单项选择题

Life expectancy among adults 45 and 65 years of age by family income, sex, and race: United States, average annual 1979-89




In the figure above, the diameter of the circle is 20 and the area of the shaded region is 80π. What is the value of a + b + c + d

A. 144
B. 216
C. 240
D. 270
E. 288