A. 182/3
B. 1831/54
C. 18
D. 201/2

Explanation:

12 + 16 – 10 = 18

and 13/18 + 11/27 – 5/9 = (39 + 22 – 30)/(9 * 2 * 3) = 31/54 The answer is 18 (31/54)

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