# Spiral Notebook vs USMLE Exam Practice

The clearest difference is in-app purchases: Spiral Notebook at none against USMLE Exam Practice's 2. Spiral Notebook also leads on ads (none vs shown) and update cadence (every 3 weeks vs every 6 months). On price and device support there is nothing between them.

Both are free to download. USMLE Exam Practice sells 2 in-app purchases, starting at $4.99 per 7 days. Spiral Notebook asks for nothing beyond the download.

Spiral Notebook ships an update every 3 weeks, USMLE Exam Practice every 6 months. The most recent releases landed on October 12, 2026 and October 3, 2026 respectively.

## The numbers

| Metric | Spiral Notebook | USMLE Exam Practice |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[3.0 (1 ratings)](https://appshunter.io/ios/app/usmle-exam-practice/id6748877169/reviews)** |
| Number of ratings | — | **1** |
| Positive reviews | — | 0.0% of reviews |
| In-app purchases | **No** | Yes |
| Ads | **No** | Yes |
| Update frequency | **Every 3 weeks** | Every 6 months |
| Monetization | — | Free with in-app purchases |
| Size | 36 MB | 48 MB |
| Requires iOS | **11.0** | 13.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 4+ | 4+ |
| Developer | [University of California, Los Angeles](https://appshunter.io/developer/498096168) | [Zakaria Ferzazi](https://appshunter.io/developer/1801741449) |

## What reviewers say

### Spiral Notebook

[App page](https://appshunter.io/ios/app/spiral-notebook/id1593721806)

**Features:** macOS Compatibility

**In-app purchases:** none


### USMLE Exam Practice

[App page](https://appshunter.io/ios/app/usmle-exam-practice/id6748877169)

Prepare for the United States Medical Licensing Examination with practice quizzes, mock exams, and flashcards. Track your progress with detailed analytics to identify strengths and weaknesses for efficient study and exam success.

**Highlights:** Practice quizzes by system, Full-length mock exams, Flashcard review decks, Detailed progress tracking, Clean and intuitive UI

**Features:** macOS Compatibility

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Weekly Premium | $4.99 | per 7 days |
| Yearly Premium | $29.99 | per year |


## Frequently asked questions

### Is Spiral Notebook free?

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

### Is USMLE Exam Practice free?

USMLE Exam Practice is free to download, with in-app purchases available.

### Do Spiral Notebook or USMLE Exam Practice have ads?

USMLE Exam Practice shows ads; Spiral Notebook does not.

### Which is updated more often, Spiral Notebook or USMLE Exam Practice?

Spiral Notebook ships an update every 3 weeks, and USMLE Exam Practice every 6 months. Most recently, Spiral Notebook was updated on October 12, 2026 and USMLE Exam Practice on October 3, 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.*