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S5 Biology: Immune Response and Vaccines – Practice Paper 3 (Challenge, 10 Questions)

S5 Biology: Immune Response and Vaccines – Practice Paper 3 (Challenge, 10 Questions)

  • 2026-11-05

S5 Biology: Immune Response and Vaccines – Practice Paper 3 (Challenge, 10 Questions)

Paper three handles real-world reasoning: the order of IgM and IgG, transplant matching, a broken cold chain, plus the herd immunity threshold, efficacy times coverage, antibody half-life and relative risk. Each of the four calculable items first asks which formula applies.

Quick answer IgM comes first and IgG later; MHC is the self marker; heat denatures the antigen; an R0 of 4 needs 75%, which is 7.5 million of ten million; 0.95 times 0.90 is 85.5%; three half-lives leave 12.5%; 2% against 5% gives a relative risk of 0.4.

01 Paper details (check answers afterwards)

Item Detail
Questions 10 questions
Suggested time about 30 minutes
Difficulty mix Foundation 1 · Intermediate 2 · Challenge 4 · Error redo 3
Chapter Chapter: S5 Biology | Immune Response and Vaccines: Specific Immunity, Memory Cells and Herd Immunity
Level Challenge

02 Questions (10 items)

  1. FoundationIn a primary immune response which antibody class appears first and which then dominates?
  2. IntermediateWhy must tissue antigens be matched before an organ transplant?
  3. IntermediateHow does a break in the vaccine cold chain reduce efficacy?
  4. ChallengeA disease has an R0 of 4 in a population of 10 million: with a vaccine of 100% efficacy, how many people must be vaccinated for herd immunity?
  5. ChallengeA vaccine is 95% efficacious and 90% of people are vaccinated: what fraction of the population is effectively protected?
  6. ChallengeInjected antibodies have a half-life of about 21 days: what percentage remains after three half-lives?
  7. ChallengeDistrict A has 20 infections among 1,000 people and district B has 25 among 500: what is the relative risk of A against B?
  8. Error redoError retry: a student treats a viral infection with antibiotics and concludes vaccines do not work. What is wrong?
  9. Error redoError retry: an antibody peak rises from 100 to 800 and a student answers 700 times more. What is correct?
  10. Error redoError retry: a student assumes protection begins the moment a vaccine is given. What is correct?

03 Answers and one-line notes

# Answer One-line note
1 IgM appears first and IgG takes over later; in a secondary response IgG dominates and arrives sooner The order is IgM then IgG, first M and later G.
2 Tissue antigens, the MHC, are self markers on the cell surface; a mismatch is read by the recipient T cells as foreign antigen and triggers rejection Rejection is at heart a specific immune response aimed at the graft.
3 Heat denatures the antigen protein, the shape of its epitopes changes, the immune system can no longer recognise the original antigen and antibody titres fall or the vaccine fails It is the antigen rather than the antibody that denatures, and a changed shape no longer fits.
4 7.5 million people One minus one quarter is 75%, and 10,000,000 times 0.75 is 7,500,000.
5 85.5% 0.95 times 0.90 is 0.855, so efficacy and coverage multiply rather than add.
6 12.5% One half cubed is one eighth, or 12.5%, since each half-life halves what is left.
7 0.4 That is 2% against 5%, and 2% divided by 5% is 0.4, so A carries four tenths of the risk of B.
8 Antibiotics act only on bacteria and do nothing to viruses; a vaccine is preventive and works through memory cells shortening the secondary response, so the two mechanisms cannot disprove each other Reading a treatment failure as proof against prevention swaps one claim for another.
9 It is 8 times higher, since 800 divided by 100 is 8; the 700 is an absolute difference rather than a ratio A ratio says how many times as much and a difference says how much more, and the two cannot be mixed.
10 The primary response takes days to about two weeks to raise enough antibody and infection is still possible in between; protection settles only after the full course is completed Vaccine protection is built over time rather than switched on by the injection.

04 What to do after marking

  • After marking, redo only the wrong items and write down which step went wrong (formula, unit, or misread number).
  • Repeat the same item two days later; move to the next paper only when both attempts are correct.
  • Parents only need the answer and note columns; there is no need to explain every item.

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