Tons of Americans don't know where really any country besides the US, Canada and Mexico are.
I was talking to a patient and told her Afghanistan was gorgeous. I told her the pine trees on the mountains were similar to Colorado, and that Afghanistan could open amazing ski resorts if they ever got their act together....She called me a liar, she screamed at me about her grandson that fought in Iraq and I was guilty of stolen Valor....then she said "you think I am idiot, you think I dont know Afghanistan is all desert". I just laughted and left the room, when I brought back her scripts I showed her this pic of me at our COP Nerkh in Wardac Province. She still wasn't convinced. Lol