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IGCSE · Cambridge (CIE) · 0973

Explain selection of resistant bacteria

Trace differential survival and reproduction instead of purposeful adaptation.

Drugs · Cambridge IGCSE 0973 · B14.1
Exam scope and assessment notes

Mapped to the named 0973 section using teaching from the corresponding single-science course. A 0973-specific review of every Core and Supplement objective is still in progress. Written practice is self-checked; it does not demonstrate supervised laboratory competence or award an official Cambridge grade. This qualification reports two grades on the 9–1 scale; confirm the entry route for your zone and exam series.

Before you begin

  • Distinguish bacteria from viruses; recall enzymes, chemical reactions, pathogens and reproduction of bacteria.

Work on paper. Try each question before revealing help, and explain why your method works.

Quick readiness check

What is the starting condition in this selection model?

What you will learn

  • Begin with bacterial variation before exposure
  • Connect survival and reproduction with a changed population

Explain selection of resistant bacteria

Susceptibility variation exists before exposure. Susceptible bacteria are killed; resistant survivors reproduce and pass traits to descendants. The population changes without purposeful individual conversion.Before exposure · variationSSSSSSSSSR900 susceptible + 100 resistantAfter exposure · selectionR100 resistant surviveLater reproduction · 3 doublingsRRRRRRRR800 resistant descendantsEach symbol = 100 model bacteriaS = susceptible · R = resistant
Susceptibility variation exists before exposure. Susceptible bacteria are killed; resistant survivors reproduce and pass traits to descendants. The population changes without purposeful individual conversion. Original teaching model.
Drug and antibiotic model reference
FeatureMeaning
BeforeSome bacteria already carry resistance traits
ExposureSusceptible bacteria killed; resistant bacteria survive
AfterwardsSurvivors reproduce and pass traits to descendants
OutcomeResistant proportion can increase

Further reading: CDC explanation of antimicrobial resistance.

Begin with bacterial variation before exposure

A bacterial population can contain variation in susceptibility before an antibiotic is applied. Some bacteria may already carry a resistance trait arising through genetic change or acquired genetic material. In the taught selection model, the antibiotic does not give every bacterium a purposeful instruction to become resistant. It changes which existing variants survive the exposure.

The specified antibiotic kills susceptible bacteria while resistant bacteria survive in the supplied model. This is differential survival under a selection pressure. The resistant survivors can reproduce and pass resistance traits to descendants, increasing the resistant proportion in a later population. Survival during exposure and reproduction afterwards are separate stages; a higher proportion need not require an immediate increase in the absolute resistant count.

Connect survival and reproduction with a changed population

Unnecessary exposure provides additional opportunities for this selection process without an appropriate treatment benefit. Even bacteria other than the pathogen being targeted can be exposed, so the biological consequences of use are broader than a symptom disappearing. Essential clinical use can still create selection pressure, which is why the aim is appropriate use rather than claiming that all antibiotic treatment should stop.

The complete explanation links variation, selective killing, survival, reproduction and a change in population composition. It does not describe the human body becoming resistant, individual bacteria deciding to adapt or every antibiotic directly converting all cells. Resistant bacteria can also spread between hosts, so limiting selection and reducing transmission are complementary ways of limiting the problem.

Sources for this lesson

Pause and explain

Which sequence explains development of a resistant population?

Put the idea to work

Worked example

Explain how a resistant minority can become a larger proportion after exposure.

Show the worked solution
  1. Susceptible bacteria are killed while resistant bacteria survive.
  2. Resistant survivors reproduce and pass the trait to descendants.

Answer Selective killing leaves resistant survivors; their reproduction can increase the resistant proportion in the population.

Try a topic test

Choose Easy, Normal or Difficult. Save your answers and open worked review after finishing.

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From guided practice to a new situation

Write your answer and reasoning first. Use a hint only if you are stuck. The model solution is for self-checking; your written work is not automatically marked.

1 · Guided

Explain selection and reproduction of resistant bacteria in a complete chain.

Give me a hint

Begin before exposure and end with descendants.

Compare my reasoning
  1. Some bacteria are already resistant; the drug kills susceptible bacteria.
  2. Resistant survivors reproduce and pass traits to descendants, increasing the resistant proportion.

A population has susceptibility variation. The antibiotic kills susceptible bacteria while resistant bacteria survive; survivors reproduce and pass resistance traits to descendants, increasing the resistant proportion.

Look for these in your work

  • Include initial variation and selective survival
  • Include reproduction and population change
2 · Independent

Why can the resistant proportion rise during exposure even before resistant bacteria reproduce?

Give me a hint

The susceptible denominator can decrease.

Compare my reasoning
  1. Susceptible bacteria are removed.
  2. The surviving population is therefore more strongly composed of resistant bacteria.

Removing susceptible bacteria changes population composition, so the resistant proportion can rise without an immediate increase in resistant count. Reproduction is a later stage.

Look for these in your work

  • Distinguish proportion from count
  • Separate survival and reproduction
3 · Transfer

Correct: antibiotics make each bacterium choose resistance, and avoiding all antibiotics is the only solution.

Give me a hint

Replace purposeful adaptation and retain appropriate essential use.

Compare my reasoning
  1. Antibiotics select among variants through differential survival.
  2. Essential treatment remains appropriate; unnecessary exposure should be avoided.

Antibiotics select among bacterial variants rather than making every cell choose resistance. Appropriate essential treatment remains valuable; avoiding unnecessary exposure reduces avoidable selection opportunities.

Look for these in your work

  • Explain selection without purpose
  • Retain essential clinical use

Common mistakes

  • Saying bacteria decide to become resistant because they need to.
  • Confusing an immediate proportion change with reproduction.
Recall without your notes

What can you explain now?

Which sequence explains development of a resistant population?

Compare with the explanation

Variation → selective killing → resistant survival → reproduction

It includes both selection and descendants.

After trying it yourself, choose your next review. This is your self-assessment.

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Make it stick

Explain the complete selection chain and distinguish a change in proportion from an immediate increase in resistant count.

If you needed the solution, close it and solve the problem again from a blank page. A correct answer is stronger when you can explain the reason for each step.

Keep learning Sciences — Co-ordinated (9-1)

Course scope and assessment

This 9–1 pathway maps all 152 detailed subject-content sections in the published 0973 syllabus for exams in 2028 and 2029. The course map follows the same 2028–2029 section codes as Cambridge's A*–G 0654 syllabus, while keeping 0973's grading and entry rules separate. It adapts lessons from the related single-science courses and excludes clear single-science-only topics. A 0973-specific objective-by-objective review, Core/Supplement audit, human subject-teacher review, supervised laboratory experience and cumulative assessment remain in progress. Written practice is self-checked and does not predict an official grade. The separate 2025–2027 syllabus has not been reconciled here. Cambridge lists 0973 only in a limited number of administrative zones: June in zone 3 and centres in Oman and the UAE; November in zone 3 only. Confirm entry with your centre.

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Original teaching content and links to official sources. Check your exam year and qualification before using a resource.