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Shampoo and scalp manipulations are performed with:

  1. The palms

  2. A brush

  3. The cushions of the fingertips

  4. A comb

The correct answer is: The cushions of the fingertips

Shampoo and scalp manipulations typically involve massaging or rubbing the scalp with gentle pressure. The cushions of the fingertips would be the most suitable tool for this task, as they provide the right amount of pressure and control compared to the other options. Option A, using the palms, may be too harsh or rough on the scalp and could potentially lead to discomfort or irritation. Option B, using a brush, is not recommended for scalp manipulations as it can be too harsh and may potentially cause tangles or damage to the hair. Option D, using a comb, may not provide enough pressure and control compared to using the cushions of the fingertips. Additionally, a comb may not be as comfortable to use for scalp manipulations. Therefore, the best option for performing shampoo and scalp manipulations is with the cushions of the fingertips.