NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Prepare for the NAPLEX (North American Pharmacist Licensure Examination) Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

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Which medication is known to inhibit T and B lymphocyte proliferation by altering purine nucleotide synthesis?

  1. Mycophenolate mofetil

  2. Azathioprine

  3. Both Mycophenolate mofetil and Azathioprine

  4. Tacrolimus

The correct answer is: Both Mycophenolate mofetil and Azathioprine

Both Mycophenolate mofetil and Azathioprine are known to inhibit T and B lymphocyte proliferation by altering purine nucleotide synthesis. Mycophenolate mofetil inhibits the enzyme inosine monophosphate dehydrogenase, which is important in purine synthesis. Meanwhile, Azathioprine is converted to 6-mercaptopurine, which also affects the production of purine nucleotides. Tacrolimus, on the other hand, works by inhibiting the production of cytokines and has a different mechanism of action compared to Mycophenolate mofetil and Azathioprine.