# ASSH Exams vs Synaptiq

The clearest difference is ads: ASSH Exams at none against Synaptiq's shown. ASSH Exams also leads on ratings volume (97 vs 4) and monetization model (free vs ad-supported). Synaptiq's advantage is update cadence (every 2 months vs every 6 months) and iOS requirement (13.0 vs 17.4). On price, rating, 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.

Synaptiq holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: ASSH Exams has 97 ratings behind it against 4, so its average is the more settled of the two.

ASSH Exams ships an update every 6 months, Synaptiq every 2 months. The most recent releases landed on October 24, 2026 and October 5, 2026 respectively.

## The numbers

| Metric | ASSH Exams | Synaptiq |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (97 ratings)](https://appshunter.io/ios/app/assh-exams/id1500578108/reviews) | **[5.0 (4 ratings)](https://appshunter.io/ios/app/synaptiq/id6463165449/reviews)** |
| Number of ratings | **97** | 4 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | Every 6 months | **Every 2 months** |
| Monetization | **Free** | Ad-supported |
| Size | 28 MB | 56 MB |
| Requires iOS | 17.4 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [American Society For Surgery of the Hand](https://appshunter.io/developer/546184894) | [Synaptiq Learning Inc.](https://appshunter.io/developer/1704039208) |

## What reviewers say

### ASSH Exams

[App page](https://appshunter.io/ios/app/assh-exams/id1500578108)

Access your learning materials for surgical hand exams anytime, anywhere. This app allows offline access to content, syncing your progress automatically when you reconnect to the internet.

**Highlights:** Offline access to learning content, Online and offline progress syncing, Mobile access to ASSH learning activities, Content available on iPhone and iPad

**Features:** macOS Compatibility

**In-app purchases:** none


### Synaptiq

[App page](https://appshunter.io/ios/app/synaptiq/id6463165449)

This app offers a personalized flashcard platform for medical students, featuring hand-curated content aligned with institutional curricula. It utilizes advanced spaced repetition algorithms to optimize review schedules and provides various tools for effective learning.

**Highlights:** Curated medical content, Spaced repetition algorithms, Personalized review schedules, Yield toggle, Personal statistics, Dark mode, Deck sharing

**In-app purchases:** none


## Frequently asked questions

### Is ASSH Exams free?

ASSH Exams is free to download, with no in-app purchases.

### Is Synaptiq free?

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

### Which has better reviews, ASSH Exams or Synaptiq?

Synaptiq is rated higher. ASSH Exams averages 4.8 out of 5 from 97 ratings, while Synaptiq averages 5.0 from 4 ratings.

### Do ASSH Exams or Synaptiq have ads?

Synaptiq shows ads; ASSH Exams does not.

### Which is updated more often, ASSH Exams or Synaptiq?

ASSH Exams ships an update every 6 months, and Synaptiq every 2 months. Most recently, ASSH Exams was updated on October 24, 2026 and Synaptiq on October 5, 2026.

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