A Levels Biology (9700)•9700/11/M/J/18

Explanation
Matching symptoms to COPD and cancer diseases
Steps:
- Identify Disease 1 symptoms (coughing blood, breathing pain) as classic signs of lung cancer, involving tumor irritation.
- Match Disease 2 symptoms (shortness of breath, expiratory difficulty, fatigue) to emphysema, caused by alveolar destruction and air trapping.
- Eliminate options where Disease 1 isn't lung cancer or Disease 2 isn't emphysema.
- Confirm the pair: lung cancer for Disease 1, emphysema for Disease 2.
Why D is correct:
- Emphysema features obstructed airflow and difficulty exhaling due to loss of elastic recoil in lungs, per COPD pathophysiology.
Why the others are wrong:
- A: Chronic bronchitis causes mucus production and cough but not hemoptysis or sharp pain; mismatches Disease 1.
- B: Chronic bronchitis involves productive cough, not expiratory dyspnea or fatigue as primary; mismatches Disease 2.
- C: Identical to D but listed separately; no unique distinction.
Final answer: D
Topic: The gas exchange system
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