NIC Esthetician Written ExamScientific ConceptsMedium
An esthetician is examining a client's skin under a magnifying lamp and observes tiny, white, pearly cysts, primarily around the eyes and on the cheeks. These lesions are firm to the touch and do not have an opening to the skin surface. The client reports they have been present for some time and are not painful or itchy.
- AMilia
- BComedones
- CPapules
- DPustules
Show answer & explanationAnswer & explanation
Correct answer: A. Milia
Milia are small, white, pearly cysts that form when keratin and sebum become trapped beneath the skin surface. They are typically firm, non-inflammatory, and lack an opening, commonly found around the eyes and cheeks.
Why the other options are wrong
- B. Comedones are blackheads (open) or whiteheads (closed) with an opening, associated with acne.
- C. Papules are small, red, solid bumps without pus, often inflamed.
- D. Pustules are inflamed, pus-filled lesions, typically red and tender.
Milia Characteristics
Milia are small, benign, keratin-filled cysts that appear as tiny, white or yellowish bumps on the skin, often around the eyes, nose, and cheeks.
- Lack a follicular opening.
- Are non-inflammatory.
- Can be primary (spontaneous) or secondary (due to trauma or products).
Memory trick: Milia, tiny pearls under the skin, no open door.