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ASA III Classification Examples — NDEB AFK MCQ

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ModerateMedical Emergencies in DentistryASA III Classification ExamplesNDEB AFK

Which of the following clinical scenarios would classify a patient as ASA III according to the ASA Physical Status Classification?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Patient with poorly controlled type 2 diabetes (HbA1c 86 mmol/mol) and stable angina with reduced exercise tolerance

ASA III indicates severe systemic disease that limits activity but is NOT incapacitating. Examples include: poorly controlled diabetes (HbA1c >75 mmol/mol), stable angina with reduced exercise tolerance, history of MI >6 months ago, moderate to severe COPD, morbid obesity (BMI >40), chronic renal failure on dialysis, and pacemaker-dependent patients. ASA III patients can undergo elective dental treatment with appropriate modifications (stress reduction protocol, shortened appointments, medical consultation) but are at increased risk for medical complications.

Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022