California Cosmetology Written ExamClient Consultation and AnalysisHard
During a consultation, a cosmetologist notices an irregularly shaped, multicolored mole with uneven borders on the client's scalp near the hairline. The client says it has recently changed size. What is the MOST appropriate action?
- AProceed with the service, avoiding direct contact with the mole
- BRefer the client to a physician before performing any service near the area
- CApply an antiseptic to the area and continue the service
- DCover the mole with a bandage and proceed as normal
Show answer & explanationAnswer & explanation
Correct answer: B. Refer the client to a physician before performing any service near the area
An irregularly shaped, multicolored, changing mole is a warning sign of possible skin cancer (melanoma). Cosmetologists are not licensed to diagnose skin conditions and must refer clients showing these warning signs to a physician for evaluation before proceeding with services near the area.
Why the other options are wrong
- A. Avoiding contact does not address the health concern; a physician referral is still required.
- C. Cosmetologists cannot diagnose or treat suspicious skin lesions with antiseptics.
- D. Covering the mole does not address the medical concern and is outside the cosmetologist's scope.
ABCDE Rule for Suspicious Moles
A guideline used to identify warning signs of potential skin cancer: Asymmetry, Border irregularity, Color variation, Diameter, Evolving.
- Asymmetry, Border, Color, Diameter, Evolving (ABCDE)
- Cosmetologists must refer suspicious moles to a physician
- Never diagnose or treat skin lesions themselves
Memory trick: ABCDE spells danger — Always Better to Consult a Doctor Early.