<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:You are seeing an otherwise healthy 66-year-old male in clinic who is complaining of localized back pain and a new rash. On physical exam, his vital signs are within normal limits. You note a vesicular rash restricted to the upper left side of his back. In order to confirm your suspected diagnosis, you perform a diagnostic test. What would you expect to find on the diagnostic test that was performed?? A: Gram positive cocci, B: Gram negative bacilli, C: Pear shaped motile cells, D: Branching pseudohyphae, E: Multinucleated giant cells,  <response>: Based on the patients symptoms of localized back pain and a vesicular rash, the most likely diagnosis is herpes zoster shingles. This is caused by reactivation of the varicella zoster virus that causes chickenpox. To confirm this diagnosis, a Tzanck smear or viral culture from the vesicular fluid would be performed. In herpes zoster, we would expect to identify multinucleated giant cells on Tzanck smear or recover varicella zoster virus on viral culture.E: Multinucleated giant cells 