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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
TypeChannel
Username@Sketchypharma
DescriptionPharmacology channel
CreatedBetween 1 April 2019 and 31 October 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded6 August 2026
Last confirmed live12 November 2026
Measurements held27
Confirmed unchanged1 time, most recently 12 November 2026
On Telegramt.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

6,6397,4117,0256 August 2026 — 6,639 subscribers7 August 2026 — 6,641 subscribers11 August 2026 — 6,666 subscribers14 August 2026 — 6,687 subscribers17 August 2026 — 6,694 subscribers20 August 2026 — 6,720 subscribers23 August 2026 — 6,735 subscribers26 August 2026 — 6,748 subscribers29 August 2026 — 6,773 subscribers1 September 2026 — 6,789 subscribers5 September 2026 — 6,834 subscribers11 September 2026 — 6,899 subscribers14 September 2026 — 6,930 subscribers19 September 2026 — 6,979 subscribers28 September 2026 — 7,080 subscribers5 October 2026 — 7,167 subscribers12 October 2026 — 7,220 subscribers15 October 2026 — 7,241 subscribers17 October 2026 — 7,258 subscribers20 October 2026 — 7,279 subscribers23 October 2026 — 7,308 subscribers27 October 2026 — 7,333 subscribers30 October 2026 — 7,356 subscribers2 November 2026 — 7,360 subscribers5 November 2026 — 7,353 subscribers8 November 2026 — 7,384 subscribers12 November 2026 — 7,411 subscribers6 August 202612 November 2026
27 measurements spanning 98 days, net +772. 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 6,523–7,527 and does not start at zero.
Measurement log — every subscribers count we have recorded, most recent 20 of 27
Measured (UTC)SubscribersChange
12 Nov 2026, 13:467,411+27
8 Nov 2026, 17:357,384+31
5 Nov 2026, 15:177,353-7
2 Nov 2026, 06:487,360+4
30 Oct 2026, 09:097,356+23
27 Oct 2026, 03:307,333+25
23 Oct 2026, 21:367,308+29
20 Oct 2026, 21:347,279+21
17 Oct 2026, 23:287,258+17
15 Oct 2026, 05:387,241+21
12 Oct 2026, 11:107,220+53
5 Oct 2026, 19:417,167+87
28 Sept 2026, 13:207,080+101
19 Sept 2026, 06:216,979+49
14 Sept 2026, 09:416,930+31
11 Sept 2026, 00:206,899+65
5 Sept 2026, 14:176,834+45
1 Sept 2026, 09:266,789+16
29 Aug 2026, 13:546,773+25
26 Aug 2026, 21:046,748first 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.

What these figures were computed from
WindowRolling 30 days · latest post in window 7 November 2026
Posts held55 (27 November 2025 – 7 November 2026)
Views total34,810
Reactions total—
Forwards / commentsnot exposed by the public surface — not measured, not estimated
Readings taken14 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).

7 Nov 2026, 12:22 UTC739 viewsread 14 November 2026

📚 For Everyone Asking About the Source of These USMLE Questions! The questions are from QBankO.com, the interactive QBank platform brought to you by MeduStudy.com. 🎯 USMLE Step 1 – 2026 Packages Available ✅ Option 1: UWorld Step 1 QBank 2026 Ideal for students who want to focus specifically on UWorld-style Step 1 questions, answers, and detailed explanations. 🔥 Option 2: Complete USMLE Step 1 Bundle 2026 – Just $30 G…

5 Nov 2026, 08:43 UTC≈2,320 viewsread 14 November 2026
Poll

Which drug best explains the respiratory tracing?

  1. A. Lidocaine18%
  2. B. Morphine sulfate21%
  3. C. Pentobarbital14%
  4. D. Potassium chloride11%
  5. E. Tetrodotoxin8%
  6. F. Tubocurarine28%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:42 UTC≈2,250 viewsread 14 November 2026
Photo

💊 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…

5 Nov 2026, 08:38 UTC≈2,010 viewsread 14 November 2026
Poll

What is docosanol’s mechanism of action?

  1. A. Gets incorporated into the viral DNA and affects normal DNA synthesis.15%
  2. B. Inhibits the enzyme thymidine kinase.24%
  3. C. Inhibits viral DNA synthesis.20%
  4. D. Inhibits fusion between the plasma membrane and viral envelope.29%
  5. 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.

