Anesthesia Specialist Examination This covers 8 years, from the 55th to the 62nd exams. The 56th exam has some wrinkles due to water damage (see photo 6). I think it's still usable without any problems. There are no markings in any of the books. Anesthesia Specialist Exam Pass Training There are no markings, but the cover has some signs of use (see photos 4-5). Not sold separately.