Esthetician State Board License Exam Exam
Facial Treatments & Techniques Practice Questions
160 practice questions with detailed explanations — aligned to the Esthetician State Board License Exam Exam.
Master Facial Treatments & Techniques to boost your score on the Esthetician State Board License Exam 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 160 questions, review any that trip you up, and use the related topics below to round out your preparation.
Q1.Which massage movement is performed with the tips of the fingers in small, circular motions and is used to stimulate circulation?
A.EffleurageB.PetrissageC.FrictionD.Tapotement✓C. FrictionExplanation: Friction movements use firm pressure in small, circular or cross-fiber motions to generate heat, loosen adhesions, and stimulate circulation. Effleurage is a light, gliding stroke used to begin and end a massage and spread product. Petrissage involves kneading and lifting of tissue. Tapotement is a percussive movement (tapping, slapping, hacking).
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Q2.In a classic European facial, after cleansing and exfoliation, what step typically follows?
A.Mask applicationB.ExtractionC.MassageD.Steaming✓D. SteamingExplanation: The standard sequence in a classic European facial is: Cleanse → Exfoliate → Steam → Extraction → Massage → Mask → Serum/Toner → Moisturizer/SPF. Steaming softens the skin and loosens pores before extractions, making comedone removal easier and less traumatic. Massage typically follows extractions, not precedes them.
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Q3.A client with active acne pustules comes in for a facial. Which service is contraindicated?
A.Light enzyme exfoliationB.Aggressive manual extractions on inflamed pustulesC.Calming clay mask on non-inflamed areasD.Low-frequency galvanic current (desincrustation)✓B. Aggressive manual extractions on inflamed pustulesExplanation: Aggressive manual extractions on inflamed, active pustules can spread bacteria, worsen inflammation, cause scarring, and increase infection risk. Inflamed pustules (Grade III–IV acne) should not be extracted. The esthetician should refer severe or cystic acne to a dermatologist. Light enzyme treatments, calming masks, and desincrustation on non-inflamed comedones may still be appropriate.
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Q4.Alpha hydroxy acids (AHAs) such as glycolic acid exfoliate the skin primarily by:
A.Physically abrading the surface with particlesB.Loosening the 'glue' (desmosomes) between dead skin cells at the stratum corneumC.Dissolving sebum plugs through saponificationD.Stimulating new collagen synthesis in the dermis✓B. Loosening the 'glue' (desmosomes) between dead skin cells at the stratum corneumExplanation: AHAs work chemically — they lower the pH of the skin and break down the desmosomal bonds that hold dead keratinocytes together, allowing them to shed more easily. This reveals fresher cells beneath. AHAs do not physically abrade (that's mechanical/physical exfoliation). BHAs (salicylic acid) are oil-soluble and penetrate follicles, making them better for acne.
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Q5.Effleurage in facial massage is described as:
A.Deep kneading movementsB.Light, gliding, or stroking movements used to begin and end massage sequencesC.Rapid tapping movementsD.Vibration applied with fingertips✓B. Light, gliding, or stroking movements used to begin and end massage sequencesExplanation: Effleurage uses light, continuous gliding strokes following the direction of muscle origin to insertion. It promotes relaxation, increases circulation, and is used at the start and end of massage sequences.
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Q6.Steam (vapozone or facial steamer) is applied during a facial primarily to:
A.Sterilize the skin surfaceB.Soften sebum and open follicles to facilitate extraction and product absorptionC.Apply medications to the skinD.Stimulate deep muscle tissue✓B. Soften sebum and open follicles to facilitate extraction and product absorptionExplanation: Facial steam softens follicular debris, loosens impactions, and opens follicles, making manual extraction easier and improving the penetration of treatment products applied after steaming.
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Q7.High frequency electrical current in esthetics is used to:
A.Permanently remove hair folliclesB.Oxygenate the skin, kill bacteria, and stimulate blood circulationC.Deep-cleanse pores mechanicallyD.Remove the stratum corneum via exfoliation✓B. Oxygenate the skin, kill bacteria, and stimulate blood circulationExplanation: High frequency (Tesla current) creates ozone at the skin surface, which is bactericidal. It increases blood circulation, oxygenates tissue, and is used for acne-prone skin, post-extraction, and anti-aging treatments.
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Q8.When performing extractions, the esthetician should avoid:
A.Using steam prior to extractionsB.Wrapping fingers in tissues or cottonC.Applying direct pressure to cystic (deep nodular) acneD.Using a magnifying lamp for visibility✓C. Applying direct pressure to cystic (deep nodular) acneExplanation: Cystic or nodular acne involves infection deep within the dermis. Attempting manual extraction on cystic lesions can rupture the follicle wall internally, spread infection, and cause scarring. These cases should be referred to a dermatologist.
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Q9.A mask containing kaolin or bentonite clay is most appropriate for:
A.Dry and dehydrated skinB.Oily and acne-prone skinC.Sensitive and rosacea-prone skinD.Mature, aging skin✓B. Oily and acne-prone skinExplanation: Clay masks (kaolin, bentonite) absorb excess sebum, draw out impurities from follicles, and temporarily tighten pores. They are ideal for oily and acne-prone skin types. They would be too drying for sensitive or dry skin.
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Q10.Lymphatic drainage massage in an esthetic facial is performed using:
A.Deep kneading with strong pressureB.Very light, rhythmic strokes following the direction of lymph nodesC.Rapid percussion movementsD.Hot stone application along lymph channels✓B. Very light, rhythmic strokes following the direction of lymph nodesExplanation: Manual lymphatic drainage uses extremely light pressure (lighter than effleurage) in a rhythmic, directional pattern toward lymph nodes. It reduces puffiness, promotes detoxification, and improves immune function. Heavy pressure compresses and blocks lymph vessels.
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