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What must be done if a license has lapsed for 5 or more years?

  1. Attend a refresher course

  2. Apply, pay fee, take all exams again

  3. Submit a letter of explanation

  4. Perform community service

The correct answer is: Apply, pay fee, take all exams again

If a license has lapsed for 5 or more years, an individual would need to apply for a new license, pay the required fee, and retake all of the necessary exams. This is because a license cannot simply be renewed after such a long period of time. Option A, attending a refresher course, may be helpful in refreshing one's knowledge but it would not be enough to renew the license. Option C, submitting a letter of explanation, would not meet the requirements for renewing the license. Option D, performing community service, is not mentioned as a requirement for renewing a lapsed license. Therefore, option B is the most appropriate action to take in order to obtain a new, valid license.