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Question 207·Hard·Equivalent Expressions

For all real numbers x3x \neq -3, the expression

x3+px2+qx+13x+3\frac{x^3 + p x^2 + q x + 13}{x + 3}

can be rewritten in the form

x2+rx+s+4x+3,x^2 + r x + s + \frac{4}{x + 3},

where pp, qq, rr, and ss are integers.

If x=1x = 1 is a zero of the polynomial x3+px2+qx+13x^3 + p x^2 + q x + 13, what is the value of p+qp + q?