Hi to whoever did up the mcq, with all due respect, I would have to disagree with your answer for question 20.
Reason being, in the aerobic system and various related qualities, with prolonged aerobic training, the adaptations would of course, be anything centred around the aerobic system's improvement in efficiency, as well as any other increases in stroke volume, haemoglobin count, decrease in resting heart rate, etc.
Now in my opinion + research, protein metabolism wouldn't really be such an adaptation that would arise from prolonged aerobic training - nor would it be desirable. Why would we want the adaptation to use protein as a fuel source, over the usual "default" routes of carbohydrates like glycogen, and fats? In fact, the metabolism of protein isn't something that's improved - why would the body want to improve the breaking down of a fuel source that is already so hard to utilise as it is, not to mention protein is integral to other bodily functions such as haemoglobin production, tissue repair, etc. Something like improved glycogen or fat metabolism would make sense, but protein metabolism doesn't make as much sense.
But fat metabolism is another available answer. If fuel efficiency was indeed improved, fat metabolism AND protein metabolism, A and C would have been equally correct answers.
Instead, I think the answer is B, ATP resynthesis. It would make the most sense, because as you continually train an energy system, the rate at which it resynthesises ATP from ADP (after the originally synthesised ATP's used up) would obviously improve as an adaptation.
If there is some textbook extract or information that proves otherwise, please do share it, apologies if I came off as supercilious or arrogant, but that is my logic