NIC Cosmetology Written (Theory) ExamScientific ConceptsMedium

A cosmetologist is performing a facial on a client who has a small, non-inflamed, white or yellowish papule, often found around the eyes or on the cheeks. The client describes it as a 'tiny bump' that doesn't go away easily. This condition is most likely a:

  1. AComedone
  2. BPustule
  3. CMilia
  4. DCyst
Show answer & explanation

Correct answer: C. Milia

Milia are small, white or yellowish, non-inflamed cysts that form when keratin becomes trapped beneath the skin's surface. They are commonly found around the eyes and cheeks.

Why the other options are wrong

  • A. A comedone refers to a blackhead (open comedone) or whitehead (closed comedone), which are typically associated with acne and involve sebum, not trapped keratin.
  • B. A pustule is an inflamed lesion containing pus, which doesn't match the 'non-inflamed' description.
  • D. While milia are technically cysts, 'cyst' is a broad term, and milia is the specific, more accurate diagnosis for these small, keratin-filled bumps.

Milia

Small, white or yellowish, non-inflamed epidermal cysts containing trapped keratin, commonly found on the face.

  • Often appear around the eyes, nose, and cheeks.
  • Not associated with acne or sebum production.
  • Can be extracted by trained professionals using a lancet, but not by squeezing.

Memory trick: Milia's 'Mini-Pearls' are 'Keratin-Filled, Not Inflamed, Often Around Eyes'.

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