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Case-by-Case: Preventing MenB Disease in Adolescents and Young Adults

  • Authors: Gary S. Marshall, MD
  • CME / CE Released: 9/26/2019
  • Valid for credit through: 9/26/2020, 11:59 PM EST
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Target Audience and Goal Statement

This activity is intended for pediatricians, primary care physicians, obstetricians and gynecologists, pharmacists, and nurses.

The goal of this activity is to improve clinicians' competence in administering the serogroup B meningococcal (MenB) vaccine according to current recommendations and schedules.

Upon completion of this activity, participants will:

  • Have increased knowledge regarding the
    • Advisory Committee on Immunization Practices (ACIP) schedule for routine vaccination of adolescents and young adults
  • Have greater competence related to
    • The application of ACIP recommendations for vaccination against MenB disease 
    • Differentiating dosing and schedule recommendations between MenB vaccines
    • Strategies to foster and facilitate vaccine series completion
  • Demonstrate greater confidence in their ability to
    • Collaborate with other members of the interprofessional healthcare team to increase vaccination rates


As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


  • Gary S. Marshall, MD

    Professor of Pediatrics
    Chief, Division of Pediatric Infectious Diseases
    University of Louisville School of Medicine
    Louisville, Kentucky


    Disclosure: Gary S. Marshall, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: GlaxoSmithKline; Merck & Co., Inc.; Pfizer Inc.; Sanofi-Pasteur; Seqirus
    Received grants for clinical research from: GlaxoSmithKline; Merck & Co., Inc.; Pfizer Inc.; Sanofi-Pasteur; Seqirus


  • Roderick Smith, MS

    Medical Education Director, Medscape, LLC


    Disclosure: Roderick Smith, MS, has disclosed no relevant financial relationships.

CME/CE Reviewer and Nurse Planner

  • Hazel Dennison, DNP, RN, FNP, CPHQ, CNE

    Associate Director, Accreditation and Compliance, Medscape, LLC


    Disclosure: Hazel Dennison, DNP, RN, FNP, CPHQ, CNE, has disclosed no relevant financial relationships.

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.

Accreditation Statements


Interprofessional Continuing Education

In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Medscape, LLC designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

    For Nurses

  • Awarded 1.25 contact hour(s) of continuing nursing education for RNs and APNs; 1.25 contact hours are in the area of pharmacology.

    Contact This Provider

    For Pharmacists

  • Medscape designates this continuing education activity for 1.25 contact hour(s) (0.125 CEUs) (Universal Activity Number: JA0007105-0000-19-448-H01-P).

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.


Case-by-Case: Preventing MenB Disease in Adolescents and Young Adults

Authors: Gary S. Marshall, MDFaculty and Disclosures

CME / CE Released: 9/26/2019

Valid for credit through: 9/26/2020, 11:59 PM EST


The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.

Case 1: Jason, a 16-Year-Old High School Junior

Case Introduction

Jason is a 16-year-old junior in high school who is active in sports and his community where he lives with his parents and 13-year-old sister. Jason plays on the tennis team, runs track, and volunteers at an after-school program tutoring underprivileged kids. He comes to your office today, accompanied by his mother, for a well visit. Jason's mother has been diligent about keeping her son current with immunizations throughout his life. Jason's most recent vaccinations were at age 12, when he completed the human papilloma virus (HPV) series and received the tetanus, diphtheria, and pertussis (Tdap) booster vaccine, and the meningococcal conjugate (MenACWY) vaccine. Jason is a healthy-appearing adolescent male. He reports no illnesses in the past year, except for a case of the flu last winter that kept him out of school for 5 days. He says he wants a flu shot at this visit because he doesn't want to risk catching the flu again.

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