An Obese 40-Year-Old Woman Was Seen in the Emergency Department $\mathrm{C} 3, \mathrm{C} 4$

An obese 40-year-old woman was seen in the emergency department complaining of a severe pain over the right shoulder and in her right side and back below the shoulder blade. She said that she had experienced the pain on several occasions before and that when she ate fatty foods it seemed to make the pain worse. Ultrasound demonstrated the presence of gallstones. Her condition was diagnosed as cholelithiasis, and the pain was attributed to gallstone colic.
-The symptoms and signs displayed by this patient can be explained by the following statement except which?

A) The fundus of the gallbladder lies against the anterior abdominal wall next to the tip of the right ninth costal cartilage.
B) The parietal peritoneum in this area is innervated by the tenth and eleventh intercostal nerves, which give rise to referred pain in the tenth and eleventh dermatomes on the side and back.
C) The parietal peritoneum on the central part of the undersurface of the diaphragm is supplied by the phrenic nerve.
D) The spinal segmental nerves within the phrenic nerve are $\mathrm{C} 3, \mathrm{C} 4$ , and $\mathrm{C} 5$ .
E) The pain was referred to the shoulder along the supraclavicular nerves (C3 and $\mathrm{C} 4)$ .