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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.

  1. Q1.Tinea capitis is a fungal infection of the scalp caused by:

    A.Staphylococcal bacteria
    B.Dermatophyte fungi (ringworm)
    C.Demodex mites
    D.Herpes simplex virus
    BDermatophyte 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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  2. Q2.Alopecia areata is characterized by:

    A.Gradual thinning on the crown (pattern baldness)
    B.Sudden patchy hair loss in round or oval areas
    C.Total body hair loss from birth
    D.Diffuse thinning across the entire scalp
    BSudden patchy hair loss in round or oval areas

    Explanation: 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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  3. Q3.Dandruff (pityriasis) is associated with:

    A.Over-washing the hair
    B.A fungus (Malassezia) and accelerated scalp cell turnover
    C.Vitamin B deficiency only
    D.Excessive use of hair products
    BA fungus (Malassezia) and accelerated scalp cell turnover

    Explanation: 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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  4. Q4.Pediculosis capitis refers to an infestation of:

    A.Head lice
    B.Scalp mites
    C.Dandruff fungi
    D.Folliculitis bacteria
    AHead lice

    Explanation: 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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  5. Q5.Which type of hair loss is genetically determined and influenced by the hormone DHT?

    A.Alopecia areata
    B.Androgenetic alopecia (male-pattern or female-pattern baldness)
    C.Alopecia totalis
    D.Traction alopecia
    BAndrogenetic 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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  6. Q6.A client has seborrheic dermatitis with inflamed, open lesions. The barber should:

    A.Perform the service with extra shampoo treatments
    B.Refuse service if there is active inflammation or open lesions
    C.Apply tea tree oil and proceed normally
    D.Shampoo vigorously to remove scale
    BRefuse service if there is active inflammation or open lesions

    Explanation: 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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  7. Q7.The anagen phase of the hair growth cycle is the:

    A.Resting phase when hair is shed
    B.Active growth phase lasting 2–6 years
    C.Transition phase lasting 2–3 weeks
    D.Phase when the follicle begins to shrink
    BActive growth phase lasting 2–6 years

    Explanation: 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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  8. Q8.Folliculitis is an inflammation of the hair follicle most commonly caused by:

    A.Fungal infection only
    B.Staphylococcus aureus bacteria
    C.Dry scalp
    D.Chemical over-processing
    BStaphylococcus aureus bacteria

    Explanation: 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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  9. Q9.Monilethrix is a hair disorder characterized by:

    A.Abnormal graying of the hair
    B.Beaded, brittle hair that breaks easily
    C.Circular or spiral hair growth
    D.Excessive facial hair growth
    BBeaded, brittle hair that breaks easily

    Explanation: 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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  10. Q10.A client's scalp shows red, raised, scaly patches that bleed slightly when scratched. This most likely indicates:

    A.Tinea capitis
    B.Psoriasis
    C.Sebaceous cysts
    D.Folliculitis
    BPsoriasis

    Explanation: 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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