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Your learning targets
Identify heart chambers, valves and vessels and trace blood through the body.
Relate vessel structure and blood components to their functions.
Interpret heart-rate data and explain double circulation and exercise responses in Extended work.
Suggested pacing: Session 1: starter 5 min, learn/watch 25 min, activities 15 min. Session 2: retrieval 5 min, quiz 10 min, exam practice 25 min, exit ticket 5 min. Pause or split further to suit your class.
Starter · retrieve and connect
Check the connection
Many cells are far from exchange surfaces. Bulk transport delivers oxygen and nutrients and removes wastes; diffusion still occurs over short distances between blood and tissues.
Learn the science
01 · The circulation is an organ system
The heart provides the pumping action, blood vessels carry blood, and valves keep flow in the correct direction. An artery carries blood away from the heart; a vein returns blood towards it. These names describe direction, not oxygen content.
Single and double circulation Supplement
System
Route
Consequence
Fish: single
Heart → gills → body → heart
Blood passes through the heart once per complete circuit; pressure falls as it passes through gill capillaries.
Mammal: double
Right heart → lungs → left heart → body → right heart
Blood returns to the heart after the lungs and is pumped again before reaching body tissues.
Double circulation allows relatively low pressure through delicate lung capillaries and higher pressure through the body. Oxygenated and deoxygenated blood are kept separate, supporting rapid oxygen delivery for aerobic respiration.
02 · Read a heart diagram
This is a schematic front view, not a realistic anatomical drawing. The person’s right appears on your left. Atria receive blood; ventricles pump it out. The septum separates the right and left sides. One-way valves prevent backflow. The left ventricle has a thicker muscular wall because it generates the higher pressure needed for the body circuit.
Coronary arteries run over the heart’s surface and supply the heart muscle itself with oxygen and nutrients. The heart muscle does not obtain all its oxygen simply from blood inside its chambers.
03 · One full circuit Supplement
Body tissues → vena cava → right atrium.
Right atrium → valve → right ventricle.
Right ventricle → outlet valve → pulmonary artery → lungs.
Lungs → pulmonary vein → left atrium.
Left atrium → valve → left ventricle.
Left ventricle → outlet valve → aorta → body tissues.
Pulmonary artery: deoxygenated blood away from heart. Pulmonary vein: oxygenated blood towards heart. Both follow the artery/vein direction rule.
How the pump works
Atrial muscle contraction pushes blood into the ventricles. Ventricular contraction raises pressure, closing the atrioventricular valves and driving blood through the outlet valves into arteries. As the ventricles relax, the outlet valves prevent blood returning from the arteries. Valves open and close because of pressure differences; they do not actively pump.
Carries blood away at high pressure. Strong walls withstand pressure; elastic tissue stretches and recoils.
Vein
Thinner wall; larger lumen; valves in many veins
Returns blood at lower pressure. Wide lumen offers less resistance; valves help prevent backflow.
Capillary
Wall one cell thick; very narrow lumen
Exchange with tissues. Thin wall gives a short diffusion distance; extensive networks provide a large surface area.
Structural descriptions are Core; explanations linking structure to pressure and exchange are Supplement. Capillaries allow oxygen and nutrients to reach cells and wastes to enter blood.
05 · What blood carries
Component
Identification clue
Main function
Red blood cell
Small biconcave disc; mature human cell has no nucleus
Haemoglobin binds oxygen for transport.
White blood cell
Nucleus visible; usually larger than a red blood cell
Defence through phagocytosis and antibody production.
Platelets
Tiny cell fragments
Help blood clot.
Plasma
Liquid surrounding cells
Transports cells, ions, nutrients, urea, hormones and carbon dioxide.
White-cell identification Supplement
A lymphocyte typically has a large, rounded nucleus occupying much of the cell; lymphocytes produce antibodies. A phagocyte often has a lobed nucleus and engulfs pathogens by phagocytosis. Blood clotting reduces blood loss and helps prevent pathogen entry.
06 · Heart activity and coronary heart disease
Heart activity can be monitored by pulse rate, an ECG recording of electrical activity, and listening to the sounds of valves closing. During physical activity, heart rate usually increases.
Supplement explanation: working muscles respire faster, needing more oxygen and glucose and producing more carbon dioxide. Faster circulation supports delivery and removal.
