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Channel
Sketchy Pharma
@Sketchypharma
On this record: Topic · Channels linked by matching posts · Growth · Engagement · What this channel posts · Posts · Posts edited after publishing · Polls · Citations · Handles named that no longer answer · Telegram's recommendations · Cite this entry
7,411subscribers
+772 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
Register entry
| Telegram ID | -1001434980800 |
|---|---|
| Type | Channel |
| Username | @Sketchypharma |
| Description | Pharmacology channel |
| Created | Between 1 April 2019 and 31 October 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 12 November 2026 |
| Measurements held | 27 |
| Confirmed unchanged | 1 time, most recently 12 November 2026 |
| On Telegram | t.me/Sketchypharma |
Topic
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 12 September 2026 and assigned it the closest of 31 fixed categories, at 97% 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 the other topics.
Channels linked by matching posts
This channel is in a group of 5 registered channels linked by matching posts, directly or through other channels in the group. This channel may share no posts with some of the channels listed below, and listed channels may share none with each other. Links are found by comparing text fingerprints across every channel on the register.
Which channel, if either, published first is deliberately not shown in this list. “First” could only mean first in our own crawl, which depends on how deep we happened to reach into each channel’s history, not on when the content was actually first posted. Our one hand-check read 45 of the highest-confidence flagged pairs against the live Telegram pages. In 18 of them the live page showed a “Forwarded from” credit that our database had no record of, so reading that pair as an unattributed copy was wrong; the check did not measure who published first. This list is ordered by subscriber count, the same as every other listing on this site, never by which channel we think came first. Near-verbatim matching has several ordinary explanations besides copying — a channel mirroring itself, an unattributed repost, or two channels independently repeating the same wire story — and this measurement cannot tell those apart. How this is measured.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 12 Nov 2026, 13:46 | 7,411 | +27 |
| 8 Nov 2026, 17:35 | 7,384 | +31 |
| 5 Nov 2026, 15:17 | 7,353 | -7 |
| 2 Nov 2026, 06:48 | 7,360 | +4 |
| 30 Oct 2026, 09:09 | 7,356 | +23 |
| 27 Oct 2026, 03:30 | 7,333 | +25 |
| 23 Oct 2026, 21:36 | 7,308 | +29 |
| 20 Oct 2026, 21:34 | 7,279 | +21 |
| 17 Oct 2026, 23:28 | 7,258 | +17 |
| 15 Oct 2026, 05:38 | 7,241 | +21 |
| 12 Oct 2026, 11:10 | 7,220 | +53 |
| 5 Oct 2026, 19:41 | 7,167 | +87 |
| 28 Sept 2026, 13:20 | 7,080 | +101 |
| 19 Sept 2026, 06:21 | 6,979 | +49 |
| 14 Sept 2026, 09:41 | 6,930 | +31 |
| 11 Sept 2026, 00:20 | 6,899 | +65 |
| 5 Sept 2026, 14:17 | 6,834 | +45 |
| 1 Sept 2026, 09:26 | 6,789 | +16 |
| 29 Aug 2026, 13:54 | 6,773 | +25 |
| 26 Aug 2026, 21:04 | 6,748 | first reading |
Engagement
55 posts held, back to 27 November 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 32 pages of Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 21.4%
- avg views ÷ 7,411 subscribers
- Avg views / post
- 1,580
- 22 posts measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 22
- of 55 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views — note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
| Window | Rolling 30 days · latest post in window 7 November 2026 |
|---|---|
| Posts held | 55 (27 November 2025 – 7 November 2026) |
| Views total | 34,810 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 14 Nov 2026, 18:06 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
What this channel posts
- Photos
- 3
- Links
- 12
Lifetime counters from Telegram’s own channel header, read 14 November 2026 — not the date at the top of this page, which is when the subscriber count was last read. Below Telegram’s rounding threshold, so these counts are exact.
Recent posts
Telegram’s own ‘edited’ marker: 11 of 22 posts held from the last 30 days (50.0%) carried it when this register last read them. The marker says a post was changed after publishing, not what it said before — this register holds the earlier wording only where an edit fell between two of its own reads (see the edit ledger and how it is measured).
Which drug best explains the respiratory tracing?
