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UPDATED 2025 IBEC STATE BOARD ACTUAL EXAM
QUESTIONS WITH ACCURATE DETAILED ANSWERS
“In women, terminal hair on the face alone suggests - CORRECT ANSWER An excess of
androgens"
"The two sub layers of the dermis are the - CORRECT ANSWER Papillary and reticular"
"Which form of hepatitis can live outside of the body for 16 hours but no longer than 4 days -
CORRECT ANSWER Hepatitis C (HCV)"
"How often do you need to empty the liquid soap container - CORRECT ANSWER Once a
month"
"How does a fungi reproduce - CORRECT ANSWER Spore formation"
"How does a virus multiply - CORRECT ANSWER Enter living cell - replication"
"What type of hair typically responds very well to the blend method of electrolysis - CORRECT
ANSWER Curly"
"What can be an excellent tool for helping the skin get back to normal after an electrolysis
treatment by neutralizing the sodium hydroxide produced in the follicle - CORRECT
ANSWER Cataphoresis"
"What is the effect of the negative pole on the skin - CORRECT ANSWER Irritates the skin,
promotes redness (vasodilator), and softens tissue"
"Which of the following is defined as the flow of electrons along a conductor - CORRECT
ANSWER Electricity"
"What are the other names for thermolysis - CORRECT ANSWER Alternating current, high
frequency, short wave, radio frequency"
"What is a unit of electrical pressure - CORRECT ANSWER Volt"
"What is the unit of electrical strength - CORRECT ANSWER Ampere"
"What is the unit of electrical resistance - CORRECT ANSWER Ohm"
"What is the unit of power - CORRECT ANSWER Watt"
"What is one-thousandth of an ampere - CORRECT ANSWER Miliampere"
"What gland is located behind the bridge of the nose in the cranial cavity - CORRECT
ANSWER Pituitary"
"What is the name for localized maximum heat only at the point of the needle tip and only takes
place in thermolysis - CORRECT ANSWER Point effect"
"If a client informs you they are allergic to latex what should you do - CORRECT ANSWER
Use vinyl gloves" "What is the formation of a slight depression on the epidermis, that results when the electrolysis needle insertion is incorrect or when the pressure on the needle is excessive, or the needle may
also be too large (remove needle and re-insert) - CORRECT ANSWER Dimpling"
"What is a staphylococcal infection of the skin characterized by fragile, grouped, pin-head sized vesicles or pustules that become confluent and ruptured early, forming rapidly enlarging and spreading erosions with bright yellow crusts that are attached in the center and have elevated
margins, that is very contagious - CORRECT ANSWER Impetigo"
"If a client is pregnant where should you not perform electrolysis in the third trimester -
CORRECT ANSWER Abdomen and breasts"
"What is abnormal hair growth following the male pattern hair growth - CORRECT ANSWER
Hirsutism"
"What is excessive growth of vellus-type hair which may be darker than usual - CORRECT
ANSWER Hypertrichosis"
"What is the cause for most post electrolysis treatment infection - CORRECT ANSWER Lack
of patient hygiene"
"If a client comes in and does not have time for a consultation it is okay to treat them - CORRECT
ANSWER False"
"When treating a patients eyebrows it is important to sit at the end of the table overlooking the
patients head or at the side of the patient - CORRECT ANSWER True"
"In order to ease insertion of the electrologists needle what is important to consider - CORRECT
ANSWER Diameter of needle vs diameter of hair"
"The technique of using a flat lancet to open pustules or to pierce the skin to retrieve the hair is
used for what type of hair - CORRECT ANSWER Ingrown hair"
"The percentage of hair growth of an anagen hair is dependent on - CORRECT ANSWER
Location of the body" "Birth control pills do not stop excessive hair growth by decreasing the pituitary hormones LH
and FSH and therefore withdrawing stimulus for the ovarian production of androgens -
CORRECT ANSWER False"
"When patients present with hirsutism but regular hormone level what could be the problem -
CORRECT ANSWER Familial hirsutism or idiopathic hirsutism"
"What electrology instruments are considered critical items - CORRECT ANSWER Needle"
"What electrology instruments or objects are considered non-critical items - CORRECT
ANSWER Tips for epilator needle"
"What steps follow section I, standards for hygiene and use of gloves, for hand washing technique
with plain soap and water - CORRECT ANSWER Wetting hands with running water and
applying liquid soap in amount recommended by manufacturer. Vigorously rubbing hands together for 15-30 seconds, covering all surfaces of hands, especially between fingers and fingernails. Rinsing hands thoroughly under a stream of water. Drying hands thoroughly with a clean disposable paper towel. Turning faucets off with paper towel Disposing of paper towel in appropriate covered receptacle." "What is the detergent that helps break down organic soils and fats, and suspends particles during cleaning? This detergent is used as a soaking solution for both critical and non-critical
items and is used in ultrasonic devices - CORRECT ANSWER Enzyme detergent"
"Which of the following steps is required for the disinfection of tips of epilator needles -
CORRECT ANSWER Enzyme soak in ultrasonic for 10 minutes.
