# Case Files vs USMLE Surgery PreTest

The clearest difference is update cadence: USMLE Surgery PreTest at fortnightly against Case Files's every 10 months. USMLE Surgery PreTest also leads on iOS requirement (10.0 vs 15.6). Case Files's advantage is review sentiment (100% vs 80%). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Case Files sells 6 in-app purchases, starting at $5.99 per 7 days and USMLE Surgery PreTest sells 2 in-app purchases, starting at $15.99 per month. Whichever you choose, the download price is not the number that matters.

Case Files ships an update every 10 months, USMLE Surgery PreTest fortnightly. The most recent releases landed on November 3, 2026 and November 1, 2026 respectively.

## The numbers

| Metric | Case Files | USMLE Surgery PreTest |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.8 (38 ratings)](https://appshunter.io/ios/app/usmle-surgery-pretest/id961617075/reviews)** |
| Number of ratings | — | **38** |
| Positive reviews | **100.0% of reviews** | 80.0% of reviews |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | Every 10 months | **Fortnightly** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 24 MB | 126 MB |
| Requires iOS | 15.6 | **10.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [Expanded Apps](https://appshunter.io/developer/313709778) | [Higher Learning Technologies](https://appshunter.io/developer/571804544) |

## What reviewers say

### Case Files

[App page](https://appshunter.io/ios/app/case-files-gyn-surgery/id464682076)

This medical education app offers 40 clinical case studies to help users learn evidence-based practice in gynecologic surgery. It includes interactive questions, discussions, and references to current literature, designed to improve clinical skills and exam scores.

**Highlights:** 40 clinical case studies, Evidence-based practice illustrations, Interactive questions and discussions, USMLE-style review questions, Clinical pearls and problem-solving primers, Progress tracking and notes section, Cross-device iCloud support

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

**In-app purchases (6)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Week | $5.99 | per 7 days |
| Weekly Access | $11.99 | per 7 days |
| 1 Month | $17.99 | per month |
| Monthly Access | $19.99 | per month |
| 1 Year | $59.99 | per year |
| Gynecology - Gynaecology & Obstetrics | $39.99 | one-time |


### USMLE Surgery PreTest

[App page](https://appshunter.io/ios/app/usmle-surgery-pretest/id961617075)

Prepare for medical licensure and shelf exams with extensive practice questions and detailed explanations. This app offers a comprehensive review of key surgical concepts, helping you master the material for your professional career.

**Highlights:** 390+ practice questions, Detailed explanations with images, 110+ tough quiz questions, Unlimited access to all surgical categories, Detailed results tracking, In-depth statistics

**Features:** Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| PreTest Surgery - 1 month | $15.99 | per month |
| PreTEst - 12 Months | $49.99 | per year |


## Frequently asked questions

### Is Case Files free?

Case Files is free to download, with in-app purchases available.

### Is USMLE Surgery PreTest free?

USMLE Surgery PreTest is free to download, with in-app purchases available.

### Do Case Files or USMLE Surgery PreTest have ads?

Neither Case Files nor USMLE Surgery PreTest shows ads.

### Which is updated more often, Case Files or USMLE Surgery PreTest?

Case Files ships an update every 10 months, and USMLE Surgery PreTest fortnightly. Most recently, Case Files was updated on November 3, 2026 and USMLE Surgery PreTest on November 1, 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.*