Barber State Board Exam
Hair and Scalp Disorders Practice Questions
55 practice questions with detailed explanations — aligned to the Barber State Board Exam.
Master Hair and Scalp Disorders to boost your score on the Barber State Board Exam. Each question below mirrors the style and difficulty of real exam questions, complete with detailed explanations so you understand the why behind every answer. Work through all 55 questions, review any that trip you up, and use the related topics below to round out your preparation.
Q1.Tinea capitis is a fungal infection of the scalp caused by:
A.Staphylococcal bacteriaB.Dermatophyte fungi (ringworm)C.Demodex mitesD.Herpes simplex virus✓B. Dermatophyte fungi (ringworm)Explanation: Tinea capitis (scalp ringworm) is caused by dermatophyte fungi. It is highly contagious. Barbers must refuse service to clients showing signs and disinfect all implements thoroughly.
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Q2.Alopecia areata is characterized by:
A.Gradual thinning on the crown (pattern baldness)B.Sudden patchy hair loss in round or oval areasC.Total body hair loss from birthD.Diffuse thinning across the entire scalp✓B. Sudden patchy hair loss in round or oval areasExplanation: Alopecia areata is an autoimmune condition causing sudden, patchy hair loss in well-defined round or oval areas. Unlike androgenetic alopecia, it does not follow the typical male-pattern baldness progression.
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Q3.Dandruff (pityriasis) is associated with:
A.Over-washing the hairB.A fungus (Malassezia) and accelerated scalp cell turnoverC.Vitamin B deficiency onlyD.Excessive use of hair products✓B. A fungus (Malassezia) and accelerated scalp cell turnoverExplanation: Dandruff is associated with Malassezia fungus and accelerated scalp cell turnover producing visible flakes. It is not caused by poor hygiene alone, though shampooing frequency affects severity.
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Q4.Pediculosis capitis refers to an infestation of:
A.Head liceB.Scalp mitesC.Dandruff fungiD.Folliculitis bacteria✓A. Head liceExplanation: Pediculosis capitis is a head lice infestation. Lice are parasites that feed on blood. A barber must refuse service to any client with signs of lice to prevent spread to other clients.
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Q5.Which type of hair loss is genetically determined and influenced by the hormone DHT?
A.Alopecia areataB.Androgenetic alopecia (male-pattern or female-pattern baldness)C.Alopecia totalisD.Traction alopecia✓B. Androgenetic alopecia (male-pattern or female-pattern baldness)Explanation: Androgenetic alopecia is influenced by genetics and dihydrotestosterone (DHT). In men it follows the Norwood scale pattern; in women it presents as diffuse thinning. It is the most common form of hair loss.
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Q6.A client has seborrheic dermatitis with inflamed, open lesions. The barber should:
A.Perform the service with extra shampoo treatmentsB.Refuse service if there is active inflammation or open lesionsC.Apply tea tree oil and proceed normallyD.Shampoo vigorously to remove scale✓B. Refuse service if there is active inflammation or open lesionsExplanation: Active inflammation or open lesions from seborrheic dermatitis is a contraindication. The barber should refer the client to a dermatologist and not provide service to avoid worsening the condition.
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Q7.The anagen phase of the hair growth cycle is the:
A.Resting phase when hair is shedB.Active growth phase lasting 2–6 yearsC.Transition phase lasting 2–3 weeksD.Phase when the follicle begins to shrink✓B. Active growth phase lasting 2–6 yearsExplanation: Anagen is the active growth phase during which hair cells divide rapidly. This phase typically lasts 2–6 years, determining the maximum potential hair length.
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Q8.Folliculitis is an inflammation of the hair follicle most commonly caused by:
A.Fungal infection onlyB.Staphylococcus aureus bacteriaC.Dry scalpD.Chemical over-processing✓B. Staphylococcus aureus bacteriaExplanation: Folliculitis is most commonly caused by Staphylococcus aureus bacteria, appearing as red bumps or pustules at the follicle opening. It can also be caused by fungi or pseudomonas.
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Q9.Monilethrix is a hair disorder characterized by:
A.Abnormal graying of the hairB.Beaded, brittle hair that breaks easilyC.Circular or spiral hair growthD.Excessive facial hair growth✓B. Beaded, brittle hair that breaks easilyExplanation: Monilethrix is a hereditary condition producing alternating thick (node) and thin (internode) hair shaft segments, giving a beaded appearance. The thin segments break easily, resulting in short, brittle hair.
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Q10.A client's scalp shows red, raised, scaly patches that bleed slightly when scratched. This most likely indicates:
A.Tinea capitisB.PsoriasisC.Sebaceous cystsD.Folliculitis✓B. PsoriasisExplanation: Psoriasis presents as red thickened plaques with silvery-white scales. The Auspitz sign (pinpoint bleeding when scale is removed) is characteristic. Service may be provided if there are no open lesions or active infection.
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