Michigan Esthetician State Board Practice Exam

Which of the following accurately describes milia?

1. Inflamed follicles

2. Cystic lesions

3. Pearl-like formations

4. Granulated growths

The correct answer is: Pearl-like formations

Milia are small, pearl-like formations that typically appear on the skin, particularly around the eyes, cheeks, and forehead. These tiny cysts are filled with keratin, a protein found in the skin, hair, and nails, and they form when keratin becomes trapped under the skin’s surface. They are often mistaken for whiteheads due to their similar appearance, but milia are not caused by clogged pores; instead, they are more akin to small cysts that can arise in various contexts, including after skin injuries, burns, or in people with certain skin conditions. Understanding the distinct characteristics of milia—having that smooth, rounded appearance reminiscent of pearls—helps in differentiating them from other skin lesions or conditions such as inflamed follicles or granulated growths, which do not share the same formation or presentation.