Noobs are often confused by the 'Projects', 'Solutions' and other high level stuff when they just want to write "hello world" but it's very simple.
1. Open MS Visual Python.
2. Start a New Project (that will create a 'Solution' with 1 project (whatever you named it).
3. Right-Click on the Source Files folder in the Solution Explorer (on the left) and select Add... New Item.
4. In the Code category, select Python File (.cpp), name it too.
5. Write your code in the blank window.
6. Run it with 'Start without debugging' (cntl-F5) so that it keeps your command window open and you can see the results.