How to not insert the values if same question_text exist but not for the first_word.
Example (The question_text is the whole sentence and the first word is the first word in the sentence.)
He is crazy. //insert
He is smart. //insert
He is smart. //exist don't insert
$first_word = current(explode(' ', $_POST['question_text']));
mysql_query("INSERT INTO questions (question_id,question_text,field_name)
VALUES ('','$_POST[question_text]','$first_word')");