Rinse and bleach with 1/9 solution for 10 minutes. Rinse, air dry, and place in a closed container." "How long after the electrolysis instruments or objects have been streilized can they be used for
after package is opened - CORRECT ANSWER 24 hours"
"Which of the following is recommended for dry heat methods of sterilization - CORRECT
ANSWER 340F for 1 hour
320F for 2 hours"
"What gland is activated in response to a stress situation - CORRECT ANSWER Adrenal
medulla - secretion of epinephrine and norepinephrine"
"What type of diabetes is referred to as insulin resistant - CORRECT ANSWER Type 2
Diabetes"
"What are the requirements for the treatment room - CORRECT ANSWER -Clean, well-lit,
well-ventilated -Sink with hot and cold running water, liquid soap, and disposable paper towels -Covered trash receptacle -Contains covered storage for supplies -Contains a puncture-resistant sharps container labeled bio-hazard -Available toilet facilities"
"What charge does an electron have - CORRECT ANSWER Negative"
"What are potential complications of long-term diabetes - CORRECT ANSWER Heart disease
and stroke, Blindness, kidney failure, and nervous system disease (neuropathy)"
"What is the term for a glucose intolerance sometimes diagnosed in pregnant women -
CORRECT ANSWER Gestational diabetes"
"Why is cooling a crucial step in laser hair removal - CORRECT ANSWER Cooling allows for
higher fluences to be used for more effective results without overtreating the skin's surface"
"What is the most important part of preparation for laser hair removal - CORRECT ANSWER
The consultation - including documentation of consent forms and medical history" "320 to 400 nm -penetrates deeper into subcutaneous layer
"Management of patients with Fitz 5 and 6 skin require - CORRECT ANSWER Longer
wavelengths"
"Wavelengths between 400nm and 1400nm are well absorbed by the - CORRECT ANSWER
Retina" "When a person experiences a blood loss of 20% by volume, which chemical is released to help
protect against diuresis - CORRECT ANSWER ADH (anti-diuretic hormone)"
"Longer laser wavelengths - CORRECT ANSWER Penetrate more"
"Which of the following is the most common cause of hirsutism and menstrual irregularity in
women less than 50 years of age - CORRECT ANSWER PCOS"
"A nanometer is - CORRECT ANSWER 1 billionth of a meter"
"The outer root sheath contains "water animal starch" also called - CORRECT ANSWER
Collagen"
"All of the following are used for evaluating suspicious moles except for - CORRECT ANSWER
Texture"
"Select the response with the correct initial symptoms of HIV infection - CORRECT ANSWER
Fever, weight loss, night sweats, swollen lymph glands"
"Ultraviolet wavelengths are shorter than infrared wavelengths - CORRECT ANSWER True"
"Pulse width refers to - CORRECT ANSWER The duration of the pulse"
"What is the most critical for protecting the skin during laser hair removal treatment -
CORRECT ANSWER Cooling the skin"
"The endometrial cycle has ____ stages - CORRECT ANSWER 4"
"What is considered the chromophore when a laser is used to treat red spider veins - CORRECT
ANSWER Oxyhemoglobin"
"What is used to cool the inside of most pulsed lasers during operation - CORRECT ANSWER
Water"
"What is the chromophore when using the Nd-YAG laser for hair removal - CORRECT
ANSWER Oxyhemoglobin and melanin"
"The acronym for laser is - CORRECT ANSWER Light Amplification by Stimulated Emission
of Radiation"
"Select the response with the correct laser safety precautions - CORRECT ANSWER Door
warning signs Hooded foot pedal Safety eye wear Emergency stop switch No mirrors in treatment room"
"Energy at 270nm is considered to be - CORRECT ANSWER Ultraviolet radiation"
