
During
output
and
cardiac
output
strenuous
T able
5
25
min
there
organ
160
−1
dm
exercise
organs
q
/
72
are
changes
systems.
that
ows
T able
through
in
the
distribution
B.3.3.3
the
shows
organs
of
the
the
of
blood
to
body
at
rest
of
Percentage
at
of
cardiac
Percentage
rest
Brain
output
Skin
of
the
digestive
system
Kidneys
of
during
15
6
3
26
2
4
20
80
5
5
Bones
4
1
Others
4
2
muscles
Cardiac
muscle
1
data
Calculate
in
in
the
heart
T ables
the
B.3.3.2
student’s
and
stroke
B.3.3.3
volume
cardiac
exercise
3
20
Skeletal
the
during
B.3.3.3
output
Use
the
and
exercise.
Organ
Organs
different
percentage
to
(i)
answer
at
rest,
the
and
following
(ii)
during
questions
strenuous
exercise.
2
Summarise
when
the
someone
significant
does
changes
strenuous
in
the
distribution
Calculate
the
a
4
the
organs
rate
listed
of
a
blood
at
rest,
flow
and
blood
that
occur
exercise.
3
3
of
in
b
dm
−1
min
during
that
flows
exercise.
through
Present
your
each
of
answers
in
table.
Draw
at
a
rest
Figure
bar
and
graph
to
during
B.3.3.10
compare
exercise.
as
this
a
the
rate
Consider
good
way
to
of
blood
drawing
show
flow
the
data
through
bars
like
the
organs
horizontally
as
in
this.
Skin
0
0.1
0.2
0.3
0.4
0.5
0.6
3
Rate
p
5
Suggest
T able
examples
Figure
of
the
of
blood
flow/dm
0.7
0.8
–1
min
B.3.3.10
organs
included
in
the
category
‘others’
in
B.3.3.2.
144
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The
circulatory
system
Heart
disease
Questions
1
Describe
goes
2
from
Make
3
a
pathway
lungs
table
to
that
shows
that
supply
Explain
why
the
the
left
vena
side
4
Explain
5
a
in
why
Describe
the
must
be
the
blood
in
and
organs
each
exactly
in
the
back
the
organ
to
the
body
and
flowing
the
circulation
into
same
the
as
it
it
the
names
of
the
away.
right
the
when
lungs.
and
take
system
side
volume
of
the
heart
entering
the
vein.
have
structure
blood
muscle
to
of
pulmonary
arteries
by
the
blood
volume
cava
the
taken
cardiac
vessels
in
6
the
thicker
of
walls
capillaries.
than
b
veins.
Explain
the
role
of
capillaries
in
body.
State
four
ways
in
which
blood
returns
to
the
heart
from
the
systemic
circulation.
7
Explain
8
Name
B.3.4
how
an
artery
Heart
Cardiovascular
Caribbean
the
lymph
heart
as
that
all
formed.
contains
deoxygenated
blood.
disease
diseases
in
and
is
are
other
the
parts
circulator y
Learning
most
of
the
system.
important
world.
Included
cause
These
in
this
are
of
death
all
the
categor y
in
diseases
of
By
the
of
disease
the
heart
disease
(CHD),
heart
failure,
heart
valve
disease
be
of
and
define
the
explain
disease
●
explain
effects
Coronar y
hear t
disease
angina
–
pain
you
hypertension
in
the
of
atherosclerosis
arteries
causes
heart
and
attacks
includes:
●
●
term
how
develops
heart
topic
to:
strokes. ●
Coronary
this
able
are ●
coronary
end
should
outcomes
across
t he
chest,
lef t
arm
and
shoulder
caused
describe
the
role
of
artificial
by pacemakers.
insufcient
●
coronar y
some
blood
getting
t hrombosis
cardiac
muscle
–
is
a
to
t he
hear t
blockage
star ved
of
muscle
occurs
blood
in
and
a
coronar y
dies
–t his
ar ter y
is
a
so
hear t
t hat
attack.