- A. Lidocaine18%
- B. Morphine sulfate21%
- C. Pentobarbital14%
- D. Potassium chloride11%
- E. Tetrodotoxin8%
- F. Tubocurarine28%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
💊 PHARMACOLOGY CHALLENGE • 10/10 NBME 29 • USMLE Step 1 A study is conducted to determine the effects of drug X on respiratory function. The respiratory tracing of an experimental animal is shown. Drug X was administered at the arrow. Drug X is most likely which of the following? 🗳 Choose your answer in the poll below. 📖 Explanation here ━━━━━━━━━━━━━━ 📚 Included in the QbankO USMLE Step 1 Pack Explore 199 questio…
What is docosanol’s mechanism of action?
- A. Gets incorporated into the viral DNA and affects normal DNA synthesis.15%
- B. Inhibits the enzyme thymidine kinase.24%
- C. Inhibits viral DNA synthesis.20%
- D. Inhibits fusion between the plasma membrane and viral envelope.29%
- E. Competitively inhibits viral DNA polymerase.13%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
💊 PHARMACOLOGY CHALLENGE • 09/10 BoardVitals USMLE Step 1 2026 Docosanol is a drug used for herpes labialis. What is its mechanism of action? 🗳 Choose your answer in the poll below. 📖 Explanation here ━━━━━━━━━━━━━━ 📚 Included in the QbankO USMLE Step 1 Pack Explore 3,310 BoardVitals Step 1 questions. 🔗 Get the Step 1 Pack Source: BoardVitals USMLE Step 1 2026 QBank · via QbankO.com
Which treatment would be most beneficial for this patient?
- A. Ursodeoxycholic acid55%
- B. Diphenhydramine29%
- C. Aspirin2%
- D. Metoclopramide4%
- E. Sofosbuvir11%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
💊 PHARMACOLOGY CHALLENGE • 08/10 BoardVitals USMLE Step 1 2026 A 43-year-old woman presents for evaluation of severe pruritus that has worsened over the past 14 months. Her symptoms are worse at night, and the itching is most prominent over her palms and soles. Serum studies demonstrate anti-mitochondrial antibodies. Which of the following therapeutic interventions would be most beneficial for this patient? 🗳 Choos…
Which adverse effect is associated with treatment of bilateral adrenal hyperplasia?
- A. Hypokalemia40%
- B. Hearing loss3%
- C. Diabetes insipidus29%
- D. Gynecomastia28%
- E. Gout flares0%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
💊 PHARMACOLOGY CHALLENGE • 07/10 BoardVitals USMLE Step 1 2026 A 38-year-old male patient is evaluated for persistent hypertension and hypokalemia. Assay of a 24 hr urine collection reveals a high urine aldosterone level (> 20 mg/24 hr) combined with low plasma renin activity. Further laboratory analysis shows mildly elevated plasma aldosterone and 18-hydroxycorticosterone that increase when the patient stands. A di…
What is the best next step before starting isotretinoin?
- A. Bone density test5%
- B. Pelvic ultrasound11%
- C. Removal of intrauterine device12%
- D. Serum retinol level18%
- E. Serum testosterone8%
- F. Serum TSH level2%
- G. Urine β-hCG44%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
💊 PHARMACOLOGY CHALLENGE • 06/10 UWorld USMLE Step 1 2026 An 18-year-old woman comes to the office for evaluation of acne. The patient is very upset about the acne scarring, which worsened since she started college. She has been very stressed by upcoming examinations and feels "exhausted" due to lack of adequate sleep. The patient has been using topical benzoyl peroxide and tretinoin for the past year. She was a…
What is the most likely target of this monoclonal antibody?
- A. Estrogen receptor21%
- B. Peripheral aromatase enzyme9%
- C. Receptor activator of nuclear factor kappa-B ligand37%
- D. Receptor tyrosine kinase20%
- E. Vascular endothelial growth factor14%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Showing the 12 most recent of 55 posts we hold for @Sketchypharma. 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.
Posts edited after publishing
@Sketchypharma edited 1 post after it first published — the same permalink now carries different wording than the one this register originally read, caught because our own crawl held a copy of the earlier text.
An edit is not deception. Typo fixes, price updates and corrections look exactly like this too — this register can tell you the wording changed and when, not why. How this is measured.
- First edit seen
- 8 November 2026
- Most recent edit
- 8 November 2026
Polls
The 6 most recent of 10 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 drug best explains the respiratory tracing?
