First, the allergist will get a history from you about your possible allergy. Typical questions include: How long ago did you have the reaction? What type of reaction occurred, and how soon after you took the penicillin did the reaction appear? The testing is done on the forearm by pricking the skin with a needle. If the results are negative and there is no reaction, penicillin will be injected in the skin. These tests are not painful, and results are available in 15 minutes. A positive reaction may lead to some swelling and itching where the test was placed, which usually goes away within an hour.

In very rare cases, an allergic reaction occurs. This can include hives, swelling, wheezing and/or difficulty breathing. The allergist is trained to treat this rare condition quickly if it happens. If all skin testing is negative, you may be given an oral dose of penicillin in the office. The oral drug challenge is used to verify that you don't have penicillin allergy. Usually, you'll be observed in the office for 30 minutes to make sure you have no problems.

If you find out you don't have a penicillin allergy, notify your physicians that it's now safe for you to take penicillin. They can take "penicillin allergy" off your chart for good!

6. What can we know about penicillin allergy according to the passage?

A. Most people believe that they are penicillin allergic.

B. People with documented allergy will have it forever.

C. About 90 percent of people are truly penicillin allergic.

D. Many people with initial allergy can avoid it later.

7. Which is NOT the drawback of the alternative antibiotics?

A. They cost much more than penicillin. B. They can treat many bacterial infections.

C. They can result in drug-resistant bacteria. D. They also fight good bacteria when used.

8. If you have a positive reaction in skin tests, _______.

A. you can't leave the office within an hour B. your skin is supposed to swell and itch

C. it is not safe for you to take penicillin D. you'll be given an oral dose of penicillin

9. Which can replace the underlined word "verify"?

A. confirm B. attach C. declare D. control

My timing has always been a little off with Elizabeth Strout. I've read and pretty much admired everything she's written, but, for whatever reason, the books of hers I've picked to review