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ABVM-ENDO Cheat Sheet 2026: One-Page Review of Must-Know Facts

TL;DR
  • The exam has ~135 questions in two hours, and Treatment and Interventions carries 64% of the content outline.
  • Passing requires a scaled score of 555 on a 300-700 scale, not a raw percentage.
  • The total fee is $1,370 (includes a $200 nonrefundable processing component); testing outside the US/Canada/Mexico adds $50.
  • 2026 applications run July 7-September 15; the testing window is September 29-October 29.

Exam Snapshot: Format, Timing, Scoring

If you only have five minutes before you sit down to study, this is the section to read. The ABVM Endovascular Medicine Examination (ABVM-ENDO), administered by APCA/Inteleos and delivered at Pearson VUE test centers, is built around approximately 135 multiple-choice questions completed in two hours. That works out to under a minute per item on average, which means the exam rewards candidates who can recognize a clinical pattern quickly rather than those who need to reason through every option from first principles.

A passing result requires a scaled score of 555 on a 300-700 range - not a percentage of questions correct. Because the scale absorbs item difficulty, two candidates who answer a different number of questions correctly can both pass, or both fail, depending on which items they saw. For a deeper breakdown of what 555 actually represents and how the scale is constructed, see the ABVM-ENDO Passing Score 2026 guide.

Format reality check: With roughly 135 items and 120 minutes, pacing discipline matters as much as content knowledge. Practicing under timed conditions before test day - not just reviewing content - is one of the highest-leverage things you can do.

Content Outline Version 24.1: The Four Domains

The official 2026-linked content outline is Version 24.1, and it organizes the exam into four domains with very different weightings. Understanding these weights isn't optional trivia - it should directly shape how you allocate study hours.

Domain 1: Pathophysiology, Risk Factors, and Screening (8%)

The smallest domain by weight, but it underpins everything else. Expect items on vascular disease mechanisms, modifiable and non-modifiable risk factors, and screening criteria for at-risk populations.

  • Know which risk factors trigger guideline-based screening recommendations

Domain 2: Diagnosis and Testing (16%)

Covers noninvasive and invasive diagnostic modalities used to characterize peripheral vascular disease before intervention.

  • Be able to match a clinical presentation to the correct next diagnostic study

Domain 3: Treatment and Interventions (64%)

The dominant domain by a wide margin. This is where the majority of your study time and practice questions should go - see the next section.

  • Expect case-based questions requiring you to select or sequence an intervention

Domain 4: Prognosis, Surveillance, and Re-intervention (12%)

Focuses on what happens after treatment: surveillance schedules, recognizing failure or restenosis, and criteria for re-intervention.

  • Know surveillance intervals tied to specific procedure types

For a full walkthrough of each domain with sample topic lists and study sequencing, the ABVM-ENDO Exam Domains 2026 guide goes considerably deeper than a cheat sheet can.

Why Domain 3 Decides Your Score

Because Treatment and Interventions accounts for 64% of the content outline, it is mathematically impossible to pass the ABVM-ENDO exam without strong command of this domain. No amount of mastery in Domains 1, 2, or 4 can compensate for weakness here - those three domains combined only total 36%.

Practically, this means your practice-question sets, your case reviews, and your weak-area drilling should be disproportionately weighted toward interventional decision-making: choosing between endovascular and open approaches, selecting device and technique, managing periprocedural complications, and sequencing multi-lesion cases. If you are budgeting a question bank or full-length practice exam, confirm it reflects this same 64% weighting - a bank that treats all four domains equally will misrepresent your readiness.

Key Takeaway

Spend roughly two-thirds of your content-review time on Treatment and Interventions topics, and use a proportionally weighted practice test - like the full-length simulations on the main practice test site - rather than a generic question bank.

Fees, Application Window, and Testing Dates

The total examination fee is $1,370, which includes a $200 nonrefundable processing component. If you are testing at a Pearson VUE location outside the United States, Canada, or Mexico, add a $50 surcharge. Budget for the full amount up front; the nonrefundable portion applies even if you later withdraw. A detailed line-item breakdown is available in the ABVM-ENDO Certification Cost 2026 breakdown.

For the 2026 cycle, applications are accepted July 7 through September 15, 2026, and the testing window runs September 29 through October 29, 2026. That leaves roughly two weeks between the close of applications and the opening of the testing window for scheduling and eligibility confirmation - plan your Pearson VUE appointment early rather than waiting until the window opens. Full scheduling logistics and deadline reminders are covered in the ABVM-ENDO Exam Dates 2026 guide.

ItemDetail
Total fee$1,370 (includes $200 nonrefundable processing)
International surcharge+$50 outside US/Canada/Mexico
Question count~135 multiple-choice items
Time allowed2 hours
Passing score555 on a 300-700 scale
Application window (2026)July 7-September 15, 2026
Testing window (2026)September 29-October 29, 2026

Eligibility Pathways at a Glance

Eligibility for the ABVM-ENDO requires an unrestricted physician license, an accepted current board certification, and completion of either the fellowship pathway or the practice pathway.

