"2024 Edition Medical Computer Skills Certification Exam Question Collection Level 3 (1)" and one other book Exam Committee of the National Council for Medical Secretary Education / Medical Computer Skills Certification Exam Committee Price: ¥1850 #National Council for Medical Secretary Education Exam Committee #Medical Computer Skills Certification Exam Committee #Books #Society/Management I don't think there are any markings, but there are folds on the top of the cover and some stains on the opened pages. Please refrain from purchasing if you are sensitive to such things. Only those who understand used books, please.