Key
terms
! Figure
3.4.1
muscle
The
in
shows
t he
blockage
cardiac
lef t
t he
ventricle
stops
muscle.
coronar y
t he
This
and
blood
tissue
ar teries
a
place
owing
dies
and
supplying
(C)
into
t his
where
an
a
in
of
blockage
capillaries
results
area
a
cardiac
has
supplying
hear t
occurred.
a
region
of
Coronary
condition
one
attack.
or
more
Atheroma
arch
material
of
heart
caused
on
disease
by
a
coronary
A
deposit
the
lining
A
blockage
in
arteries.
of
of
a
an
fatty
artery.
aorta
right
coronary
artery left
coronary
artery
A
t
Figure
B.3.4.1
The
heart
showing
coronary
B
arteries.
C
is
A
blocked
blood
branch
at
C
leading
cardiac
so
to
of
the
left
coronary
interrupting
the
death
of
flow
artery
of
surrounding
muscle
145
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16:07
Heart
The
disease
circulatory
system
Atherosclerosis
Key
term
!
One
of
t he
most
atherosclerosis Atherosclerosis
The
process
fatty
material
is
deposited
lining
of
of
blockages
material,
in
coronar y
par ticularly
ar teries
cholesterol,
t he
inner
wall
of
t he
coronar y
ar teries
(Figure
B.3.4.2).
These
artery
with
fatty
endothelium
streak
develops
wall
of
on
the
plaque
the
and
artery
develops
narrows
space
for
plaque
the
blood
p
Figure
Tiny
B.3.4.2
par ticles
ar teries
become
widt h
and
(see
of
less
able
pressure.
disturb
partially
The
blocked
artery
cardiac
lies
on
muscle
section
coronary
the
which
is
of
blue.
outer
deposit
a
large
very
wall
of
part
little
of
the
plaque
of
the
space
artery
(orange)
artery.
the
clot.
clot
A
in
flow
to
flow
for
through
(red)
is
blood
to
cardiac
to
in
of
3.4.3).
reduce
in
roughen
ow
tears
t he
or
phagocytes
t he
properly
plaques
by
and
Wit h
t he
plaques.
t he
lining
to
it
cholesterol
breaks
form
forms
time,
space
and
of
in
for
‘foam
blood
t he
cells’.
to
become
t he
in
of
This
t he
walls
increase
of
t he
ow.
less
to
coronar y
cells
lining
plaques
recoiling
increasing
to
t he
plaques
t he
Ar teries
stretching
blood
to
artery
artery
distribute
enter
at heroma
and
begin
deposited
blood
clots
the
elastic
maintain
ar teries
chance
t hat
and
blood
and
blood
will
clot
is
coronar y
called
ar ter y
a
t hrombus
t hat
reduces
and
or
coronar y
stops
t he
t hrombosis
ow
of
blood
is
to
a
blood
an
area
of
muscle.
is
The
cardiac
fatty
acids)
muscle
and
it
does
does
not
not
receive
have
its
any
oxygen
carbon
and
dioxide
nutrients
carried
(glucose
away.
and
The
muscle
Cardiac
muscle
(bright
the
muscle
is
B.3.4.2
coronary
may
engulfed
and
smoot h
blood
a
star ts
to
respire
anaerobically
and
produce
lactic
acid.
capillaries
cannot supplying
The
t he
a
off
rough
a
blocking
There
blood
be
in
is
Inside
tissue red)
wall
in
Some
material
function
t he
cardiac
the
are
of
artery.
surface
fatty
may
to
body.
Figures
t he
Calcium
cross
travel
t he
ar teries
A
t hat
t hroughout
accumulated
B.3.4.3
Atherosclerosis
breaks
lining
block
a
deposits
arteries.
Healthy
Figure
is
deposited
atheromas
smooth
p
is
in
called the
causes
fatty
by
in which
common
where
function
correctly
under
t hese
circumstances
and
may
die.
This
(×7)
coronar y
When
such
●
someone
in
t he
discomfor t
●
sweating
●
t herefore
hear t
likely
attack
t hey
to
cause
usually
a
hear t
have
a
attack.
variety
of
symptoms,
and
of
under
t he
breastbone
(clavicle)
and
down
t he
lef t
arm
nausea
vomiting
breat h
and
anxiety
weakness.
