There was pencil writing, but it was erased with an eraser. It's barely noticeable, so you can use it as if it were the real thing! Includes a general review with scoring, which questions to attempt/skip, and the average scores for each class!! This is very convenient for understanding your actual ability. There are oil stains on a few pages of the math section. Please understand that this is a used item that has been in someone else's hands. Exam: Teiryo-kai School Mock Exam Medical School Mathematics English Sundai Kawaijuku