ADC Practice Question — CMS Risk Assessment & Classification

Which single additional finding would reclassify this patient to Medium risk?

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 38-year-old man presents as a new patient. No visible caries, no white spots, no cavitation. Bitewings show C2 radiolucencies on mesial of teeth 36 and 46. Plaque Index 8/36. Which single additional finding would reclassify this patient to Medium risk?

A. A Plaque Index score rising from 8 to 22 out of 36
B. Stimulated saliva flow dropping below 0.5 mL per minute
C. Sticky pits detected on occlusal surfaces of teeth 17 and 27
D. A diet history revealing five or more between-meal sugar exposures daily

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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: C

Medium requires: no frank cavitation, may have sticky pits/fissures, BW ≤ C4. Sticky pits are a clinical sign that moves a patient from Low to Medium. CMS risk is determined by clinical signs, not risk factors. 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

Should I memorise guidelines word-for-word for CMS Risk Assessment & Classification?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

How are CMS Risk Assessment & Classification questions structured in the ADC written exam?

ADC CMS Risk Assessment & Classification questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Every answer, traced to the source.

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Which single additional finding would reclassify this patient to Medium risk?

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