There is some writing and highlighting inside the books. The covers are in great shape. From a smoke free home. 

This set of eight volumes are the perfect companion for anyone studying for the Kaplan Medical Comlex-USA Level 1 exam. The lecture notes provide a thorough review of the material covered in the first year of medical school, including topics such as anatomy, physiology, and pharmacology. With a publication year of 2022, these study guides are the most up-to-date available. Written by Kaplan, a trusted name in medical education, these notes are a valuable resource for any student looking to excel in their studies. The set includes eight volumes, each covering a different aspect of the curriculum. Whether you are a first-year medical student or a seasoned professional, these Kaplan Medical Comlex-USA Level 1 Lecture Notes are a must-have for your collection.