Some
hear t
attacks
increases
t he
have
hear t
lives.
to
had
To
do
reduce
Risk
t he
is
hear t
a
are
chances
t hey
risk
of
but
have
have
from
recovered
received
having
heart
ot her
are
a
not.
hear t
and
hear t
Prompt
attack.
gone
treatment
anot her
component
Among
many
sur vival
coronary
genetic
attack.
of
fatal,
of
attacks
t his
factors
There
a
a
chest,
and
shor tness
●
has
is
as:
pain
●
t hrombosis
on
and
medical
Many
to
lead
have
attention
people
long
who
and
changed
active
t heir
lives
attack.
disease
t hat
makes
factors
t hat
some
people
contribute
to
more
likely
coronar y
to
suffer
hear t
146
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The
circulatory
disease
t he
are
risk
which
lack
they
a
regular
blood
have
are
it
t hat
t he
is
high
risk
and
no
of
and
they
saturated
high
fatty
fats,
blood
deposits
they
smoking
know
symptoms
when
in
and
smoking,
pressure,
which
high
developing
in
increases
blood
t he
disease
pressure,
ar teries
and
a
exercise.
pressure
smoke
there
diet
Heart
at herosclerosis
increases
of
High
of
system
of
have
they
high
their
are
can,
blood
blood
two
serious
with
risk
factors.
willpower,
pressure
pressure
and
taken
give
most
(see
it
People
up.
However,
people
Figure
know
discover
they
B.3.2.9).
Hypertension
If
blood
pressure
The
normal
and
10.7
13.3
kPa
kPa
above
for
consistently
pressure
diastolic
increases
pressure
below
is
blood
gures
in
risk
kPa
is
of
high,
a
(120/80
t he
17 .3
for
t hen
young
in
a
mmHg).
A
to
be
is
has
about
diastolic
cardiovascular
considered
person
adult
kPa
pressure
problems,
ver y
hyper tension.
16.0
and
serious
a
(see
systolic
✔
Study
Very
diastolic
t he
case
Treatment
Hear t
●
disease
Balloon
small
heart
is
how
vessel
vessel
so
Hear t
from
–
Some
to
operations
t he
t his
in
During
t he
are
in
suffering
t he
The
of
at heroma
from
The
out.
a
and
stroke
carried
to
a
ow
out
is
is
by-pass
or
of
each
putting
or
increases
hear t
t he
blood
pressure
have
and
had
last
year.
You
hypertension
you
taken
their
may
to
learn
within
have
them;
this
if
topic
to
the
explain
so,
this
really
will
well.
t he
attack.
t he
a
of
ow
piece
blocked
such
body.
it
t he
of
t he
of
section
used.
ver y
t he
par tially
t he
par t
diseased
blood.
blood
by-passes
of
in
(‘hear t-lung’
Large
(a
be
into
reaches
stretching
pump
t he
t hrough
rate
may
cat heter
around
cat heter
taking
more
surger y
a
balloon
t he
mechanical
t hrough
cases
pushed
increases
two
a
inated,
involves
one,
surger y,
wit h
por tion
This
severe
involves
balloon
body
need
In
cat heter
balloon
blood
dr ugs.
diameter
procedure
people
make
or
procedure
vessel.
opens
elsewhere
operation.
●
it
development
various
mm
blocked.
t hat
bypass
ar ter y.
used
until
by
t his
1
coronar y
nearly
is
–
about
t hat
t he
angina
treated
closed
many
about
friends
disease
ination
tube)
diseased
●
stimulates
developing
of
know
Ask
family
help
of
people
mmHg).
excessive alcohol, take little exercise, or eat a high fat and/or high salt diet.
chances
few
hypertension.
study
High blood pressure is more likely in people who smoke, are overweight, drink
Hyper tension
tip
above
vessel
coronar y
one
machine)
numbers
of
is
t hese
year.
Heart transplant – in ver y serious cases a heart transplant may be carried
out, but the number of these is limited by the availability of donor hearts.
