smbexec uses the patched winexe to address the issue detailed here:
http://carnal0wnage.attackresearch.com/2012/01/psexec-fail-upload-and-exec-instead.htmlWhile this will avoid controls that flag MSF psexec behavior, I would assume using winexe to run pwdump or whatever would still be detected because that file is copied to the system and then executed.
You could also test your AV controls by using MSF's psexec module and running hashdump, although this may cause stability issues on DCs. I use the shadow copy method when doing this on my clients' systems.