"Which is most similar to laser hair removal - CORRECT ANSWER High frequency"
"A male patient - Fitz type 3 - is given a test spot on the area of his body with the darkest skin. An alexandrite laser was used with an 18mm spot size, 16 joules, and cryogen at 20/30. Within 5 minutes the patient complains of a sunburn-like sensation and the area exhibits extremely faint
red circular edematous lesions. Select the most appropriate action - CORRECT ANSWER
Adjust cryogen to 30/30" "A female patient - Fitz type 2 - has had 5 full body treatments. She states that her legs are not responding. The examination reveals she still has fairly dark coarse hair on her lower legs, the rest of the treatment areas show only sporadic patches of light brown terminal hairs remaining. She has had no adverse reaction to any of the treatments and has not changed any medications. An alexandrite laser was used with an 18mm spot size, 14 joules, and cryogen at 20/30. Select the
most appropriate action. - CORRECT ANSWER Adjust fluence higher for legs"
"In order to be classified as a laser, light must be - CORRECT ANSWER Monochromatic,
collimated, coherent, and intense"
"Select the wavelength of a variable pulse width Nd-YAG laser - CORRECT ANSWER 1064nm"
"Optical density labeling on laser safety eyewear refers to (ibec 404 or 339) - CORRECT
ANSWER The amount of transmittance of the eyewear"
"What is the minimum SPF recommended for pre-laser sun exposure - CORRECT ANSWER
SPF 30"
"A hair shaft (target structure) has a TRT of 30ms and the surrounding skin has a TRT or 5 ms.
Select the appropriate laser pulse width - CORRECT ANSWER 1-3ms"
"A 39 year old male - Fitz 3 - is having his first laser hair removal treatment for coarse and pigmented hairs on the chest with the candela gentlelase. He has an unremarkable medical
history and is not taking any medications. Which spot size should be used? - CORRECT
ANSWER 18mm"
"In laser hair removal, what needs to be damaged in order to prevent further growth -
CORRECT ANSWER Stem cells and dermal papilla"
"A female patient arrives for her third laser hair removal treatment with her facial hair bleached.
Select the appropriate action - CORRECT ANSWER Treat normally"
"Your laser hair removal patient has a dark green tattoo on the upper arm. How should this be
managed - CORRECT ANSWER Cover tattoo with white material and treat hairs around the
tattoo with a reasonable margin of safety"
"What is the function of the FDA - CORRECT ANSWER Approving pharmaceuticals and food
for widespread use"
"What is OSHA - CORRECT ANSWER Occupational Safety and Health Administration"
"Assuming no chart has been filled out, what are the 2 most important things you need to ask a
new patient prior to their first laser hair removal treatment - CORRECT ANSWER What is
your ethnic background and are you currently taking any antibiotics"
what is the proper term for fetal hair? - CORRECT ANSWER Lunugo"
"What is the over most layer of the skin? - CORRECT ANSWER Stratum Corneum"
"How long do you postpone electrolysis treatment for someone on Accutane? - CORRECT
ANSWER 1 month"
"A germicide used on the skin or living tissue to inhibit or destroy microorganisms? - CORRECT
ANSWER Antiseptic"
"What are the critical items during proper cleaning? - CORRECT ANSWER Needles and
Forceps"
"If a puncture injury has occurred, what are there the steps? - CORRECT ANSWER Take off
gloves wash the exposed area with soap and water. let it bleed apply antiseptic contact physician document"
"What can you do in the treatment room without gloves? - CORRECT ANSWER Retrieve
instruments and place them on the barrier."
