What is the question here. Seems a bit overkill to have 40 varbinary(max) columns in the same table. I suspect normalization would help here but with no more details it is impossible to tell.
Attention I Have A table with 40 field that 10 of them is image type (varbinary(max)).
I am not sure I am following your question. It sounds like you have some foreign keys perhaps?
i have a table with initial Info and Table that every month become update with new info in this tables i Have Two fields that are Same i cant change it. is this happen in DB Design?