Articial
Some
pacemakers
people
pacemakers.
under
Each
t he
t he
demand
is
skin
atrium
impulses
or
problems
made
patient’s
right
electrical
hear t
operation
takes
need
to
be
tted
approximately
an
wit h
ar ticial
hour
and
is
performed
anaest hetic.
pacemaker
under
into
local
wit h
The
when
up
of
and
and
t he
ar ticially
t he
hear t
a
batter y-powered
two
electrodes
right
and
misses
ventricle.
conducts
a
beat.
pulse
which
The
t hem
are
generator
placed
pacemaker
to
t he
implanted
t hrough
veins
generates
cardiac
muscle
on
p
Figure
B.3.4.4
inserted
into
a
An
artificial
person’s
pacemaker
chest
147
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Heart
The
disease
Maths
T able
the
q
B.3.4.1
shows
Americas
T able
skills
in
circulatory
system
2
deaths
from
cardiovascular
disease
in
ten
countries
in
2010.
B.3.4.1
Country
Population
Deaths
T otal
from
cardiovascular
of
diseases
all
number
deaths
from
1995 causes
Barbados
283 000
504
1800
Belize
324 000
325
1300
Cayman
Costa
Islands
50 000
43
270
4 805 000
6 300
21 000
11 271 000
34 710
89 000
72 000
183
572
795 000
2 079
6 300
109 000
311
700
1 337 000
4 160
13 000
318 000 000
823 360
2 656 000
Rica
Cuba
Dominica
Guyana
St.
Vincent
and
the
Grenadines
2010
Trinidad
and
Non-communicable T obago
(2008)
diseases
USA
Communicable
diseases
These Injuries
and
much Ill-defined
p
Figure
B
changes
3.4.5
in
2010
of
Pie
charts
percentages
in
death
the
in
cannot
be
compared
easily
as
the
populations
differ
so
size.
causes
to
of
show
four
the
1
Calculate
between
1995
for
each
country
listed
in
T able
B.3.4.1,
main
a
causes
gures
accidents
the
crude
the
population
death
the
deaths
rate,
which
is
the
number
of
deaths
per
100 000
of
and
of
each
country;
Caribbean
b
2
Display
the
countries
The
number
countries
3
How
this
4
5
results
are
of
as
from
easy
cases
they
would
of
your
to
see
of
you
use
calculations
at
a
coronary
become
disease
more
as
so
a
percentage
comparisons
of
total
between
deaths.
the
ten
glance.
heart
disease
is
said
to
increase
in
developed.
statistics
of
deaths
in
different
countries
to
test
statement?
Suggest
how
you
would
organisations
to
and
heart
List
cardiovascular
coronary
the
factors,
developing
Case
find
out
use
data
whether
from
there
national
is
a
and
international
correlation
between
smoking
disease.
other
coronary
than
heart
smoking,
that
increase
the
chances
of
disease.
study
Hypertension
The
✔
Study
tip
Non-communicable
all
by
the
diseases
organisms
viruses.
There
that
such
is
Unit
D.1
and
diseases
are
as
not
t he
Americas,
t he
ten
Organization
cause
mor tality
almost
from
maintains
two
t hirds
diseases
t hat
of
linked
all
to
non-communicable
deat hs
worldwide.
hyper tension
is
In
leading
causes
of
deat h
in
men
and
one
of
women.
caused
more
diseases
D.2.
Healt h
currently
are
bacteria
much
non-communicable
World
diseases
and
about
in
Hypertension is a persistent raised blood pressure. The WHO denition of
hypertension is a systolic blood pressure that is always equal to or above
1 40 mmHg (≥ 1 40 mmHg / 18.7 kPa) and/or a diastolic blood pressure that
is always equal to or above 90 mmHg (≥ 90 mmHg / 12.0 kPa).
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16:07
The
circulatory
system
Hyper tension
is
a
Heart
risk
factor
of
disease
t hat
affects
bot h
men
and
✔ women.
High
children
and
blood
pressures
teenagers
in
have
t he
even
been
found
in
sur veys
many
different
tip
Caribbean.
as
of
Exam
of
You
Samples
disease
populations
across
t he
world
suggest
should
they
know
may
be
all
these
used
in
symbols
exam
t hat
questions:
up
to
30%
140/90
have
of
t he
mmHg.
t he
One
condition.
hyper tension
140/90
adult
wit h
population
t hird
One
of
in
dr ugs,
suffers
people
t hree
fail
to
from
sampled
people
keep
do
who
t heir
blood
not
are
blood
pressure
know
being
above
t hat
treated
pressure
>
greater
than
≥
greater
than