There are no writings or cut marks. There is some creasing, but no folds. Exercise problem collection to improve ECG diagnostic ability, containing a total of 111 questions. - Title: ECG Master's Grade Up Exercises for Aiming for Level 3 Diagnostic Ability - Publisher: Medical View Co., Ltd. - Number of questions: 111 - Basic Section: 41 questions - Advanced Section: 70 questions Thank you for viewing.