ADC Practice Question — CMS Risk Assessment & Classification

How should this patient's risk be reclassified at today's recall?

Q: How do I approach an unfamiliar CMS Risk Assessment & Classification vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

Q: How should I prepare for Preventive Dentistry & Cariology in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

Prevention and cariology questions test evidence-based decision-making — fluoride protocols, caries risk assessment, recall scheduling. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A 60-year-old woman classified as Medium risk 18 months ago has attended 6-monthly recalls. New bitewings show no progression of existing radiolucencies and no new lesions in 12 months. How should this patient's risk be reclassified at today's recall?

A. Remains Medium — original findings still radiographically present
B. Remains Medium — reclassification requires 24 months without activity
C. High — because she has been Medium risk for more than 12 months
D. Low — fewer than 1 new lesion per year with no progression of lesions

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: D

Recall risk: Low = <1 new lesion/year AND no progression. Both met. Arrested lesions remain visible — stability, not regression to C0, defines arrest. SOURCE — Evans RW et al. CMS for adults, ADJ 2008;53:83-92, Table 4

Source: Evans RW et al. CMS for adults, ADJ 2008;53:83-92, Table 4

Remy's study tip — Identify the patient’s risk level first, then match the intervention to the risk.

Exam preparation FAQ

How do I approach an unfamiliar CMS Risk Assessment & Classification vignette?

Extract key clinical data from the stem before reading options. There are usually 3–4 critical variables that determine the correct answer.

How should I prepare for Preventive Dentistry & Cariology in the ADC exam?

Build competence across all topics. The exam tests application of guidelines to clinical scenarios, not memorisation.

Every answer, traced to the source.

Remy — the AI tutor inside Reviz — drills you on 7,000+ ADC-style cited questions with spaced repetition, on WhatsApp and the web.

Explore the Reviz trial

How should this patient's risk be reclassified at today's recall?

The only ADC prep platform where every answer is traced to the guideline source.

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Try Reviz on WhatsApp.

Exam preparation FAQ

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