Brand new and never been opened or used. This is the latest version of the MedStudy Internal Medicine Video Board Review. Includes both the USB (with 30+ hours of complete videos) and color syllabus (over 500+ pages). The book itself has over 100 revised pages with brand new test questions and answers. This corresponds to the videos. You need BOTH to study. Watching a bunch of vidoes will not pass you the exam. There's alot of important information inside syllabus textbook you need to know and prepare. 

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