- A. Lidocaine18%
- B. Morphine sulfate21%
- C. Pentobarbital14%
- D. Potassium chloride11%
- E. Tetrodotoxin8%
- F. Tubocurarine28%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is docosanol’s mechanism of action?
- A. Gets incorporated into the viral DNA and affects normal DNA synthesis.15%
- B. Inhibits the enzyme thymidine kinase.24%
- C. Inhibits viral DNA synthesis.20%
- D. Inhibits fusion between the plasma membrane and viral envelope.29%
- E. Competitively inhibits viral DNA polymerase.13%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Which treatment would be most beneficial for this patient?
- A. Ursodeoxycholic acid55%
- B. Diphenhydramine29%
- C. Aspirin2%
- D. Metoclopramide4%
- E. Sofosbuvir11%
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Which adverse effect is associated with treatment of bilateral adrenal hyperplasia?
- A. Hypokalemia40%
- B. Hearing loss3%
- C. Diabetes insipidus29%
- D. Gynecomastia28%
- E. Gout flares0%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the best next step before starting isotretinoin?
- A. Bone density test5%
- B. Pelvic ultrasound11%
- C. Removal of intrauterine device12%
- D. Serum retinol level18%
- E. Serum testosterone8%
- F. Serum TSH level2%
- G. Urine β-hCG44%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the most likely target of this monoclonal antibody?
- A. Estrogen receptor21%
- B. Peripheral aromatase enzyme9%
- C. Receptor activator of nuclear factor kappa-B ligand37%
- D. Receptor tyrosine kinase20%
- E. Vascular endothelial growth factor14%
Shares as published, totalling 101%. 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 55 most recent posts we hold, published 27 November 2025 to 7 November 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
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Republishes
Channels on the register whose posts this channel has forwarded.
@medustudy_shop · 17,89423 postsMedical books Pdfs
@medical_free_books · 144 postsUworld Qbanks 2026
@uworld_pdfs · 40,2193 postsInternal medicine Books
@internal_medicine_pdfs · 10,9262 postsCardiology Courses
@Buy_Cardiology_videos · 7,2531 postMedical Books shop
@medical_ebooks_shop · 5,6791 post
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.
@medustudy_shop · 17,89413 postsUsmle Qbanks
@Usmle_NEET_Qbanks · 11,05610 postsMedustudy Samples
@Medustudy_samples · 8,1485 postsBoard Review and USMLE Videos Shop⛳️
@medic_materials · 6,1074 postsMedical books 2027
@medical_ebook_pdfs · 814 postsMedical books Pdfs
@medical_free_books · 144 postsFamily medicine courses
@family_medicine_courses · 3,7212 postsInternal medicine Books
@internal_medicine_pdfs · 10,9262 postsUworld Qbanks 2026
@uworld_pdfs · 40,2192 postsCardiology Courses
@Buy_Cardiology_videos · 7,2531 postDrskool Shop
@drskool_shop · 1,6611 postMedustudent
@medustudy · 1041 post
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.
Handles this channel named that no longer answer
- Dead references
- 1
- handles named in this channel’s posts, vacant today
- Evidenced gone
- 0
- we ourselves saw one of these resolve, at some point
- Never seen alive
- 1
- vacant every time we have ever looked
@Sketchypharma named 1 handle that resolve to nothing today. That is a fact about the reference, not necessarily a fact about the handle’s history — see the two groups below.
Most of these may never have existed as a live channel at all. A handle a channel names can be a typo, an aspirational name nobody registered, or a channel that was already gone before this one ever mentioned it. Unless a row below is marked evidenced, all we know is that it references a handle that is not a live channel today — not that anything “died”. How this is measured.
Never seen alive
References a handle that is not a live channel — we have no record it ever was one.
named in 5 posts, 8 August 2026 – 14 August 2026
Appears in Telegram’s recommendations for other channels
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
@pathomaavideos · 141,825
Telegram ranks this channel #7 of 56 here — alongside 55 others — read 10 September 2026
@Usmle_pharma · 20,456
Telegram ranks this channel #15 of 64 here — alongside 63 others — read 26 September 2026
This channel appears in 2 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
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 12 November 2026 — this entry's latest reading, not the date you are reading this.
“Sketchy Pharma” (@Sketchypharma), 7,411 subscribers as measured 12 November 2026. Telegram Register, tgregister.com/channel/Sketchypharma.
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.