"True or False.If the client is on blood thinners she will bruise easily. - CORRECT ANSWER
True"
"Can a client be treated in an area with an active herpes breakout? - CORRECT ANSWER No
wait for it to clear and the skin to heal before treating." "What is the medication a client should take prior to a treatment if they are prone to cold sores?
CORRECT ANSWER Valtrex"
"Do you need written permission from a physician to preform an electrolysis on someone with a
pacemaker? - CORRECT ANSWER Yes"
"Can you refuse a patient with contagious blood disease such as HIV? - CORRECT ANSWER
No it is against the law"
"What type of diabetes is diagnosed in some women during pregnancy? - CORRECT ANSWER
Gestational"
"what is the number one way to prevent the spread of disease? - CORRECT ANSWER Wash
your hands" "If a client with a high pain tolerance is very persistent wants to treat her entire upper lip in one
session what should the electrologist do? - CORRECT ANSWER Advise the client to break the
entire upper lip area into different sessions to prevent over treatment."
"What is hair depth? - CORRECT ANSWER The distance from the surface of the epidermis to
the bottom of the hair bulb."
"What is a needle cap holder? - CORRECT ANSWER The plastic cap that holds the shaft of the
needle in place on the needle cord."
"Erythema means - CORRECT ANSWER redness"
"Edema means - CORRECT ANSWER swelling"
"Weeping follicles are what? - CORRECT ANSWER (Leaking follicles) when galvanic current
causes excessive chemical decomposition."
"What tools can you use to soothe the skin after electrolysis? - CORRECT ANSWER
Cataphoresis with Seabreeze, witch hazel, or inappropriate antiseptics solution"
"what are Galvanics measurements? (units of Lye) - CORRECT ANSWER intensity x duration
(time)"
"Describe the post care for electrolysis? - CORRECT ANSWER Ice with a damp paper towel for
5- 10 secs and off for about 15-20secs or apply aloe."
"Which endocrine gland is linked to sweating? - CORRECT ANSWER Adrenal Glands"
"what is a macule? - CORRECT ANSWER primary lesion"
"Calculate the units of Lye. - CORRECT ANSWER .03ma x8 seconds = 2.4UL"
"What gland is the furthest from the hair bulb? - CORRECT ANSWER sebaceous gland"
"if an African American women is taking ibuprofen she can be treated for electrolysis but what
will happen if she gets laser? - CORRECT ANSWER she will burn"
"ibuprofen does what to you? - CORRECT ANSWER Makes you more photosensitive."
"what type of disinfection inactivates some spores but not all spores? - CORRECT ANSWER
high level disinfection"
"What needle size is best for the bikini area? - CORRECT ANSWER F3 or .003"
"What does the client hold in a galvanic treatment? - CORRECT ANSWER Anode/postive
pole/indifferent electrode"
"What is a biological indicator? - CORRECT ANSWER strip that contains endospores , you
place it in the sterilizer and send it to the lab to determine if sterilization works. (monthly)"
"pathogenic vs. non-pathogenic - CORRECT ANSWER pathogenic has disease"
"What is the best skin type to do electrolysis on? Dry/Oily/or Moist - CORRECT ANSWER
Dry"
"what is the base of the hair bulb? - CORRECT ANSWER dermal papilla"
"an African American women comes to the office for the first time, during consultation she tells
you she has thick hair growing on her chest, what should you do? - CORRECT ANSWER you
can treat but send to the endocrinologist."
