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 D
Explanation
A. Orthopedic: Orthopedic specialists focus on musculoskeletal issues such as bones and joints, not coronary artery disease.
B. Neurology: Neurologists treat neurological disorders affecting the brain and nervous system, not coronary artery disease.
C. Bariatric: Bariatric specialists focus on weight loss and obesity-related conditions, which are not the primary treatment focus for coronary artery disease.
D. Cardiology: Cardiologists specialize in heart conditions, including coronary artery disease, and are the appropriate specialists for managing and treating this condition.
Correct Answer is C
Explanation
A. Microvilli: Microvilli are cellular extensions found on the surface of some cells, not inside the cell.
B. Cilia: Cilia are projections on the cell surface and are not located inside the cell.
C. Cytoplasm: The cytoplasm is the gel-like substance inside the cell membrane that contains organelles and other cellular components.
D. Interstitial fluid: Interstitial fluid is found outside the cells, in the spaces between cells, not inside the cell itself.