Your partner is performing the Markle test on a patient who complains of abdominal pain. Which instructions should be provided to the patient to ensure that she performs the test correctly?
a) "I need you to stand on the tips of your toes, then on my command drop onto your heels."
b) "Please raise each leg one at a time. I will need to know if you feel any pain, especially in your heels when you put pressure back on them."
c) "I am going to press on your belly with my hands. Please tell me if you suddenly feel pain in your ankles."
d) "I am going to gently press inward on your belly and then quickly release the pressure."