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 A
Explanation
A. Schedule I: This is correct. Schedule I drugs have no accepted medical use and have a high potential for abuse (e.g., heroin, LSD).
B. Schedule II: Schedule II drugs have accepted medical uses but also have a high potential for abuse and dependence (e.g., oxycodone, morphine).
C. Schedule III: Schedule III drugs have accepted medical uses and a lower potential for abuse compared to Schedule II (e.g., ketamine, anabolic steroids).
D. Schedule IV: Schedule IV drugs have accepted medical uses and an even lower potential for abuse (e.g., diazepam, lorazepam).
Correct Answer is C
Explanation
A. Gluteus maximus: The gluteus maximus is not a commonly used site for body fat measurement.
B. Biceps: The biceps are not typically used for body fat measurement. Measurements are usually taken at sites with more subcutaneous fat.
C. Infrailiac region: The infrailiac region, located just above the iliac crest (hip bone), is a common site for measuring body fat, along with other areas such as the triceps and subscapular region.
D. Triceps: While the triceps can be used for body fat measurement, the infrailiac region is another standard site used for accuracy in some methods.