NIC Esthetician Written ExamScientific ConceptsEasy

An esthetician is performing a skin analysis and observes small, white, pearl-like cysts under the client's eyes and on the cheeks. These lesions are non-inflamed and feel firm to the touch. What type of skin lesion is the esthetician most likely observing?

  1. AComedones
  2. BMilia
  3. CCysts
  4. DPapules
Show answer & explanation

Correct answer: B. Milia

Milia are small, white, pearl-like cysts that occur when keratin becomes trapped beneath the surface of the skin. They are typically non-inflamed and firm, commonly found around the eyes and cheeks.

Why the other options are wrong

  • A. Comedones are blackheads (open) or whiteheads (closed), but not typically 'pearl-like cysts' under the eyes in this specific description.
  • C. While milia are a type of cyst, 'cysts' is too general; 'milia' is the specific and most accurate term for this presentation.
  • D. Papules are small, red, elevated lesions without pus, and are usually inflamed, unlike the described lesions.

Milia

Small, white, keratin-filled cysts that form when dead skin cells become trapped beneath the skin's surface, typically non-inflamed.

  • Keratin-filled cysts
  • Appear as small, white, pearl-like bumps
  • Commonly found around eyes, cheeks, forehead
  • Non-inflamed and firm to the touch

Memory trick: Milia: Miniature, Ivory, Located under the eye, and Inert.

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