This is a printed version, single-sided of Family Nurse Practitioner Certification Intensive Review 2nd ed. 2013 by Maria Leik. It is thick but very helpful and concise for quick review. Also convenient if you want to take separate sections out and review on the go instead of carrying the entire book. There are minor highlights in the first couple of sections but from about pages 60 on, there are virtually no writing. From smoke-free, pet-free environment.