# Bullets* vs ISNCSCI Algorithm

The clearest difference is update cadence: Bullets* at every 8 days against ISNCSCI Algorithm's every 3 months. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Bullets* ships an update every 8 days, ISNCSCI Algorithm every 3 months. The most recent releases landed on October 6, 2026 and September 22, 2026 respectively.

## The numbers

| Metric | Bullets* | ISNCSCI Algorithm |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.0 (61 ratings)](https://appshunter.io/ios/app/bullets/id1046432285/reviews)** | — |
| Number of ratings | **61** | — |
| Positive reviews | 67.6% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 8 days** | Every 3 months |
| Monetization | Free | — |
| Size | 168 MB | 10 MB |
| Requires iOS | 13.0 | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [LineageMedical Inc](https://appshunter.io/developer/1046432134) | [Praxis Spinal Cord Institute](https://appshunter.io/developer/980028790) |

## What reviewers say

### Bullets*

[App page](https://appshunter.io/ios/app/bullets/id1046432285)

Access medical and orthopedic educational content, including topics, questions, and cases. Create custom exams, review scientific articles, and monitor community activity. Earn CME credits through self-assessment exams and collaborative learning.

**Highlights:** Medical and orthopedic topics, Customizable exams (Testmaster), Article review with PDFs, Community activity feed, Earn CME credits, Point of Care Learning (PoCL)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### ISNCSCI Algorithm

[App page](https://appshunter.io/ios/app/isncsci-algorithm/id6476418908)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is Bullets* free?

Bullets* is free to download, with no in-app purchases.

### Is ISNCSCI Algorithm free?

ISNCSCI Algorithm is free to download, with no in-app purchases.

### Do Bullets* or ISNCSCI Algorithm have ads?

Neither Bullets* nor ISNCSCI Algorithm shows ads.

### Which is updated more often, Bullets* or ISNCSCI Algorithm?

Bullets* ships an update every 8 days, and ISNCSCI Algorithm every 3 months. Most recently, Bullets* was updated on October 6, 2026 and ISNCSCI Algorithm on September 22, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*