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IB Geography

Optional theme: Food and health practice questions.

141 exam-style questions on Optional theme: Food and health with answers and explanations. Six real samples below — the full set is free with an account.

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Sample questions

India's national dietary energy supply is above average requirements, yet the National Family Health Survey of 2019-21 found that about 57 % of women aged 15-49 were anaemic, and many low-income diets rest on refined cereals and cooking oil. Which term describes this nutritional situation most precisely?

  • Undernourishment caused by a shortage of dietary energy intake
  • Malnutrition caused by poor dietary quality
  • Famine caused by a collapse in regional food availability
  • Seasonal hunger caused by the gap between two harvests

Answer: Malnutrition caused by poor dietary quality

Malnutrition covers any imbalance of energy or nutrients, including micronutrient deficiency such as iron. Undernourishment refers only to insufficient dietary energy, which is not what these households lack - which is why a national calorie figure can look adequate while anaemia stays common.

In rural districts of Malawi many households live more than an hour's walk from the nearest health centre, although the government reports the same national immunisation target for every district. Which indicator would best expose this inequality in access to health care?

  • National life expectancy at birth
  • Total government health spending as a share of national GDP
  • National dietary energy supply per person
  • Births attended by skilled health personnel, by district

Answer: Births attended by skilled health personnel, by district

Only a service-use indicator broken down by district shows who actually reaches care; national averages and spending totals hide the sub-national gap that walking distance creates. Access indicators measure provision reaching people, not money allocated or food available.

Fulani herders in the Sahel of Niger move cattle across large areas of dry grassland, buy almost no external inputs, and consume most of the milk and meat within their own households, selling only small surpluses in local markets. How is this food production system best classified?

  • Extensive subsistence pastoralism
  • Intensive subsistence rice cultivation
  • Extensive commercial plantation agriculture
  • Intensive commercial market gardening

Answer: Extensive subsistence pastoralism

Intensity is measured by inputs per hectare, not by the total area used, so a large, low-input system is extensive. Output consumed mainly within the producing household, with only a small surplus sold, is subsistence rather than commercial.

A new influenza strain appears first in the largest cities on several continents that are linked by direct flights, and reaches small rural towns only weeks later. Which type of diffusion does this pattern show?

  • Contagious diffusion
  • Hierarchical diffusion
  • Relocation diffusion
  • Stimulus diffusion

Answer: Hierarchical diffusion

Hierarchical diffusion jumps down a settlement hierarchy along connections rather than spreading outwards into neighbouring space, which is what contagious diffusion would produce.

Highland districts of Kenya above about 2 000 m have historically had very little malaria transmission, although Anopheles mosquitoes are common in the lowlands nearby. Which physical factor best explains this?

  • Rainfall is too heavy for larvae to survive in standing pools
  • Soils are too acidic for mosquitoes to breed there at all
  • Temperatures are too low for the parasite to develop in the mosquito
  • Ultraviolet radiation at altitude destroys the parasite inside human hosts

Answer: Temperatures are too low for the parasite to develop in the mosquito

Development of Plasmodium inside the mosquito effectively stops below roughly 18 degrees C, so altitude limits transmission through temperature, not through the absence of the vector. Warming is now pushing transmission into some of these highland fringes.

During a public health emergency a middle-income government authorises a domestic firm to manufacture a patented medicine without the patent holder's agreement, paying a set royalty. Which mechanism is being used?

  • Compulsory licensing
  • Parallel importing
  • Tiered pricing
  • Extension of the patent term

Answer: Compulsory licensing

Compulsory licensing is permitted under the WTO TRIPS agreement and was confirmed for public health emergencies by the Doha Declaration of 2001. Parallel importing buys the same branded product more cheaply abroad instead of producing it locally.

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141 Optional theme: Food and health questions — free with an account. Spaced repetition, streaks and full exam simulations included.

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