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Question:

In a shared center two-way left-turn lane, you must use

A extreme caution to make a left turn.
Explaination

A shared center two-way left-turn lane allows vehicles traveling in both directions to make left turns. Hence, you should use extreme caution when entering this lane to make a left turn. Vehicles traveling in the opposite direction may also be entering the lane to make left turns. This is especially hazardous when traffic is heavy.