**Core Concept:** The cheese reaction is a skin test used to diagnose certain allergic reactions, particularly to penicillin or cephalosporin antibiotics. It involves applying a small amount of the suspected allergen, in this case, penicillin or a penicillin-like drug, to the skin and observing the ensuing reaction.
**Why the Correct Answer is Right:** The correct answer is D: Penicillin. Penicillin is a beta-lactam antibiotic that is structurally similar to cephalosporins, and the cheese reaction is a test used to diagnose penicillin allergy, as well as other penicillin-like antibiotics. When applied to the skin, penicillin causes a localized, maculopapular rash, which is a characteristic feature of the cheese reaction.
**Why Each Wrong Option is Incorrect:**
A. This option is incorrect because it is not a beta-lactam antibiotic, and thus does not cause a cheese-like reaction when tested using the cheese reaction.
B. This option is incorrect because it is another beta-lactam antibiotic, but not structurally similar to penicillin, making it less likely to cause the cheese reaction.
C. This option is incorrect because it is not a beta-lactam antibiotic, and therefore does not cause a cheese-like reaction when tested using the cheese reaction.
**Clinical Pearl:** A positive cheese reaction, characterized by a maculopapular rash, indicates penicillin allergy and should prompt a discussion with the patient about the risk of allergic reactions during future penicillin administration. In such cases, alternative antibiotics should be used for therapy.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.