Michigan Esthetician State Board Practice Exam

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What are whitish, pear-like masses under the skin with no visible opening termed?

Tumors
Warts
Milia
Cysts

The correct answer is: Milia

Milia are small, pearly white cysts that typically appear on the skin, often seen on the face, particularly around the eyes and cheeks. They are formed when keratin — a protein found in the skin — becomes trapped beneath the surface. Unlike other skin lesions, milia do not have visible openings, which distinguishes them from some other conditions. This absence of an opening makes them appear as white bumps. In contrast, tumors are generally larger and may be solid or fluid-filled but do not have the same characteristic appearance as milia. Warts are caused by viral infections and usually have a rough texture or surface. Cysts can also present similarly to milia but may be filled with fluid or semi-solid material and often have a visible pore or opening. The unique presentation of milia, especially their small size and pearly white color, solidifies their identification as the correct answer in this context.