public CIMPointSymbol GetPointSymbol()

var options = ApplicationOptions.EditingOptions;

//Must use QueuedTask
QueuedTask.Run(() =>
{
  //There are 4 vertex symbol settings - selected, unselected and the
  //current vertex selected and unselected.
  var reg_select = options.GetVertexSymbolOptions(VertexSymbolType.RegularSelected);
  var reg_unsel = options.GetVertexSymbolOptions(VertexSymbolType.RegularUnselected);
  var curr_sel = options.GetVertexSymbolOptions(VertexSymbolType.CurrentSelected);
  var curr_unsel = options.GetVertexSymbolOptions(VertexSymbolType.CurrentUnselected);

  //to convert the options to a symbol use
  //GetPointSymbol
  var reg_sel_pt_symbol = reg_select.GetPointSymbol();
  //ditto for reg_unsel, curr_sel, curr_unsel
});