My son, Tom, who is closely attuned to current speech mannerisms, explained to me the nuances of a particular way of saying "really" that conveys both incredulousness and disapprobation. It's not the same as the rhetorical "really?" with rising intonation, but ends with a slightly falling intonation, or is nearly flat. It means something like "you're not really going to do that, are you?" or, "you are dummmmb, and I do not approve."
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