<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 50-year-old woman presents with severe abdominal pain. Past medical history is significant for a peptic ulcer. Physical examination is limited because the patient will not allow abdominal palpation due to the pain. The attending makes a presumptive diagnosis of peritonitis. Which of the following non-invasive maneuvers would be most helpful in confirming the diagnosis of peritonitis in this patient?? A: Hyperactive bowel sounds are heard on auscultation, B: Forced cough elicits abdominal pain, C: Pain is aroused with gentle intensitypressure at the costovertebral angle, D: Rectal examination shows guaiac positive stool, E: Bowel sounds are absent on auscultation,  <response>: This is a clinical vignette about a 50-year-old woman with severe abdominal pain and a history of peptic ulcer disease. The attending physician suspects peritonitis based on the presentation. To confirm peritonitis non-invasively, we need to look for signs of peritoneal inflammation. Hyperactive bowel sounds, absent bowel sounds, and guaiac positive stool may be seen in peritonitis but are non-specific. Eliciting abdominal pain with cough or percussion over the costovertebral angle CVA tests for peritoneal signs which would be the most useful maneuvers to confirm peritonitis.B: Forced cough elicits abdominal pain 