California Cosmetology Written ExamClient Consultation and AnalysisHard

A cosmetologist is examining a client's scalp before a color service and notices silvery-white scales with well-defined red patches, but no signs of contagion, itching, or oozing. What is the MOST likely condition?

  1. APediculosis
  2. BImpetigo
  3. CPsoriasis
  4. DTinea capitis
Show answer & explanation

Correct answer: C. Psoriasis

Psoriasis presents as well-defined red patches covered with silvery-white scales and is a non-contagious autoimmune skin condition. Unlike tinea capitis, pediculosis, or impetigo, psoriasis is not contagious, so a cosmetologist may typically proceed with services with caution, avoiding aggravating the affected area.

Why the other options are wrong

  • A. Pediculosis is a lice infestation, which would show visible insects or nits.
  • B. Impetigo is a contagious bacterial infection presenting with oozing sores, not silvery scales.
  • D. Tinea capitis is contagious and presents with hair loss, not the description given.

Psoriasis

A non-contagious chronic skin condition causing red patches covered with silvery-white scales, often on the scalp, elbows, and knees.

  • Non-contagious autoimmune condition
  • Silvery-white scales on red, well-defined patches
  • Service can typically proceed with gentle care unless skin is broken

Memory trick: Psoriasis = Pale silvery Patches, but Perfectly safe to serve.

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