Patient Assessment & Clinical Evaluation Flashcards
7 cards from real CME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
A client reports taking isotretinoin (Accutane) six months ago. What is the standard recommendation before proceeding with electrolysis?
Answer: Require physician clearance and wait at least 12 months after stopping
Most professional guidelines recommend waiting at least 12 months after discontinuing isotretinoin and obtaining physician clearance, as the drug impairs skin healing and increases scarring risk.
During intake, a client discloses they have a pacemaker. Which electrolysis modality is absolutely contraindicated?
Answer: Galvanic (direct current)
Galvanic current (direct current) is absolutely contraindicated in clients with pacemakers because it can interfere with pacemaker function; thermolysis is generally considered safer but still requires physician clearance.
What does the Fitzpatrick Skin Type VI indicate about treatment planning for electrolysis?
Answer: Higher risk of hypopigmentation and keloid formation requiring conservative settings
Fitzpatrick Type VI skin (darkest pigmentation) carries increased risk for hypopigmentation, hyperpigmentation, and keloid formation, requiring conservative energy settings and careful monitoring.
A client presents with pustular acne in the area to be treated. What is the appropriate clinical decision?
Answer: Defer treatment until the active infection clears
Active pustular acne represents an active infection; treating the area risks spreading bacteria, cross-contamination, and poor healing, so treatment should be deferred.
Which question during client consultation best identifies risk for prolonged bleeding during or after electrolysis?
Answer: Are you currently taking anticoagulant medications or blood thinners?
Anticoagulant medications such as warfarin, heparin, or aspirin therapy directly increase bleeding risk during and after electrolysis needle insertion.
When evaluating hair growth in a female client, which finding most warrants a referral to a physician before beginning treatment?
Answer: Sudden-onset coarse facial and body hair accompanied by irregular menstrual cycles
Sudden-onset excessive coarse hair growth (hirsutism) with menstrual irregularity can indicate a hormonal disorder such as PCOS or an adrenal tumor, requiring medical evaluation before electrolysis.
A client's consultation form indicates a history of herpes simplex in the treatment area. What is the electrologist's best course of action?
Answer: Recommend antiviral prophylaxis from their physician and treat only between outbreaks
Electrolysis can trigger herpes simplex outbreaks; clients should consult their physician about prophylactic antivirals and be treated only when no active lesions are present.