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NABP NAPLEX Exam - Topic 1 Question 123 Discussion

Posted by Leota on Jun 27, 2026 at 01:13 PM

A patient with multibacillary leprosy is on dapsone, clofazimine, and rifampin. Which of the following is true regarding the mechanism of action of the medications listed?

Suggested Answer: E

A, B -- false -- dapsone inhibits bacterial synthesis of dihydrofolic acid, via competition with para- aminobenzoate for the active site of dihydropteroate synthetase. Dapsone is both bacteriostatic and weakly bactericidal against M. leprae. Neither of the listed mechanisms are the cause of these effects. C -- False -- A substance with both anti-leprosy and anti-inflammatory activity, clofazimine is weakly bactericidal against M. leprae by binding to the guanine bases of bacterial DNA, not DNA polymerase directly. D -- False -- See below. E -- True -- Rifampin is bactericidal by inhibiting RNA synthesis by blocking DNA-dependent RNA polymerase.


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21 comments · newest first
AL
Alyce 2 days ago
I’m leaning towards E for rifampin though.
QU
Quentin 7 days ago
Right! So A could be the right choice.
NA
Narcisa 12 days ago
True, but I remember dapsone being more about folate synthesis.
VE
Verona 17 days ago
But A sounds plausible too. Dapsone’s role is important.
AL
Alyce 23 days ago
I agree with Quentin. E makes sense to me.
QU
Quentin 28 days ago
I feel like it’s E. Rifampin is known to be bactericidal.
NA
Narcisa 1 month ago
This question is tricky! I think A is correct.
BE
Beckie 1 month ago
I thought rifampin was bacteriostatic, but I guess it's bactericidal!
LE
Leonora 1 month ago
Clofazimine isn't bactericidal, though.
NA
Nathalie 2 months ago
Wait, is rifampin really bactericidal? That seems off.
LO
Louisa 2 months ago
Totally agree, A is the correct answer!
TE
Tenesha 2 months ago
Dapsone inhibits dihydrofolate reductase, right?
PA
Paris 2 months ago
A little surprised by the details on dapsone!
LO
Loreta 2 months ago
I thought clofazimine was more about DNA than just bactericidal effects.
DA
Daren 2 months ago
Wait, isn't rifampin bactericidal, not bacteriostatic?
LU
Ludivina 3 months ago
Totally agree, A is the correct answer!
MA
Maia 3 months ago
Dapsone inhibits dihydrofolate reductase, right?
DA
Daren 3 months ago
I practiced a question like this before, and I think dapsone's action is linked to dihydrofolate reductase, but I might be mixing it up.
PA
Paul 3 months ago
Clofazimine sounds familiar, but I can't recall if it directly inhibits DNA polymerase or has a different action.
MI
Minna 3 months ago
I think rifampin is definitely bactericidal, but I get confused about its exact mechanism with RNA synthesis.
PR
Precious 4 months ago
I remember dapsone is related to folate synthesis, but I'm not sure if it's bacteriostatic or bactericidal.
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