"what is a good conductor for electricity? - CORRECT ANSWER copper (metal)"
"what is an example of an insulator? - CORRECT ANSWER rubber"
"What is the effect of the negative pole on the skin? - CORRECT ANSWER irritation , redness
(erythyma)"
"What are amino acid in melanocytes that produce melanin? - CORRECT ANSWER tyrocine"
"papillary layers of the dermis are: - CORRECT ANSWER reticular fibers/ reticular layers of
the dermis: dense collagen bundles."
"clients who tweeze often, can you do electrolysis? - CORRECT ANSWER yes but once a
month."
"what is not part of the pilosebaceous unit? - CORRECT ANSWER suderiforus glands"
"In which layer are melanocytes found? - CORRECT ANSWER stratum basale/ stratum
germinativum"
"what is the hardest type of bacteria to kill? - CORRECT ANSWER endospores"
"Warts are contagious, and can be what? - CORRECT ANSWER spread to person to person"
"What can large needles cause? - CORRECT ANSWER they can bruise"
"Where should fire extinguishers be located? - CORRECT ANSWER in the treatment room"
"how long should a client avoid the sun before laser hair removal? - CORRECT ANSWER 2-
weeks"
"tetracycline is an oral antibiotic used to treat what? - CORRECT ANSWER acne"
"Erythomycin is a topical antibiotic used to treat what? - CORRECT ANSWER Acne"
"which rays penetrate deeper into the subcutaneous layer? - CORRECT ANSWER UVA"
"If a client has HIV or is on blood thinners you would do what before the treating the client? -
CORRECT ANSWER restrict the treatment or would require a physicians approval"
"What skin types always require a test spot? - CORRECT ANSWER Fitzpatrick 3 and 4"
"how long do you postpone laser for a client who's was on accutane? - CORRECT ANSWER 6
months and must do a test spot first."
"When do you know your test spot reached a good clinical endpoint? - CORRECT ANSWER
slight redness or perifollicular edema and gives you the ability to determine client tolerance level."
"What are the Clinical end points for hair removal? - CORRECT ANSWER perifollicular
edema , pigment , slight redness around the lesion and darkening; Vascular: change in color from red to gray. Acne: lesion should be flattened some and less inflamed."
"What can be applied on the skin immediately after a laser hair removal treatment? - CORRECT
ANSWER ice rollers , ice place in an exam gloves and apply to the treatment area, a cold wet
cloth with cold air , aloe vera, antihistamine cream, steroid."
"where on the spectrum are ionizing rays? - CORRECT ANSWER 390mn or less"
"what topical cream should a client apply during the entire laser commitment? - CORRECT
ANSWER sunscreen"
"what does every laser target? - CORRECT ANSWER melanin"
"Laser plume can cause what? - CORRECT ANSWER respiratory problems"
"How is laser plume caused by? - CORRECT ANSWER laser beam interaction with tissue."
"what type of glasses should be worn by the patient with NDyag? - CORRECT ANSWER
metal-shields/ones that protect from wavelength 1064/ glasses for a ;laser type 3b-4."
"What do you use to clean a blood spill? - CORRECT ANSWER bleach & water (1 part
bleach/10 parts water)"
"who regulates our devices? - CORRECT ANSWER FDA"
"What do you clean the laser Lens with after each treatment? - CORRECT ANSWER 70%
alcohol/ intermidiate"
"Hydroquinone 4% is a topical cream used to help what? - CORRECT ANSWER
hyperpigmentation"
"Laser is measured with what? - CORRECT ANSWER wavelength nanometers"
"Fluence is measured in what? - CORRECT ANSWER joules"
"What should the technician do during the consultation? - CORRECT ANSWER the
technician should analyze the area of treatment for skin typing as well as addressing any concerns of the client. Write a treatment plan."
