FACE REALITY CORE EXAM TEST 2026 QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Open comedone - ✔✔blackhead, non-inflammatory lesion or papule, firm, turns
black due to being exposed to air and oxidizing
✔✔Closed comedone - ✔✔Whitehead, basically a blackhead that has not matured into
one quite yet, pore remained closes, hence (closed comedone)
✔✔Is there is a lot of whiteheads it is referred to as? - ✔✔Maturation at rest acne ( a
comedone that has not matured into an open comedone yet)
✔✔Closed comedone are most of the time not sensitive or reactive to? - ✔✔Products
✔✔With combination acne how would you treat them when trying to clear it? - ✔✔Treat
with inflamed protocol first, then when inflammation goes down, treat them with non-
inflamed protocols
✔✔Inflamed lesions will almost always clear before non-inflamed lesions, always
explain this to clients since they will most often think ________ - ✔✔Opposite
✔✔What are the 3 acne severities? - ✔✔Mild. Moderate. Severe
✔✔How would you explain to a client what mild acne is? - ✔✔10 or less lesions on each
side of their face
✔✔How would you explain to a client that they have moderate acne? - ✔✔10-30 lesions
on each side of their face
✔✔How would you explain to a client if they have severe acne? - ✔✔30 or more lesions
on each side of their face
✔✔What are acne imposters - ✔✔Skin conditions that look like acne, but are not, some
can be treated, but not all
✔✔What are the most common acne imposters? - ✔✔1. Acne Rosacea
2. Steatocystoma Multiplex
3. Folliculitis
4. Rosacea Fulminans AKA Pyoderma Faciale
5. Staph Infection
6. Keratosis Pilaris
✔✔What is the type of rosacea we can treat? - ✔✔Rosacea Subtype 2 ( Papopustular
Rosacea)
, ✔✔What are physical signs of Rosacea subtype 2? - ✔✔Persistent flushing, papules
and pustules found in cheeks and forehead, it resembles acne but there are no
comedones
✔✔What causes rosacea subtype 2? - ✔✔Allergic reaction to bacterial residue of
demodex mites
✔✔What are the 2 ways you can confirm if someone has rosacea? - ✔✔Identifying
typical pattern of redness and no core will be present when extracting pustules
Ask about triggers for the person, and bars assessment on their response
✔✔Common triggers for Rosacea? (11) - ✔✔1. Extreme Weather
2. Stress
3. Exercise
4. Alcohol
5. Heated beverages
6. Wind
7. Spicy foods
8. Indoor heat
9. Humidity
10. Hot baths
11. Sun
✔✔What are the BIGGEST triggers for rosacea? (2) (acne clients wot have these if
you're curious to know if it is rosacea - ✔✔1. Spicy foods
2. Alcohol
✔✔What are the 3 highly affective products for treating rosacea? - ✔✔Salycilic Acid,
Mandelic, and Benzyl Peroxide
✔✔If the client has rosacea what treatment would you put them on? - ✔✔Mild inflamed
acne treatment protocol
✔✔Steatocystoma multiplex - ✔✔Rare skin condition by excess oil being secreted into
the pores
✔✔What are the physical signs of steatocystoma Multiplex? - ✔✔Lesions do not have a
core when trying to extract, no need to anyways because it will fill back up, sometimes
releases a gelatinous fluid as well, no open lesions
✔✔What are the key things you should know about steatocystoma Multiplex? - ✔✔1.
Products do not do anything for it
2. Disorder of pill sebaceous unit
SOLUTIONS GRADED A+
✔✔Open comedone - ✔✔blackhead, non-inflammatory lesion or papule, firm, turns
black due to being exposed to air and oxidizing
✔✔Closed comedone - ✔✔Whitehead, basically a blackhead that has not matured into
one quite yet, pore remained closes, hence (closed comedone)
✔✔Is there is a lot of whiteheads it is referred to as? - ✔✔Maturation at rest acne ( a
comedone that has not matured into an open comedone yet)
✔✔Closed comedone are most of the time not sensitive or reactive to? - ✔✔Products
✔✔With combination acne how would you treat them when trying to clear it? - ✔✔Treat
with inflamed protocol first, then when inflammation goes down, treat them with non-
inflamed protocols
✔✔Inflamed lesions will almost always clear before non-inflamed lesions, always
explain this to clients since they will most often think ________ - ✔✔Opposite
✔✔What are the 3 acne severities? - ✔✔Mild. Moderate. Severe
✔✔How would you explain to a client what mild acne is? - ✔✔10 or less lesions on each
side of their face
✔✔How would you explain to a client that they have moderate acne? - ✔✔10-30 lesions
on each side of their face
✔✔How would you explain to a client if they have severe acne? - ✔✔30 or more lesions
on each side of their face
✔✔What are acne imposters - ✔✔Skin conditions that look like acne, but are not, some
can be treated, but not all
✔✔What are the most common acne imposters? - ✔✔1. Acne Rosacea
2. Steatocystoma Multiplex
3. Folliculitis
4. Rosacea Fulminans AKA Pyoderma Faciale
5. Staph Infection
6. Keratosis Pilaris
✔✔What is the type of rosacea we can treat? - ✔✔Rosacea Subtype 2 ( Papopustular
Rosacea)
, ✔✔What are physical signs of Rosacea subtype 2? - ✔✔Persistent flushing, papules
and pustules found in cheeks and forehead, it resembles acne but there are no
comedones
✔✔What causes rosacea subtype 2? - ✔✔Allergic reaction to bacterial residue of
demodex mites
✔✔What are the 2 ways you can confirm if someone has rosacea? - ✔✔Identifying
typical pattern of redness and no core will be present when extracting pustules
Ask about triggers for the person, and bars assessment on their response
✔✔Common triggers for Rosacea? (11) - ✔✔1. Extreme Weather
2. Stress
3. Exercise
4. Alcohol
5. Heated beverages
6. Wind
7. Spicy foods
8. Indoor heat
9. Humidity
10. Hot baths
11. Sun
✔✔What are the BIGGEST triggers for rosacea? (2) (acne clients wot have these if
you're curious to know if it is rosacea - ✔✔1. Spicy foods
2. Alcohol
✔✔What are the 3 highly affective products for treating rosacea? - ✔✔Salycilic Acid,
Mandelic, and Benzyl Peroxide
✔✔If the client has rosacea what treatment would you put them on? - ✔✔Mild inflamed
acne treatment protocol
✔✔Steatocystoma multiplex - ✔✔Rare skin condition by excess oil being secreted into
the pores
✔✔What are the physical signs of steatocystoma Multiplex? - ✔✔Lesions do not have a
core when trying to extract, no need to anyways because it will fill back up, sometimes
releases a gelatinous fluid as well, no open lesions
✔✔What are the key things you should know about steatocystoma Multiplex? - ✔✔1.
Products do not do anything for it
2. Disorder of pill sebaceous unit
