Emergency Medical Technician (EMT) Basic Certification Practice Exam

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Which test is commonly used to detect peritonitis symptoms?

  1. Blood test

  2. Markle test

  3. CT scan

  4. X-ray

The correct answer is: Markle test

The Markle test, also known as the "heel drop test," is a physical examination technique specifically used to assess for peritonitis. This test involves having the patient stand on their toes and then drop suddenly onto their heels. If the patient experiences pain in the abdomen during this action, it may indicate irritation of the peritoneum, a potential sign of peritonitis. This method is valuable in a clinical setting because it provides immediate feedback on the patient's abdominal assessment. Peritonitis can be caused by various conditions, such as ruptured appendicitis, perforated ulcers, or other infections, and timely recognition of its symptoms is crucial for effective treatment. While blood tests, CT scans, and X-rays can assist in the overall evaluation of a patient's condition, they are not as directly utilized as the Markle test for the specific detection of peritonitis symptoms. Blood tests can reveal signs of infection or inflammation, while imaging techniques may show underlying structural issues, but they do not assess the presence of peritonitis in the same immediate, physical way as the Markle test.