A person may be dictating English to someone who is writing it down. If he wants to be absolutely precise and make sure that the transcription is completely accurate, he may speak aloud the names for the punctuation marks.
More commonly, it is used to mean "this argument is over, it's finished, I'm not going to discuss it any farther."
For example:
"Can I play a video game on your iPad, Grampy?"
"No, you've had enough screen time today."
"Not even if I'm very good?"
"No, not even if I'm very good."
"Not even if I promise to go right to bed afterwards?"
"No, not even if you go right to bed afterwards."
"Not even if it's an educational game?"
"No, no, no. No games on the iPad, period. Go brush your teeth and get into your pajamas."