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Question 66·SAT Desmos Regression Practice·Advanced Math

For all real xx such that x≠0x\ne 0 and x≠4x\ne 4, the expression

x4−16x2−4x\frac{x^4-16}{x^2-4x}

is equivalent to

x2+px+q+ax+bx−4,x^2+px+q+\frac{a}{x}+\frac{b}{x-4},

where pp, qq, aa, and bb are constants.

Which choice is the value of p+q+a+bp+q+a+b?