This document is a 19-page exam for the International General Certificate of Secondary Education (IGCSE) Biology exam. It contains 6 exam questions testing students' knowledge of various biology topics, including cicadas, kidneys, mycoprotein production, anaerobic respiration, fertilizers, and sickle cell anemia. The exam consists mainly of short answer and essay questions requiring students to label diagrams, define terms, describe processes, and explain concepts.