The diagram represents what the human alimentary canal would look like if it was removed from a person and straightened out. Gastric (stomach) by-pass surgery is sometimes used to help a person to lose weight. The diagram shows the result of this type of surgery.
- (a)(i)Identify the parts A, B, C and D labelled on the diagram. A B C D[4]
- (a)(ii)State which part has the absorption of water as its main function.[1]
- (b)(i)The digestion of one food substance is most likely to be affected by this surgery. State which food substance and explain your answer. food substance explanation[2]
- (b)(ii)Suggest how this surgery may help a person to lose weight.[3]
This question uses a diagram from the original paper, which isn't shown here. Open the full paper from the past papers archive to see it.
Mark scheme
Marking points from the official mark scheme (Oct/Nov 2020). The mark or mark type is shown in brackets.
- [1] A oesophagus / gullet;
- [1] B duodenum / ileum / small intestine ;
- [1] C colon / large intestine ;
- [1] D rectum;
- [1] colon / large intestine / C ;
- [1] protein;
- [1] explanation: pepsin / protease / acid / muscular stomach mixing contents / mechanical digestion / chemical digestion ;
- [1] stomach smaller AW ;
- [1] stomach holds less food;
- [1] reduced appetite / not hungry / feels full AW ;
- [1] food + less eaten / less digestion / less absorption / lower intake of energy ;
- [1] energy used greater than energy taken in ;
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