There are pencil marks as shown in the third image. There are no markers or the like on the problem statements or explanations themselves. Due to home storage, there are scuffs on the cover. A reference book containing the past 10 years of national examinations related to clinical physiology. - Title: Complete MT 2025 Vol.2 - Content: Clinical Physiology - Target Examination: 61st to 70th National Examinations - Past Questions: Complete collection of the past 10 years - Price: 2500 yen (excluding tax) - Check Item: Ultrasound examination by the chief physician of the psychosomatic department Thank you for looking.