Emergency Medical Technician (EMT) Basic Certification Practice Exam

Which symptom is associated with peritonitis?

1. Radiating shoulder pain

2. Severe abdominal pain

3. Joint stiffness

4. Chest tightness

The correct answer is: Severe abdominal pain

Severe abdominal pain is a hallmark symptom of peritonitis, which is the inflammation of the peritoneum, the lining of the abdominal cavity. This condition often arises from infection or irritation due to various causes, such as a ruptured appendix, perforated bowel, or external injury. Patients typically present with intense abdominal pain that may be localized or diffuse, and it is often accompanied by tenderness upon palpation, which can worsen when the abdomen is moved or touched. The severity of the pain is usually disproportionate to the physical examination findings of the abdomen. Although other symptoms may accompany peritonitis, such as fever, nausea, and changes in bowel habits, the primary and most distinct symptom is the severe abdominal pain. This symptom is critical for EMTs to recognize, as it prompts immediate medical attention and intervention.