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Channel
Aura SS [Medicine Qbank]
@Medfreee
On this record: Topic · Growth · Engagement · Posts · Polls · Citations · Cite this entry
699subscribers
-3 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
Register entry
| Telegram ID | -1001281330161 |
|---|---|
| Type | Channel |
| Username | @Medfreee |
| Created | Between 1 April 2018 and 31 July 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 19 September 2026 |
| Measurements held | 6 |
| Confirmed unchanged | 2 times, most recently 19 September 2026 |
| On Telegram | t.me/Medfreee |
Topic
Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 20 September 2026 and assigned it the closest of 31 fixed categories, at 65% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 11 Sept 2026, 00:16 | 699 | -3 |
| 25 Aug 2026, 17:12 | 702 | -1 |
| 19 Aug 2026, 10:37 | 703 | +2 |
| 12 Aug 2026, 18:37 | 701 | -1 |
| 6 Aug 2026, 16:37 | 702 | no change |
| 6 Aug 2026, 05:42 | 702 | first reading |
Engagement
20 posts held, back to 3 January 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 page of Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 20 posts for this entry, the most recent from 10 July 2026. An engagement rate over an empty window would be a number about nothing.
Recent posts
Unenhanced CT adrenals shows bilateral macronodular adrenal hyperplasia. What is the definitive treatment?
- A. Medical therapy with ketoconazole25%
- B. Unilateral adrenalectomy7%
- C. Bilateral adrenalectomy50%
- D. Trans-sphenoidal pituitary surgery9%
- E. Radiotherapy to adrenals9%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
After confirmation of endogenous Cushing’s syndrome, plasma ACTH level is found to be 3 pg/mL. What is the next best step?
- A. MRI pituitary21%
- B. CRH stimulation test12%
- C. High-dose dexamethasone suppression test50%
- D. Unenhanced CT scan of adrenal glands14%
- E. Inferior petrosal sinus sampling2%
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
Which of the following findings best supports Cushing’s disease over ectopic ACTH syndrome?
- A. Plasma ACTH >200 pg/mL15%
- B. Severe hypokalemic metabolic alkalosis13%
- C. Cortisol suppression >50% after high-dose dexamethasone60%
- D. No response to CRH stimulation3%
- E. Absence of pituitary lesion on MRI10%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
15. Diagnostic algorithm for Cushing’s Syndrome
A pt. with classical clinical features of Cushing’s syndrome undergoes 1-mg overnight dexamethasone suppression test. Next morning (8–9 am), s.cortisol is 120 nmol/L.Which of the following is correct?
- A. Normal suppression; Cushing’s syndrome excluded5%
- B. Suggests pseudo-Cushing’s; repeat test after stress control19%
- C. Positive screening test for Cushing’s syndrome43%
- D. Indicates ACTH-independent Cushing’s syndrome19%
- E. Indicates ectopic ACTH production14%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
In a patient with ACTH-dependent Cushing’s, MRI pituitary is normal. What is the next best investigation?
- A. Repeat MRI after 6 months17%
- B. High-resolution CT chest14%
- C. Inferior petrosal sinus sampling (IPSS)48%
- D. Adrenal CT scan7%
- E. Start ketoconazole therapy14%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is a contraindication to performing Inferior Petrosal Sinus Sampling (IPSS)?
- A. ACTH level >100 pg/mL10%
- B. Recent pituitary surgery10%
- C. Suspected ectopic ACTH syndrome35%
- D. Coagulopathy35%
- E. Severe hypokalemia10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following screening tests for Cushing’s syndrome has the highest sensitivity?
- A. Random serum cortisol0%
- B. Midnight serum cortisol13%
- C. 24-hour urinary free cortisol41%
- D. 1-mg overnight dexamethasone suppression test41%
- E. Late-night salivary cortisol5%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which condition is most likely to cause a false-positive 1-mg overnight dexamethasone suppression test?
- A. Adrenal adenoma7%
- B. Ectopic ACTH syndrome39%
- C. Severe depression38%
- D. Pituitary microadenoma13%
- E. Adrenal carcinoma4%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Which of the following findings is most characteristic of ectopic ACTH syndrome?
- A. Moon face and buffalo hump10%
- B. Hyperpigmentation with severe hypokalemia56%
- C. Osteoporosis with vertebral fractures26%
- D. Weight gain with centripetal obesity6%
- E. Purple striae over abdomen2%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A patient with ectopic ACTH syndrome has severe, life-threatening hypercortisolism and the tumor is not immediately localizable. What is the best immediate management?
- A. Trans-sphenoidal surgery11%
- B. Bilateral adrenalectomy19%
- C. High-dose dexamethasone19%
- D. Medical adrenal blockade (ketoconazole / metyrapone)51%
- E. Radiotherapy1%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Showing the 12 most recent of 20 posts we hold for @Medfreee. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Polls
The 6 most recent of 17 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
Which of the following findings best supports Cushing’s disease over ectopic ACTH syndrome?
- A. Plasma ACTH >200 pg/mL15%
- B. Severe hypokalemic metabolic alkalosis13%
- C. Cortisol suppression >50% after high-dose dexamethasone60%
- D. No response to CRH stimulation3%
- E. Absence of pituitary lesion on MRI10%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
In a patient with ACTH-dependent Cushing’s, MRI pituitary is normal. What is the next best investigation?
- A. Repeat MRI after 6 months17%
- B. High-resolution CT chest14%
- C. Inferior petrosal sinus sampling (IPSS)48%
- D. Adrenal CT scan7%
- E. Start ketoconazole therapy14%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
After confirmation of endogenous Cushing’s syndrome, plasma ACTH level is found to be 3 pg/mL. What is the next best step?
- A. MRI pituitary21%
- B. CRH stimulation test12%
- C. High-dose dexamethasone suppression test50%
- D. Unenhanced CT scan of adrenal glands14%
- E. Inferior petrosal sinus sampling2%
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
Unenhanced CT adrenals shows bilateral macronodular adrenal hyperplasia. What is the definitive treatment?
- A. Medical therapy with ketoconazole25%
- B. Unilateral adrenalectomy7%
- C. Bilateral adrenalectomy50%
- D. Trans-sphenoidal pituitary surgery9%
- E. Radiotherapy to adrenals9%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A pt. with classical clinical features of Cushing’s syndrome undergoes 1-mg overnight dexamethasone suppression test. Next morning (8–9 am), s.cortisol is 120 nmol/L.Which of the following is correct?
- A. Normal suppression; Cushing’s syndrome excluded5%
- B. Suggests pseudo-Cushing’s; repeat test after stress control19%
- C. Positive screening test for Cushing’s syndrome43%
- D. Indicates ACTH-independent Cushing’s syndrome19%
- E. Indicates ectopic ACTH production14%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is a contraindication to performing Inferior Petrosal Sinus Sampling (IPSS)?
- A. ACTH level >100 pg/mL10%
- B. Recent pituitary surgery10%
- C. Suspected ectopic ACTH syndrome35%
- D. Coagulopathy35%
- E. Severe hypokalemia10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 20 most recent posts we hold, published 3 January 2026 to 10 July 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Forward network
Republishes
Channels on the register whose posts this channel has forwarded.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Names
Channels on the register whose handles appear in this channel's posts.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 11 September 2026 — this entry's latest reading, not the date you are reading this.
“Aura SS [Medicine Qbank]” (@Medfreee), 699 subscribers as measured 11 September 2026. Telegram Register, tgregister.com/channel/Medfreee.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.