Question 1
2 marksIn varicose veins, the valves in the veins of the legs do not close properly. The veins become swollen and twisted.
Explain why damaged valves cause the veins of the legs to swell.
Model answer
Valves normally stop blood in the leg veins from flowing backwards. When they do not close properly, blood flows back down the leg under gravity and collects in the veins. The extra blood raises the pressure in the veins and stretches their thin walls, which have little muscle or elastic tissue to resist it, so the veins swell.
Explanation
Blood in leg veins is at low pressure and has to travel upwards, so valves are essential to keep it moving one way. Without working valves, blood pools in the veins, and their thin walls stretch. Answers should link the faulty valves to backflow and then to pooling or raised pressure.
Mark scheme
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1 mark
Valves normally prevent backflow; when damaged, blood flows backwards / down the leg (because of gravity)
Max 2.
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1 mark
(So) blood collects/pools in the veins (of the lower leg)
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1 mark
(So) the pressure in the veins increases and stretches their thin walls (which have little muscle or elastic tissue)