California Cosmetology Written ExamSkin CareHard

A client arrives for a facial with red, crusted, honey-colored patches around the mouth that appear highly contagious. What should the cosmetologist do?

  1. APerform the facial using extra gloves for protection
  2. BPerform the service but avoid the affected area only
  3. CRefuse service and refer the client to a physician
  4. DApply a stronger disinfectant to the area before proceeding
Show answer & explanation

Correct answer: C. Refuse service and refer the client to a physician

The description matches impetigo, a highly contagious bacterial skin infection. This is a contraindication for facial services; the cosmetologist must refuse service and refer the client to a physician to prevent spreading infection to themselves or other clients.

Why the other options are wrong

  • A. Gloves do not fully prevent transmission of a contagious bacterial infection; service must be refused.
  • B. Avoiding only the affected area still risks cross-contamination since impetigo is highly contagious.
  • D. Disinfectants are for tools/surfaces, not a substitute for refusing service on active infections.

Contraindication: Contagious Skin Infection

A condition, such as impetigo, that prohibits performing a cosmetology service due to risk of spreading infection.

  • Impetigo shows honey-colored crusted lesions
  • Highly contagious bacterial infection
  • Service must be refused and client referred to a physician

Memory trick: 'Honey-crust = Halt the service' for impetigo

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