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The image shows a book titled "USMLE WORLD QUESTIONS BANK STEP 2 CK". The book is a study guide for the United States Medical Licensing Examination (USMLE) Step 2 CK exam. It has a blue and green abstract design on the front cover with a small red electrocardiogram (ECG) graphic at the top. The book is likely located in Karachi, Pakistan, based on the provided latitude and longitude coordinates. The front cover also indicates a "Medicine Over 1450 Questions" and "EACH BLOCK HAVE 46 QUESTIONS ACCORDING TO NEW STYLE". The book appears to be used, but it's impossible to determine the exact condition from the image.
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