  • Fellowship pathway: qualifying peripheral-interventional training completed within three years of application, plus program-director attestation.
  • Practice pathway: local privileges, recent peripheral procedures, qualifying procedure totals achieved within two years, at least half completed during the preceding 12 months, and institutional attestation.

Both pathways share a hard procedure floor: 100 diagnostic and 50 therapeutic peripheral interventions, with at least half performed as primary operator. This procedural minimum is the same regardless of which route you take, so candidates weighing fellowship versus practice-based eligibility should focus on documentation and timing rather than assuming one pathway has a lower bar. The ABVM-ENDO Requirements 2026 guide walks through documentation specifics for each pathway.

Common eligibility trap: Practice-pathway candidates must hit their procedure totals within a two-year window, with half in the preceding 12 months. Candidates who front-load procedures early and then slow down can inadvertently fall out of compliance by application time.

Passing Score and 2025 Performance Data

The passing standard is a scaled score of 555 on a 300-700 range. Officially reported 2025 passing rates were 75% for first-time candidates, 100% for repeat candidates, and 77% overall. Because repeat-candidate performance was substantially higher than first-attempt performance, targeted remediation of missed content areas - rather than a full retake of general review - appears to be an effective strategy for anyone who does not pass on the first sitting. A full statistical breakdown, including how these figures compare across recent cycles, is in the ABVM-ENDO Pass Rate 2026 analysis.

If you're trying to gauge how the exam compares to other board-style assessments in terms of difficulty, the How Hard Is the ABVM-ENDO Exam guide contextualizes the pass-rate data against format, timing, and domain weighting discussed above.

Maintenance of Certification Cycle

Certification isn't a one-time event. Maintenance requires current licensure, annual renewal and attestation, an ongoing knowledge-confirmation component, and CME.

  • Knowledge confirmation: four quarterly 10-question quizzes per year (40 questions total), with at least 80% cumulative accuracy required by December 31.
  • CME transition rule: under the ABVM maintenance transition, the 25-CME three-year period starts in the calendar year after your existing certificate's expiration year.

Diplomates who treat the quarterly quizzes as low-stakes check-ins rather than a real requirement risk missing the 80% cumulative threshold late in the year, when there's little runway left to recover. Building a quick quarterly review habit - even 30 minutes per quiz - keeps the cumulative accuracy comfortably above the bar.

Mapping Study Weeks to Domain Weight

A cheat sheet isn't the place for a full study calendar, but domain weighting should directly drive how you sequence review weeks. Because Domain 3 (Treatment and Interventions) is 64% of the outline, it deserves proportionally more calendar time than the other three domains combined.

Early Weeks

Foundations

  • Cover Domain 1 (Pathophysiology, Risk Factors, Screening) and Domain 2 (Diagnosis and Testing) first - they're smaller but set up correct clinical reasoning for Domain 3 cases
Middle Weeks

Core Volume

  • Dedicate the majority of remaining weeks to Domain 3 (Treatment and Interventions), working case-based practice questions daily
Final Weeks

Integration

  • Layer in Domain 4 (Prognosis, Surveillance, and Re-intervention) and run full-length, proportionally weighted timed practice tests

For a complete week-by-week plan with milestones and review checkpoints, see the ABVM-ENDO Study Guide 2026. And if you're still deciding whether pursuing this credential fits your career goals, the Is the ABVM-ENDO Certification Worth It? ROI Analysis and ABVM-ENDO Jobs overview are worth reading before you commit to the application fee.

Practice test tip: Run your final one or two practice exams under strict two-hour, ~135-question conditions, using a bank weighted to match the 8/16/64/12 domain split. Full simulations on the practice test platform are built to mirror this exact structure so your score prediction is meaningful, not misleading.

FAQ

How many questions are on the ABVM-ENDO exam and how much time do I get?

Approximately 135 multiple-choice questions with two hours allowed to complete them.

What score do I need to pass the ABVM-ENDO exam?

A scaled score of 555 on a 300-700 range, not a fixed percentage of correct answers.

How much does the ABVM-ENDO exam cost in total?

The fee is $1,370, which includes a $200 nonrefundable processing component. Testing outside the US, Canada, or Mexico adds a $50 surcharge.

Which domain should I prioritize most heavily?

Domain 3, Treatment and Interventions, which accounts for 64% of the Version 24.1 content outline - by far the largest share.

What happens after I pass - is certification permanent?

No. Maintenance requires current licensure, annual renewal and attestation, an annual knowledge-confirmation cycle (four quarterly 10-question quizzes totaling 40 questions with at least 80% cumulative accuracy by December 31), and ongoing CME under the ABVM maintenance transition timeline.

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