2(g) GAS EXCHANGE · RECALL

2.49 Biological consequences of smoking

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012.49Pearson Edexcel focus

Effects of nicotine, tar and carbon monoxide.

Reveal answer

Nicotine: addictive, raises heart rate/blood pressure. Tar: carcinogens, damages cilia. CO: binds haemoglobin, less oxygen carried.

Key words: nicotine · tar · carbon monoxide

022.49Pearson Edexcel focus

How does smoking cause a smoker’s cough?

Reveal answer

Tar damages cilia → mucus not moved → mucus builds up → coughing to clear it.

Key words: cilia · mucus

032.49Pearson Edexcel focus

How does smoking cause emphysema?

Reveal answer

Smoke damages alveoli → walls break down → smaller surface area → less gas exchange.

Key words: surface area

042.49Pearson Edexcel focus

Name four diseases linked to smoking.

Reveal answer

Lung cancer, emphysema (COPD), chronic bronchitis, coronary heart disease.

Key words: lung cancer · emphysema · heart

052.49Pearson Edexcel focus

Does a correlation between smoking and cancer by itself prove cause?

Reveal answer

No; it needs controlled comparisons and a mechanism (carcinogens in tar) as well.

Key words: mechanism

062.49Lesson

What is meant by the term chronic bronchitis?

Reveal answer

Long-term airway inflammation with excessive mucus and persistent cough.

Key words: chronic bronchitis

072.49Lesson

What is meant by the term emphysema?

Reveal answer

Destruction of alveolar walls and elastic recoil, reducing gas-exchange area.

Key words: emphysema

082.49Lesson

What is meant by the term carcinogen?

Reveal answer

An agent that increases cancer risk by causing or promoting cellular damage.

Key words: carcinogen

092.49Lesson

What is meant by the term carboxyhaemoglobin?

Reveal answer

Haemoglobin bound to carbon monoxide.

Key words: carboxyhaemoglobin

102.49Lesson

What is meant by the term coronary heart disease?

Reveal answer

Disease caused by impaired blood supply through coronary arteries.

Key words: coronary heart disease

112.49Lesson

Smoke component to consequence: for Irritants and particulates, give the immediate biological change and the possible consequence.

Reveal answer

Immediate biological change: Cilia damaged; mucus increases. Possible consequence: Bronchitis and infection.

Key words: Irritants and particulates

122.49Lesson

Smoke component to consequence: for Inflammation/protease activity, give the immediate biological change and the possible consequence.

Reveal answer

Immediate biological change: Alveolar walls and elastin damaged. Possible consequence: Emphysema and reduced gas exchange.

Key words: Inflammation/protease activity

132.49Lesson

Smoke component to consequence: for Carcinogens, give the immediate biological change and the possible consequence.

Reveal answer

Immediate biological change: DNA mutations accumulate. Possible consequence: Lung and other cancers.

Key words: Carcinogens

142.49Lesson

Smoke component to consequence: for Carbon monoxide, give the immediate biological change and the possible consequence.

Reveal answer

Immediate biological change: Haemoglobin oxygen carriage falls. Possible consequence: Reduced tissue oxygenation.

Key words: Carbon monoxide

152.49Lesson

Smoke component to consequence: for Nicotine/vascular injury, give the immediate biological change and the possible consequence.

Reveal answer

Immediate biological change: Heart rate, vasoconstriction, clot/plaque risk increase. Possible consequence: Coronary heart disease and stroke risk.

Key words: Nicotine/vascular injury

162.49Lesson

True or false, and why? “Tar merely blocks alveoli like plugs.”

Reveal answer

False. Smoke drives inflammation and tissue destruction; emphysema involves loss of alveolar walls and elasticity.

172.49Lesson

True or false, and why? “Carbon monoxide binds haemoglobin irreversibly.”

Reveal answer

False. Its affinity is very high, but binding can reverse after exposure stops.

182.49Lesson

True or false, and why? “Nicotine is the main carcinogen in smoke.”

Reveal answer

False. Nicotine drives dependence and cardiovascular effects; many other smoke chemicals are carcinogenic.

192.49Lesson

True or false, and why? “Smoking causes coronary disease only because lungs absorb less oxygen.”

Reveal answer

False. It also damages vessels, promotes plaques and clotting, and changes cardiovascular activity.

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