For three-set medal problems, first compute $S_2=\sum$ of pairwise intersections using inclusion-exclusion. Then subtract $3\times$ the "all three" count to get the number in exactly two categories.
Step 1: Notation and given data.
Let $D$ = Dance, $R$ = Dramatics, $M$ = Music.
$|D|=36,\ |R|=12,\ |M|=18,\ |D\cup R\cup M|=45,\ |D\cap R\cap M|=4$.
Step 2: Inclusion-exclusion to find the sum of pairwise intersections.
\[ |D\cup R\cup M| = |D|+|R|+|M| - \big(|D\cap R|+|D\cap M|+|R\cap M|\big) + |D\cap R\cap M|. \] Hence \[ 45 = 36+12+18 - S_2 + 4 \ \Rightarrow\ S_2 = 36+12+18+4-45 = 25, \] where $S_2=|D\cap R|+|D\cap M|+|R\cap M|$.
Step 3: Extract those in exactly two categories.
Every person in all three sets is counted three times inside $S_2$, while a person in exactly two sets is counted once.
Let $E_2$ be the number who received medals in exactly two categories. With $t=|D\cap R\cap M|=4$, \[ S_2 = E_2 + 3t \ \Rightarrow\ E_2 = S_2 - 3t = 25 - 12 = 13. \] \[ \boxed{13\ \text{persons}} \]
Instead of computing the sum of pairwise intersections through inclusion–exclusion, this can be solved directly using the three Venn-diagram regions: exactly-one, exactly-two, and exactly-three.
Setting up region variables. Let \(p\)= number of persons in exactly one category, \(q\)= number in exactly two categories, \(r\)= number in all three. We are given \(r=4\) and total distinct people \(p+q+r=45\), so \[ p+q=41. \quad \text{(i)} \] Each medal-category count adds up people who belong to it, counting exactly-one people once, exactly-two people twice, and exactly-three people three times: \[ 36+12+18 = p+2q+3r \ \Rightarrow\ 66 = p+2q+12 \ \Rightarrow\ p+2q=54. \quad \text{(ii)} \]
Solving for \(q\). Subtracting (i) from (ii): \[ (p+2q)-(p+q)=54-41 \ \Rightarrow\ q=13. \]
Only \(q=13\) satisfies both the total-people equation and the total-medals equation simultaneously.
So the correct answer is 13 persons.

