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Answer is (E) 9.

The key is to simplify the inequality algebraically before worrying about which integers work. A lot of people try plugging numbers here — it's slow and error-prone.

1. Expand the left side: x(x+1) + (x-18)(x+2) = x^2 + x + x^2 + 2x - 18x - 36 = 2x^2 - 15x - 36

2. Expand the right side: (x-4)(x+1) = x^2 + x - 4x - 4 = x^2 - 3x - 4

3. Bring everything to the left: (2x^2 - 15x - 36) - (x^2 - 3x - 4) < 0, which simplifies to x^2 - 12x - 32 < 0

4. Find the roots: discriminant = 144 + 128 = 272. sqrt(272) is between 16 and 17 (since 16^2 = 256 and 17^2 = 289), approximately 16.49. So roots are roughly (12 - 16.49)/2 ≈ -2.24 and (12 + 16.49)/2 ≈ 14.24.

5. Since the parabola opens upward, the inequality holds between the roots: -2.24 < x < 14.24.

6. Even integers strictly in this range: -2, 0, 2, 4, 6, 8, 10, 12, 14. Count = 9.

The classic trap is skipping -2 and starting the count from 0. Since -2 > -2.24, it's valid. I almost missed it the first time I worked through this type of problem.

Answer: E (9)
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Generally in the GMAT you would be able to factor that expression easily. Not in this case : however , you could use the quadratic formula or conclude that x2 - 12x - 32 = ( x - a)(x + b) where a is a bit greater than 14 and b a bit greater than 2. Thus x2 - 12x - 32 < 0 for all even numbers from -2 to 14.
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