In which of the following sections of the progress note should a medical assistant document a patient's chief complaint?
Subjective
Objective
Review of systems
Assessment
The Correct Answer is A
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.
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Correct Answer is B
Explanation
A. Antibiotics: Antibiotics are not controlled substances and do not require a DEA number for prescription.
B. Opioids: Opioids are controlled substances and require a DEA number for prescription due to their potential for abuse and dependence.
C. Antimycotic: Antimycotic drugs, used to treat fungal infections, are not controlled substances and do not require a DEA number.
D. Cathartics: Cathartics, used to induce bowel movements, are not controlled substances and do not require a DEA number.
Correct Answer is B
Explanation
A. Lysosomes: Lysosomes contain digestive enzymes that break down waste materials and cellular debris but are not responsible for energy production.
B. Mitochondria: Mitochondria are known as the "powerhouses" of the cell because they produce energy through cellular respiration.
C. Nucleolus: The nucleolus is involved in producing ribosomes and RNA synthesis, not energy production.
D. Microvilli: Microvilli increase the surface area of cells for absorption but do not produce energy.