Although it's hardly been used, as the photos show, there are pages with writing and underlining. The written pages are only P. 8, 9, 66, and 67. They are written in orange, so you can use a red sheet to cover them. The pages with highlighting or underlining in pen are P. 64, 65, 94, 96, 100, 108, 109, and 110. I can't upload photos of the answers and explanations due to the photo limit, but they have been separated and stapled together. I will include them. There are almost no scratches or stains, and I have checked the pages with writing, but please understand that there may be some inconspicuous dirt due to home storage. Perfect for nursing students preparing for the national exam and nurses reviewing! Medical Art Publishing "Power Up Problem Exercises: Anatomy and Physiology" Shuji Takeuchi Price: ¥1,944 #ShujiTakeuchi #book #BOOK #health #medicine #nursing #nationalexam #nationalexam Complete coverage from classes and end-of-term tests to the national exam. #nurse #nursingstudent #nurse #medical #medicine #anatomyandphysiology #nursing