Mark Scheme
1. Mouth/nose → trachea → bronchi → bronchioles → alveoli [4 — 1 per structure in correct order]
2. Intercostal muscles contract, ribcage moves up and out [1]; diaphragm contracts and flattens [1]; volume of thorax increases, pressure decreases, air moves in [1] [3]
3. O₂: ~21% inhaled / ~16% exhaled; CO₂: ~0.04% inhaled / ~4% exhaled; N₂: ~79% both; Water vapour: low inhaled / high (saturated) exhaled [4 — 1 per gas, accept approx. values]
4. Any four: large total surface area (millions of alveoli); thin walls (one cell thick) = short diffusion distance; moist surface for gas to dissolve; rich blood supply (capillaries) maintains concentration gradient [4]
5. Oxygen diffuses from the alveolus (high [O₂]) into the blood capillary (low [O₂]) [2]; CO₂ diffuses from the blood capillary (high [CO₂]) into the alveolus (low [CO₂]) [2] [4]
6. A steep concentration gradient means diffusion occurs faster [1]; blood flow and breathing continuously remove products and replenish reactants, maintaining the gradient [1] [2]
7. Nicotine: addictive; increases heart rate/blood pressure; narrows arteries; Tar: contains carcinogens → lung cancer; coats cilia/airways → reduces ciliary action → mucus accumulates → infections; Carbon monoxide: binds irreversibly to haemoglobin; reduces O₂-carrying capacity of blood [6 — 2 per row]
8. Tar irritates the airways; cilia are damaged/destroyed so mucus and bacteria accumulate [1]; chronic infection causes inflammation [1]; alveoli walls break down and merge, reducing surface area [1]; less surface area means less gas exchange, so the person becomes short of breath [1] [4]
9. Carbon monoxide binds to haemoglobin (forming carboxyhaemoglobin) with a greater affinity than oxygen [1]; haemoglobin cannot carry as much oxygen, so less oxygen is delivered to cells [1] [2]