I`m assuming the underlined word is dearth, so
the answer is a. shortage
Answer:
People call it the river of destruction.
Explanation:
When the subject is the performer of the action of the verb, it is called the active voice.
When the subject receives the action of the verb, it is called passive voice.
The given sentence is a sentence in passive voice. The subject in the sentence is unknown. When it is changed to the active voice, the general subject 'people' is added to it. The 'by-phrase' is missing in the sentence written in passive voice. The subject is the receiver of the action. The action of calling is done by the people.
Solution: A modern physician in a small town must be proficient in not only general medicine but surgery as well. ("General medicine" and "surgery" are both objects to the preposition "in.")
OR
Solution: A modern physician in a small town must be proficient not only in general medicine but in surgery as well. ("In general medicine" and "in surgery" are both prepositional phrases.)