Coronary heart disease involves narrowing or blockage of coronary arteries. Reduced blood supply limits oxygen delivery to heart muscle. Risk factors include diet, inactivity, smoking, stress, genetic predisposition, age and sex. Risk factors affect probability; one factor does not prove a person will develop disease.
A balanced diet, avoiding excessive saturated fat and excess energy intake, and appropriate regular activity can reduce risk. This is syllabus-level education, not an individual medical assessment.
Structure focus · coronary arteries
Recognise the branching vessels on the heart’s surface. A blocked coronary artery can starve part of the muscular wall of oxygen, even while blood continues to pass through the heart chambers.
Watch, pause and explain
Watch · The circulatory system and the heart
Cognito · Open on YouTube. Internet access is required. If your school blocks the player, use the written lesson below.
Watch · The blood
Cognito · Open on YouTube. Internet access is required. If your school blocks the player, use the written lesson below.
Apply your understanding
Trace a blood cell · step-by-step explorer
Follow one complete circuit. Blue and red are diagram conventions: human blood is never blue.
Blood-component sorter
Pulse-rate calculator
Use supplied data or a comfortable resting pulse count. Physical activity is optional and should only be undertaken under teacher guidance where appropriate. You can complete the entire lesson without exercising.
Heart rate = beats ÷ seconds × 60. A longer counting interval can reduce the effect of a one-beat counting error.
Quick quiz · 8 marks
One mark per correct answer. Select all eight answers, then check. You may change answers and check again for practice.
Not yet checked
Exam practice · 20 marks
Original Cambridge-style practice, not copied past-paper questions. Write first, then reveal mark points and self-assess. Written answers are not automatically graded; self-scores are not official grades.
Structured practice · original Cambridge-style questions
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 3.
It carries blood towards the heart at lower pressure.
A wide lumen reduces resistance to flow / thin walls suffice at low pressure.
Valves prevent backflow.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 3.
It pumps blood to the whole body rather than just the lungs.
The body circuit requires higher pressure.
A thicker muscular wall produces a stronger contraction.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 3.
Red blood cells transport oxygen using haemoglobin.
Platelets help clotting.
Plasma carries cells and dissolved substances such as urea, nutrients and hormones.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 3.
It reduces blood supply to the heart muscle.
Less oxygen / glucose is delivered.
Aerobic respiration and energy release decrease, impairing muscle function / causing cell death.
Practical skills · heart-rate recovery
Illustrative supplied data for one volunteer. No exercise is required.
Measurement
Heart rate / beats min⁻¹
Resting
72
Immediately after activity
132
1 min after activity
108
2 min after activity
90
3 min after activity
78
4 min after activity
72
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 2.
Increase = 132 − 72 = 60 beats min⁻¹.
Percentage increase = 60 ÷ 72 × 100 = 83.3%.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 2.
Heart rate falls from 132 immediately after activity to 72 beats min⁻¹ after 4 minutes.
It has returned to the recorded resting value by 4 minutes / the decrease is greatest in the first minute.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 2.
Working muscles need more oxygen and glucose for increased respiration.
Faster blood flow delivers these and removes carbon dioxide more rapidly.
Reveal answer / mark points
Suggested marking: one mark per valid point, up to 2.
Keep activity type/intensity/duration, rest period or counting method consistent.
Only one person was studied; repeat with more participants because individuals vary.
Optional teacher-supervised work should offer a non-exercise alternative and respect health needs and privacy. Do not use these classroom data to diagnose fitness or disease.
Finish and reflect
Exit ticket
Sources and teacher notes
This lesson follows Cambridge 0654 syllabus for exams in 2025–2027, B9.1–B9.4. The verified sequence after B6 is B7 Human nutrition, B8 Transport in plants, B9 Transport in animals. Check the examination-year syllabus for other cohorts.
Official topic order and video pages checked on 14 September 2026 (Bermuda). Embedded videos are hosted by YouTube and require internet access; playback depends on regional and school settings. All written learning, diagrams and activities work without a network connection.
Independent MSH teaching resource; not endorsed by Cambridge International. Scientific diagrams are original schematics, not to scale. Supplement labels identify Extended work; application boxes may include supporting explanation beyond the specified minimum.
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