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Deduct the aldehyde group and cyclohexane group, which are CHO and C6H11 respectively. What remains are 13 carbons and 16 hydrogens, and these are involved in the aliphatic chain.
Suppose a saturated (no double bonds) aliphatic chain with 13 carbons. The corresponding hydrogen number should be 26 (two terminals are not hydrogen atoms). Each time altering one C-C to C=C will lose 2 hydrogen atoms. So there are (26-16)/2 = 5 C=C double bonds.
CIS means the hydrogen atoms are on the same side. So the answer is A.