The Boston Electrologists Diagnostic Case History Course & Examination©


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 Kimberly Williams, R.E., Dean
Massachusetts Licensed & Registered Electrologist
Utah Licensed & Registered Electrologist
 Guest Lecturerer Of Harvard Medical School From 1983-1987
7330 Easet Earll Drive Suite J
Scottsdale Arizona 85251
480-607-8121

The Electrologist Diagnostic Case History Course & Examination 
Authored Entirely By Kimberly Williams, R.E., Dean

WIN THE BOSTON SCHOOL OF ELECTROLYSIS AWARD©

 

The Electrologists Diagnostic Case History Course & Examination©

Examination

1) What are the primary purposes of the intake session and the assessment form?

a) To establish a rapport with new patients and obtain billing information.

b) The assessment form is a legal contract outlining services to be provided by the electrologist to the patient.

c) To demonstrate professional credentials.

d) To gain information about the patient’s medical condition and needs and to protect the public and the electrologist from contagion.

2) Which of the sequences below is the most accurate summary of the areas to be addressed on a thorough assessment form?

a) Patient name, Address, Telephone number, Emergency contact information, Referral source.

b) Patient name, Address, Telephone number, Emergency contact information, Medical History and fee agreement.

c) Patient name, Address, Telephone number, Information about diet and lifestyle, Medical History.

d) Patient name, Address, Telephone number, Referral Source, Fee Agreement.

3) Which list of patient conditions requires a letter of release from a qualified physician prior to treatment?

a) Diabetes, Hodgkin’s Disease, Hepatitis, Hemophilia.

b) Herpes Simplex, Carcinoma, Hodgkin’s Disease, Epilepsy.

c) Diabetes, Carcinoma, Hodgkin’s Disease, Epilepsy.

d) Diabetes, Hodgkin’s Disease, Hepatitis B, Carcinoma.

4) When should an electrologist prescribe medicine to treat conditions that cause unwanted hair growth?

a) When further electrolysis treatments are contraindicated until underlying issues are treated.

b) Never. The prescribing of medications is outside the electrologist’s scope of practice.

c) When the symptom of unwanted facial hair is the clear result of endocrine imbalances.

d) When a lotion or ointment is required for after care.

5) A middle-aged, female patient has been receiving one hour, weekly treatments from an electrologist for three months. The patient reports casually that she has been really thirsty lately and feeling fatigued and sometimes dizzy.  The patient reported no significant medical conditions during her initial intake and assessment. What is the best response from the electrologist?

a) Express concern about the patient’s health and ask the patient to schedule an appointment with her physician.

b) Offer the patient a glass of water and continue with the scheduled treatment.

c) Explain the reasons why those symptoms might be of concern and state that it is best to delay all further treatment until the patient has seen a doctor and received a letter of release for treatment.

d) Explain the reasons why those symptoms are concerning and insist that the patient bring appropriate snacks and water to the sessions.

6) Which assessment form includes the details most critical to a thorough patient history?

a) One that includes all personal contact information.

b) One that rules out medical conditions which might put the patient or the electrologist at risk in treatment.

c) One that accurately tracks referral sources.

d) One that lists all previous hair removal practitioners that have provided services to a patient.

7) After completing a thorough intake and assessment with a 42 year-old male patient, an electrologist completes the first treatment for permanent hair removal.  The further observations from the initial treatment lead the electrologist to suspect that the cause of unwanted hair growth on face and body might be cancer. What should the electrologist do?

a) Inform the patient that it is highly likely that he has cancer and that he should seek immediate medical attention.

b) Ask the patient whether he is sure about his answer to the assessment questionnaire concerning cancer in his family.

c) Recommend that the patient have a medical evaluation to investigate the causes of unwanted hair growth.

d) Maintain confidentiality regarding the patient’s condition.

8) Which of the following best summarizes the protocol an electrologist should consider in order to establish a medically and ethically sound practice?

a) Immunization against Hepatitis B; Feature brochures on HIV/AIDs in the waiting room; Routine Hand-washing; Keeping Emergency contact information for patients on file.

b) Routine Hand-washing; Posting disclosure of risks and procedures; Offering education on Hepatitis B; Maintain a referral list of other electrologists in the area.

c) Immunization against Hepatitis B; Keeping separate sets of needles for each patient; Feature brochures about HIV/AIDs in the waiting room; Establish a twenty-four hour cancellation policy.

d) Immunization against Hepatitis B; Maintaining emergency information cards for patients with at risk medical conditions; Use of disposable needles; Maintaining a list of physician referrals, Staying current on electrologist journals.

9) When is it ethically appropriate to refuse services to a patient?

a) When a patient represents a demographic that is clinically proven to be at high-risk for HIV/AIDS.

b) When a patient is allergic to the pre and post care treatment products that the electrologist uses in her or his practice.

c) When a patient informs the electrologist that she just got a diagnosis for rheumatic fever but that it is okay to get treatment because her physician did not mandate medication.

d) When a patient informs the electrologist that he just learned that his blood-work came back with results for Herpes simplex.

10) An electrologist schedules a phone call for a new patient. The patient states in the phone conversation that he is looking for a licensed and registered electrologist in the area since he just moved.  He goes on to say that he had received permanent hair removal treatments with a previous electrologist. He says that he has a tight schedule but would like to come in for a 30 minute treatment. What should the electrologist do?

a) Complete an intake over the phone and offer to waive the assessment fee.

b) Ask the patient to get a copy of the records from his previous electrologist and bring them to the first session.

c) Set a 30 minute appointment and ask the patient to come in 10 minutes early to fill out an information card.

d) Inform the patient that she or he completes an intake and assessment with all new patients and schedule a thirty minute session that includes a fifteen minute treatment.