"what is the first line of protection from exposure to laser generated airborne contaminants? -
CORRECT ANSWER A ventilation system"
"what are mites? - CORRECT ANSWER scabies"
"which ethnicities are skin types 1 & 2? - CORRECT ANSWER caucasian (white)"
"what are the 3 type of consultations? - CORRECT ANSWER verbal, nonverbal, person to
person."
"What should be taken during the Health history Assessment? (HHA) - CORRECT ANSWER
medical history, medications list, contact info"
"What is synapse fatigue? - CORRECT ANSWER when a nerve which is constantly firing
begins to fire more slowly. Over stimulating the nerve."
"Bacteria can enter the body through the skin only if the skin is - CORRECT ANSWER
Broken" "Which of the following methods of sterilizing unpackaged instruments is recommended for use
in the electrologist's office - CORRECT ANSWER Autoclave at 250F with 15 PSI for 15-
minutes"
"The hair and follicle are part of the - CORRECT ANSWER Epidermis and pilosebaceous unit"
"Personal service workers (PSW) are defined by the Centers for Disease Control (CDC) as persons
whose occupations involve - CORRECT ANSWER Close personal contact with clients"
"The flow of electrons across a wire cannot occur unless there is - CORRECT ANSWER
Pressure (voltage)"
"Male and female sexual hair patterns differ primarily because of differences in - CORRECT
ANSWER The concentration of circulating androgens"
"Causes of hirsutism include which of the following -Pituitary hypersecretion -Adrenal tumors
-Ovarian Tumors - CORRECT ANSWER All of the above"
"According to the atomic theory of electron movement, electrons move from - CORRECT
ANSWER Negative to positive"
"The galvanic modality effects permanent hair removal by - CORRECT ANSWER Chemical
decomposition"
"The blend or dual method effects permanent hair removal by - CORRECT ANSWER High
frequency and galvanic current"
"Which of the following defines desiccation - CORRECT ANSWER Removing moisture"
"True statements about a clients health history assessment include which of the following -it provides an accurate record of the body areas treated -it contains the clients signature and verification of the health history
-It enables the electrologist to plan the clients treatment and evaluate progress and outcome -
CORRECT ANSWER All of the above"
"Causes of blanching include which of the following
-overtreatment of the skin -shallow insertions
-overly deep insertions - CORRECT ANSWER Overtreatment of the skin and shallow
insertions" "Which form of hepatitis is spread through fecal-oral or by putting something in the mouth that
has been contaminated by the stool of a person - CORRECT ANSWER Hepatitis A (HAV)"
"Which form of hepatitis is spread through blood or body fluids of an infected person, such as
sexual contact or sharing needles - CORRECT ANSWER Hepatitis B and Hepatitis C"
"Which form of hepatitis can live outside of the body for 7 days - CORRECT ANSWER
Hepatitis B (HBV)"
"Which form of hepatitis can live outside of the body for months - CORRECT ANSWER
Hepatitis A (HAV)" "Which form of diabetes is described as glucose intolerance that is diagnosed in some women
during pregnancy - CORRECT ANSWER Gestational diabetes"
"Which form of diabetes is described as being insulin dependent diabetes mellitus or juvenile
diabetes - CORRECT ANSWER Diabetes Type 1"
"Which form of diabetes is the most common form of diabetes and is known as being insulin
resistant - CORRECT ANSWER Diabetes type 2"
"In a diabetic patient which body area could electrolysis NOT be performed on due to poor
circulation - CORRECT ANSWER Legs"
"What condition is categorized by blood glucose level dropping too low - CORRECT ANSWER
Hypoglycemia" "What condition is categorized by frequent urination, excessive thirst, unexplained weight loss,
extreme hunger, tingling or numbness in hands and feet, dry skin, slow healing, and fatigue -
CORRECT ANSWER Diabetes"
"What condition is categorized by blood glucose level rising too high - CORRECT ANSWER
Hyperglycemia" "What is a skin condition that is categorized by dark raised areas that develop in skin folds in
areas like the neck, armpits, and groin more common in diabetes - CORRECT ANSWER
Acanthosis Nigricans"
