Education — 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 98% 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
7 measurements spanning 34 days, net -6. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 782–792 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
10 Sept 2026, 15:18
783
-2
31 Aug 2026, 13:25
785
-1
24 Aug 2026, 16:47
786
-5
16 Aug 2026, 03:56
791
+1
8 Aug 2026, 16:38
790
+1
8 Aug 2026, 01:46
789
no change
7 Aug 2026, 17:30
789
first reading
Engagement
19 posts held, back to 8 April 2023 — 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 19 posts for this entry, the most recent from 18 May 2023. An engagement rate over an empty window would be a number about nothing.
Reaction mix
38 reactions across 12 posts, in 1 kind.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
👍
38
100.0%
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 14 of the 19 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 38 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 19 most recent posts we hold, published 8 April 2023 to 18 May 2023, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
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A 52 year old woman is recently diagnosed with ESRD. Her vitamin D level was found to be crtiially low. Which of the following nephron location is primarily responsible for the above patient abnormal lab finding?
Proximal convoluted tubules52%
Descending limb of Henle loop12%
Ascending limb of Henle loop14%
Distal convoluted tubules22%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 69-year-old man is diagnosed with renal impairment secondary to congestive heart failure. Brain natriuretic peptide is found to be elevated. Which of the following is considered the second messenger of the above elevated biomarker?
C-AMP22%
Nitric oxide27%
C-GMP38%
Inositol triphosphate13%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 23-year-old pregnant woman is evaluated for oligohydramnios. TVUS shows a male fetus with bilateral hydroureter and hydronephrosis with thickened urinary bladder. Which of the following is the most likely diagnosis?
Vesicoureteral reflux27%
Duplex collecting system13%
Posterior urethral valves52%
Intrauterine infection8%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 4-year-old male child is brought to the ED because of persistent vomiting. Laboratory analysis shows metabolic alkalosis, hypokalemia, and hypercalciuria. Renal tubular defect is expected. Which of the following is the most likely diagnosis?
Fanconi syndrome36%
Bartter syndrome33%
Gitelman syndrome19%
Liddle syndrome12%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
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A preterm neonate is evaluated because of abdominal destination. PAUS shows an absent right kidney. Which of the following is considered the pathophysiological mechanism of left renal agenesis in the above patient?
A. Failure of ureteric bud development39%
B. Poor ureteric bud interaction with metanephric mesenchyma36%
C. Bifurcation of ureteric bud14%
D. Abnormal mesenchymal fusion11%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 23-year-old man comes to the ED because of abdominal pain. PAUS shows bilateral pelvic kidney. CT confirms the diagnosis of the horseshoe kidney. Which of the following anatomical structures prevents the ascend of the kidneys in this patient?
A. Renal artery11%
B. Inferior mesenteric artery64%
C. Common iliac artery10%
D. Aortic bifurcation15%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 32-year-old woman comes to the clinic because of chronic diarrhea. Past medical history is insignificant. IgA anti-tissue transglutaminase is elevated. Which one of the following complications will likely occur in this patient?
A. Colorectal carcinoma13%
B. Intestinal carcinoid12%
C. Intestinal T-cell lymphoma58%
D. Gastrointestinal stromal tumor18%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
A 43-year-old man comes to the clinic due to 3 months history of epigastric pain. Examination reveals LL edema. CT shows increased gastric mucosal folding. Which of the following cytokines is implicated in the pathophysiology of this patient's condition?
A. IL-111%
B. TGF-Alpha44%
C. TNF-Alpha32%
D. IL-213%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
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A 42-year-old man suddenly develops vomiting blood three days after admission to the ICU. He was admitted to the ICU after an extensive 2nd/3rd-degree burn. Which of the following is the most probable mechanism of this patient's hematemesis?
A. Bacterial infection18%
B. Esophageal varices24%
C. High vagal output16%
D. Mucosal ischemia42%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
👍5
Showing the 12 most recent of 19 posts we hold for @USMLE_ReviewQ. 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 15 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.
A 52 year old woman is recently diagnosed with ESRD. Her vitamin D level was found to be crtiially low. Which of the following nephron location is primarily responsible for the above patient abnormal lab finding?
Proximal convoluted tubules52%
Descending limb of Henle loop12%
Ascending limb of Henle loop14%
Distal convoluted tubules22%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 69-year-old man is diagnosed with renal impairment secondary to congestive heart failure. Brain natriuretic peptide is found to be elevated. Which of the following is considered the second messenger of the above elevated biomarker?
C-AMP22%
Nitric oxide27%
C-GMP38%
Inositol triphosphate13%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 23-year-old pregnant woman is evaluated for oligohydramnios. TVUS shows a male fetus with bilateral hydroureter and hydronephrosis with thickened urinary bladder. Which of the following is the most likely diagnosis?
Vesicoureteral reflux27%
Duplex collecting system13%
Posterior urethral valves52%
Intrauterine infection8%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 4-year-old male child is brought to the ED because of persistent vomiting. Laboratory analysis shows metabolic alkalosis, hypokalemia, and hypercalciuria. Renal tubular defect is expected. Which of the following is the most likely diagnosis?
Fanconi syndrome36%
Bartter syndrome33%
Gitelman syndrome19%
Liddle syndrome12%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A preterm neonate is evaluated because of abdominal destination. PAUS shows an absent right kidney. Which of the following is considered the pathophysiological mechanism of left renal agenesis in the above patient?
A. Failure of ureteric bud development39%
B. Poor ureteric bud interaction with metanephric mesenchyma36%
C. Bifurcation of ureteric bud14%
D. Abnormal mesenchymal fusion11%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 23-year-old man comes to the ED because of abdominal pain. PAUS shows bilateral pelvic kidney. CT confirms the diagnosis of the horseshoe kidney. Which of the following anatomical structures prevents the ascend of the kidneys in this patient?
A. Renal artery11%
B. Inferior mesenteric artery64%
C. Common iliac artery10%
D. Aortic bifurcation15%
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 19 most recent posts we hold, published 8 April 2023 to 18 May 2023. 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.
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 10 September 2026 — this
entry's latest reading, not the date you are reading this.
“USMLE Review Practice Questions” (@USMLE_ReviewQ), 783 subscribers as measured 10 September 2026. Telegram Register, tgregister.com/channel/USMLE_ReviewQ.
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.