11) For any given individual patient, which of the following factors most contributes to the recurring growth of unwanted hair?

a) Endocrine imbalance

b) Heredity

c) Epileptic drugs

d) Systemic viral conditions

12) Which of the following patient-specific factors that should be assessed by an electrologist to make a reasonable determination that endocrine imbalances may be playing a role in the growth of unwanted hair for the patient?

a) A combination of Heredity, Diet, Stress, Nervous Disorders

b) Use of Cortisone

c) A history of smoking

d) Daily consumption of caffeine

13) For which of the following reasons might a patient interested in permanent hair removal consider estrogen replacement therapy under a physician’s care?

a) To eliminate hair growth at the root by suppressing the hormone androgen.

b) To increase the effectiveness of permanent hair removal treatments.

c) To reduce wrinkles and dryness so that the overall effect of treatment results in a more youthful appearance.

d) To assist in the management of depressive symptoms common in women who suffer from unwanted hair growth.

14) Which of the following statements is true?

a) The only alternative for treating hormones imbalances is prescribed medication.

b) Androgen hormone production increases in post-menopausal women.

c) Women with regular periods never have hormone imbalances.

d) A woman who has had a hysterectomy can be said to have a pseudo-menopausal endocrine disorder.

15) Which patient profile details a patient who is NOT likely to have an endocrine related disorder?

a) A pre-menopausal woman who has regular periods.

b) A post menopausal woman being treated for arthritis.

c) A thirty-five year old male who works long hours in a high-stress job environment.

d) A forty-three year old male who recently quit smoking and became a vegetarian.

16) A thirty year-old woman presents for permanent hair removal treatment. In the intake and assessment she reports a history of irregular periods. What is the electrologist ethically obliged to do?

a) Refuse treatment until the cause of the irregularity is diagnosed.

b) Recommend that the patient start taking Birth Control.

c) Inquire about the patient’s lifestyle, eating habits and medical history and recommend that the patient seek a full medical evaluation.

d) Insist on getting a doctor’s letter of release before starting treatment.

17) Which of the following statements is true?

a) The reason most women develop unwanted facial hair is because of menopause.

b) Patients with high stress levels are less likely to have the desired effects from electrolysis treatments.

c) The quantity and quality of facial hair in women is an indicator of the likelihood of developing future health problems.

d) A woman who carries a pregnancy to full term can develop unwanted facial hair.

18) Which of the patient profiles indicates a patient who most likely does NOT have high androgen levels?

a) A twenty-seven year-old female who has high normal test results from a blood panel.

b) A forty-seven year-old male with heavy beard and body hair.

c) A thirty-two year-old female who is pregnant.

d) A twenty-three year-old female who reports spotting during her menstrual cycle.

19) Which of the following statements is true?

a) Pitting of the skin is unavoidable in patients with oily complexions.

b) Certain endocrine disorders cause hairs growth in specific, identifiable patterns.

c) Areas of skin with acne scars cannot be treated with electrolysis.

d) Because they are non-mechanical treatments, the use of depilatories is the only home hair removal treatment that does not risk damage to the skin.

20) A new patient meets with an electrologist for an assessment and skin evaluation. The patient wants to have hairs removed from three moles on his face. The moles are shiny, blue-black in color but small and with definite edges. What should the electrologist do?

a) Agree to remove the hairs.  The edges are clearly defined.

b) Agree to remove the hairs with a doctor’s letter stating that the moles are safe to work on.

c) Consult with a doctor over the phone while the patient is present.

d) Inform the patient immediately that he has a potentially life threatening skin disorder.

21) Which of the following terms does not describe an endocrine imbalance status?

a) Below Normal

b) Borderline

c) High Normal

d) Sub Acute

22) Which of the following details can a patient provide the electrologist in order to establish a treatment protocol?

a) The age at which he or she first developed any acne conditions.

b) His or her history of sunburn.

c) His or her skin reaction to previous treatment.

d) His or her allergies to any depilatories or hair deterrent creams.

23) Which of the following statements is not true?

a) An accurate record of all pre-existing skin conditions protects the electrologist from possible malpractice suits.

b) An evaluation must be confirmed by an exchange of a patient’s records with her or his previous service providers.

c) Self-administered treatments can result in ingrown hairs for the patient.

d) Careful scrutiny of the patient’s skin is in the best interest of the patient and the electrologist.

24) Which of the following statements is not true?

a) An accurate record of all pre-existing skin conditions protects the electrologist from possible malpractice suits.

b) An evaluation must be confirmed by an exchange of a patient’s records with her or his previous service providers.

c) Self-administered treatments can result in ingrown hairs for the patient.

d) Careful scrutiny of the patient’s skin is in the best interest of the patient and the electrologist.

25) What sequence of actions should an electrologist complete prior to performing an initial treatment?

a) Make an assessment of damages caused by previous attempts to remove unwanted hairs; an assessment of the types of hairs that the patient wants to have treated; chemically remove any skin tags or warts in the area to be treated.

b) Take a verbal history of a patient’s previous attempts to remove unwanted hairs; make an assessment of the types of hairs that the patient wants to have treated; securing a letter of release from a doctor to treat any questionable skin areas.

c) Take a verbal history of a patient’s previous attempts to remove unwanted hairs; make an assessment of the types of hairs that the patient wants to have treated; Document any skin abnormalities.

d) Make an assessment of damages caused by previous attempts to remove unwanted hairs; make a photo document of skin damage; consult with patient’s insurance company about any abnormalities.

DIRECTIONS GO TO THE NEXT PAGE FOR INSTRUCTIONS TO HAVE YOUR TEST GRADED!

COPYRIGHT BOSTON SCHOOL OF ELECTROLYSIS & BOSTON ELECTROLYSIS PRIVATE PRACTICE 2010