ABVM-ENDO Certification Exam Preparation Guide – Endodontics
                     APCA
ABVM-ENDO
ExamName: American Board of Vascular Medicine Endovascular Medicine
Exam Version: 6.0
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Question 1. (Single Select)
Rivaroxaban 2.5 + ASA vs DAPT PAD?
A: Inferior
B: Superior MALE
C: Equal bleed
D: MACE worse
Answer: B
Explanation:
Better limb outcomes COMPASS/VOYAGER.
Question 2. (Single Select)
A 38-year-old female with May-Thurner anatomy (left CIV stenosis 65%) develops acute DVT post-partum
(day
5). After catheter-directed thrombolysis (CDT) with tPA 0.5 mg/hr x 24 hrs reducing clot burden >90%,
venogram shows residual 50% recoil stenosis. IVUS confirms post-balloon area 55 mm².
What is the primary risk if stenting is deferred, and the most evidence-based anticoagulation duration
post-stenting?
A: Pulmonary embolism (25% risk); indefinite LMWH
B: Chronic PTS (50% risk); 6-12 months anticoagulation
C: Recurrent ipsilateral DVT (40% risk); 3 months DOAC
D: Stent fracture (15% risk); 1 month warfarin
Answer: B
Explanation:
Untreated residual iliofemoral stenosis >50% post-DVT predicts chronic PTS in 50% at 2 years due to
ambulatory venous hypertension; stenting reduces this to 80% vs single vessel;
angiosome adjunct.
Question 4. (Single Select)
Complex polyvascular atherosclerosis patient with borderline ABI, elevated ABI in one leg from
calcification, low TBI. Illustrates need for?
A: Multimodal assessment (ABI + TBI + duplex) in high-risk
B: Invasive angiography first
C: Single-test reliance
D: No testing
Answer: A
Explanation:
Guidelines advocate complementary tests in diabetes/CKD where ABI limited by calcification.
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Question 5. (Single Select)
A 71-year-old male with calcified iliac lesion undergoes balloon-expandable stenting. Post-dilation required
due to:
A: Incomplete expansion
B: Elastic recoil
C: Fracture concern
D: Migration risk
Answer: A
Explanation:
Calcified lesions resist full balloon-expandable stent expansion. High-pressure post-dilation ensures
optimal apposition and radial strength in rigid plaques.
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