Wisconsin Dentistry Jurisprudence Exam ACTUAL EXAM
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Summarized Exam Coverage – Wisconsin Dentistry Jurisprudence Exam
The Wisconsin Dentistry Jurisprudence Exam assesses knowledge of laws and rules governing the
practice of dentistry, dental hygiene, and dental assisting in Wisconsin. Key areas include:
• Licensing & Renewal: Dentists must hold a valid Wisconsin dental license. Licenses are
renewed biennially (by October 31 of even-numbered years). Renewal requires completing 30
hours of continuing education (CE) per biennium, including 4 hours of CE in pharmacology for
those with prescribing authority (biannually). License must be displayed conspicuously.
• Wisconsin Dentistry Examining Board (DEB): The regulatory body overseeing licensure,
discipline, and professional standards for dentists and dental hygienists. The Board investigates
complaints and has authority to impose sanctions.
• Opioid Prescribing & PDMP: Under 2025 DEB rules, a dentist may prescribe Schedule II opioids
for acute dental pain for a maximum of 7 days (except chronic pain or palliative care). Dentists
must check the Wisconsin Prescription Drug Monitoring Program (PDMP) for any Schedule
II opioid prescription and for Schedule III/IV opioids after 7 consecutive days of prescription.
• Mandatory Reporting: Dentists, dental hygienists, and registered dental assistants
are mandatory reporters for suspected child abuse or neglect and must report within 48
hours of reasonable suspicion. Certain elder abuse or vulnerable adult abuse must also be
reported.
• Scope of Practice & Delegation:
o General Dentist: May perform all procedures within standard of care, including
placement of dental implants with documented training. Nitrous oxide administration
requires specific certification. Moderate sedation requires a permit; parenteral
sedation requires additional permit and advanced training. Botox for cosmetic purposes
requires a separate permit.
o Dental Hygienist: May administer local anesthesia with proper certification. May
perform scaling and root planing.
o Dental Assistant (RDA): May perform expanded functions under direct supervision,
including applying topical fluoride, irrigating surgical sites, adjusting orthodontic wires,
and taking impressions. Placing or carving amalgam restorations is NOT delegable to an
RDA. Radiography requires certification. Irreversible enamel contouring requires direct
dentist supervision.
• Recordkeeping & Retention: Patient dental records must be retained for a minimum of 6
years after the last treatment. Records must be accurate, complete, and legible. Upon request,
copies of records (including radiographs) must be provided within 30 days; a reasonable copying
fee may be charged.
• Informed Consent & Patient Rights: Informed consent must be obtained before any irreversible
or invasive dental procedure. Patients must be informed of risks, benefits, and alternatives.
Patients have the right to access their dental records. Refusing treatment based solely on
discriminatory grounds (e.g., pregnancy, HIV status, disability) may violate ethical and legal
standards.
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• Ethical Principles & Advertising: Advertising must be truthful and not misleading. Guaranteeing
outcomes (e.g., "pain-free forever") violates truth-in-advertising standards. Standard ethical
principles include: Beneficence (do good), Nonmaleficence (do no harm), Autonomy (patient
right to choose), Veracity (truthfulness), and Justice (fairness).
• Professional Misconduct & Disciplinary Actions: Grounds for discipline include: practicing with
an expired license, delegating tasks outside scope, failing to maintain records, insurance fraud,
practicing while suspended in another state, conviction for a felony (e.g., Medicare fraud), and
sexual misconduct with a patient (any sexual contact with a current patient—consent is not a
defense).
• Good Samaritan Law & Volunteer Immunity: Wisconsin’s 2025 Good Samaritan law provides
immunity for ordinary negligence for dentists volunteering at free clinics performing
non-cosmetic, non-experimental care. Immunity does NOT extend to gross negligence, willful
misconduct, or practicing outside scope of license.
• Teledentistry (2026 Rules) : A dentist providing teledentistry services to a patient in
Wisconsin must hold a valid Wisconsin dental license. For a new patient, an in-person exam is
required within 60 days to establish a definitive treatment plan.
• Wisconsin Health Professional Programs (WHPP) : For dentists with substance use disorders,
return to unrestricted practice requires completion of a board-approved monitoring program
with random drug screens.
• Office & Equipment Safety: OSHA regulations apply to infection control, bloodborne pathogens,
and workplace safety. Sterilization of instruments is required for patient safety. Use of expired
anesthetic materials violates clinical safety standards.
• Annual X-Ray Equipment Registration: X-ray equipment used in a dental office must be
registered annually with the Wisconsin Department of Health Services.
• Vicarious Liability: Employers (dentists) may be held responsible for negligent acts of employees
performed within the scope of their employment.
• Abandonment: Terminating a patient relationship without notice or referral, resulting in harm,
constitutes abandonment.
• Employment Law: Wisconsin is an at-will employment state; written contracts are not
universally required. Non-compete clauses may be enforceable if reasonable in scope and
duration.
• Patient Age of Consent: The minimum age for a patient to consent to general dental treatment
in Wisconsin without parental accompaniment is 18 years (unless the minor is emancipated or
married).
1. A Wisconsin dentist is asked by a new patient to prescribe Schedule II opioids for acute
post-extraction pain. Under 2025 DEB rules, what is the maximum number of days for which the dentist
may prescribe?
A) 3 days
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B) 7 days
C) 14 days
D) 30 days
Answer: B — Wisconsin’s 2025 opioid prescribing limit for acute dental pain is 7 days, except for chronic
pain or palliative care.
2. A dental assistant is asked to perform irreversible enamel contouring without direct supervision.
Which legal issue is most directly implicated?
A) HIPAA violation
B) Scope of practice violation
C) OSHA violation
D) Insurance fraud
Answer: B — Wisconsin law limits irreversible procedures to licensed dentists or properly delegated and
supervised personnel.
3. A dentist advertises “guaranteed pain-free fillings forever” on a clinic website. Which ethical issue is
most clearly violated?
A) Beneficence
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B) Truth in advertising
C) Patient autonomy
D) Standard of care
Answer: B — Guaranteeing outcomes is misleading and violates truth-in-advertising standards.
4. Under Wisconsin law, patient dental records must generally be retained for at least how many years
after the last treatment?
A) 3 years
B) 5 years
C) 6 years
D) 10 years
Answer: C — Wisconsin law mandates a minimum 6-year retention period for patient treatment records.
5. A dental hygienist shares a patient’s diagnosis with a coworker not involved in treatment. This is a
violation of:
A) OSHA regulations
B) HIPAA confidentiality rules
C) Employment contract law