5 Nov 2026, 08:37 UTC≈2,240 viewsread 14 November 2026

💊 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

5 Nov 2026, 08:33 UTC895 viewsread 14 November 2026
Poll

Which treatment would be most beneficial for this patient?

  1. A. Ursodeoxycholic acid55%
  2. B. Diphenhydramine29%
  3. C. Aspirin2%
  4. D. Metoclopramide4%
  5. E. Sofosbuvir11%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:31 UTC996 viewsread 14 November 2026

💊 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…

5 Nov 2026, 08:27 UTC901 viewsread 14 November 2026
Poll

Which adverse effect is associated with treatment of bilateral adrenal hyperplasia?

  1. A. Hypokalemia40%
  2. B. Hearing loss3%
  3. C. Diabetes insipidus29%
  4. D. Gynecomastia28%
  5. E. Gout flares0%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:26 UTC970 viewsread 14 November 2026

💊 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…

5 Nov 2026, 08:21 UTC≈1,650 viewsread 14 November 2026
Poll

What is the best next step before starting isotretinoin?

  1. A. Bone density test5%
  2. B. Pelvic ultrasound11%
  3. C. Removal of intrauterine device12%
  4. D. Serum retinol level18%
  5. E. Serum testosterone8%
  6. F. Serum TSH level2%
  7. G. Urine β-hCG44%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:20 UTC≈2,010 viewsread 14 November 2026
Photo

💊 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…

5 Nov 2026, 08:14 UTC≈2,790 viewsread 14 November 2026
Poll

What is the most likely target of this monoclonal antibody?

  1. A. Estrogen receptor21%
  2. B. Peripheral aromatase enzyme9%
  3. C. Receptor activator of nuclear factor kappa-B ligand37%
  4. D. Receptor tyrosine kinase20%
  5. 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.

5 Nov 2026, 08:43 UTCAnonymous Quiz136 voters

Which drug best explains the respiratory tracing?

  1. A. Lidocaine18%
  2. B. Morphine sulfate21%
  3. C. Pentobarbital14%
  4. D. Potassium chloride11%
  5. E. Tetrodotoxin8%
  6. F. Tubocurarine28%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:38 UTCAnonymous Quiz55 voters

What is docosanol’s mechanism of action?

  1. A. Gets incorporated into the viral DNA and affects normal DNA synthesis.15%
  2. B. Inhibits the enzyme thymidine kinase.24%
  3. C. Inhibits viral DNA synthesis.20%
  4. D. Inhibits fusion between the plasma membrane and viral envelope.29%
  5. 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.

5 Nov 2026, 08:33 UTCAnonymous Quiz56 voters

Which treatment would be most beneficial for this patient?

  1. A. Ursodeoxycholic acid55%
  2. B. Diphenhydramine29%
  3. C. Aspirin2%
  4. D. Metoclopramide4%
  5. E. Sofosbuvir11%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:27 UTCAnonymous Quiz65 voters

Which adverse effect is associated with treatment of bilateral adrenal hyperplasia?

  1. A. Hypokalemia40%
  2. B. Hearing loss3%
  3. C. Diabetes insipidus29%
  4. D. Gynecomastia28%
  5. E. Gout flares0%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:21 UTCAnonymous Quiz84 voters

What is the best next step before starting isotretinoin?

  1. A. Bone density test5%
  2. B. Pelvic ultrasound11%
  3. C. Removal of intrauterine device12%
  4. D. Serum retinol level18%
  5. E. Serum testosterone8%
  6. F. Serum TSH level2%
  7. G. Urine β-hCG44%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Nov 2026, 08:14 UTCAnonymous Quiz145 voters

What is the most likely target of this monoclonal antibody?

  1. A. Estrogen receptor21%
  2. B. Peripheral aromatase enzyme9%
  3. C. Receptor activator of nuclear factor kappa-B ligand37%
  4. D. Receptor tyrosine kinase20%
  5. 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.

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

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.

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.

PATHOMA VIDEOS
@pathomaavideos · 141,825
Telegram ranks this channel #7 of 56 here — alongside 55 others — read 10 September 2026
Pharmacology USMLE books and videos 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.