Even though they are scared of doctors, the quads want to get through their routine exams.

The quads try to take the perfect picture at their Aunt Jackie's farm to best their rival quadruplets, the Kramdens, but end up hurting their aunt's chances to win a contest in the process.

It's Quad vs. Quad in the election for class president. Ricky thinks he has the race locked up, but is surprised when Dawn enters. Things get even messier when Nicky and Dicky go from their running mates to their rivals.