Comparison

ACP MKSAP vs Cephra

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

ACP MKSAP

Access comprehensive internal medicine knowledge and practice exam-style questions offline. This app syncs your progress with the online version when connected to the internet. It's designed for physicians to stay updated on the latest evidence and enhance their clinical decision-making skills.

Highlights
  • Offline access to text and questions
  • Thousands of exam-like multiple-choice questions
  • Patient-based clinical scenarios
  • Syncs progress with online version
  • Includes figures, charts, and tables
  • Targets knowledge gaps
Features
Read full description

This app supplements the online version and is included with your ACP MKSAP subscription. Simply log in with your ACP or ACP MKSAP username and password. If you need assistance setting up your account, visit ACP Online. Some functionality within the app requires an active Internet connection. Your suggestions for future updates and enhanced features are welcome at mksap_editors@acponline.org. The new ACP Medical Knowledge Self-Assessment Program℠ (ACP MKSAP℠) provides you with the most current and critical information in the core of internal medicine and its subspecialties so you can stay aware of what you need to know as a practicing physician in internal medicine today. ACP MKSAP consists of well-researched text sections and thousands of exam-like multiple-choice questions along with hundreds of figures, charts, and tables to enhance your learning experience. ACP MKSAP's original, high-quality questions comprise patient-based clinical scenarios based on the latest evidence. Each question will challenge your decision-making, help you discover areas of strength, and target areas for you to update or acquire new knowledge. This app enables ACP MKSAP subscribers to read all of the text and answer all of the questions offline. When you are connected to the Internet, answers will sync automatically with the online version. The publisher of this app, the American College of Physicians, is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 161,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Subscriber License Agreement: https://mksap.acponline.org/license

About

Cephra

This app helps you privately track migraine episodes, identify triggers, and monitor medication effectiveness. It keeps all your sensitive health data on your device with no cloud uploads or sharing. Gain actionable insights to better understand and manage your condition.

Highlights
  • Offline migraine logging
  • Trigger identification
  • Medication effectiveness tracking
  • Intelligent pattern analysis
  • Data export to CSV
  • Optional menstruation tracking
Features
Read full description

Take Control of Your Migraines with Complete Privacy Cephra is a comprehensive migraine tracking app that helps you understand your patterns, identify triggers, and manage your health—all while keeping your sensitive medical data completely private on your device. Privacy-First Design - Use Offline mode and All data stays on your device - no cloud uploads or data sharing - No ads, no tracking, no account required - Your health information remains completely confidential Smart Tracking & Analysis - Log migraine episodes with customizable details - Track pain severity, duration, and triggers - Monitor medication effectiveness - Identify patterns with intelligent insights - Visual calendar view of your migraine history Medication Management - Track both rescue and preventive medications - Monitor which treatments work best for you - Built-in medication database for easy entry - Track dosages and effectiveness Personalized Features - Optional menstruation tracking for hormonal pattern analysis - Work-related trigger monitoring - Customizable data fields - Export your data anytime in CSV format Actionable Insights - Discover your personal migraine triggers - Track frequency and severity trends - Understand seasonal and cyclical patterns - Generate reports for healthcare providers Key Features: Quick and easy migraine logging, Comprehensive medication tracking, Advanced pattern analysis, Data export capabilities, Offline functionality, Clean, intuitive interface, Regular updates and improvements Perfect for migraine sufferers who want to: - Better understand their condition - Communicate more effectively with doctors - Track treatment effectiveness - Maintain complete privacy - Take an active role in their health management Why Choose Cephra? Unlike other health apps, Cephra prioritizes your privacy above all else. Your sensitive medical information never leaves your device, ensuring complete confidentiality while providing powerful insights into your migraine patterns. Whether you're newly diagnosed or have been managing migraines for years, Cephra provides the tools you need to take control of your health journey. Download Cephra today and start understanding your migraines better—privately and securely. your migraines, understand your triggers, and take control of your health. Medical Disclaimer: Important: This app is for informational and tracking purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider before making any medical decisions or changes to your treatment plan. If you are experiencing a medical emergency or severe symptoms, seek immediate medical attention. The information provided by this app should not be used as a substitute for professional medical care.

Screenshots

ACP MKSAP1 screens
Cephra4 screens

Verdict

The call

The clearest difference is review sentiment: Cephra at 100% against ACP MKSAP's 57%. Cephra also leads on rating (5.0 vs 4.2) and in-app purchases (none vs 1). ACP MKSAP's advantage is ratings volume (16 vs 1) and iOS requirement (13.0 vs 15.1). On price, update cadence, ads and device support there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. ACP MKSAP sells 1 in-app purchase, starting at $999.99 per year. Cephra asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

Cephra holds the better App Store score, 5.0 against 4.2. That said, the two scores are not equally well evidenced: ACP MKSAP has 16 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 57% of ACP MKSAP's written reviews are positive against 100% of Cephra's.

UpkeepUpdate frequency

ACP MKSAP ships an update every 10 days, Cephra every 9 days. The most recent releases landed on September 14, 2026 and June 3, 2026 respectively.

Scorecard6 real differences · 4 level
ACP MKSAP versus Cephra: the parameters behind the verdict, then further details
ParameterACP MKSAPCephra
PriceFreeFree
Rating4.2 (16 ratings)5.0 (1 ratings) — better
Positive reviews57.1% of reviews100.0% of reviews — better
Number of ratings16 — better1
Update frequencyEvery 10 daysEvery 9 days — better
AdsNoNo
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesFree — better
DevicesiPhone, iPad, iPodiPhone, iPad, iPod
Requires iOS13.0 — better15.1
Further details — not scored
Size542 MB38 MB
Age rating17+12+
DeveloperAmerican College of PhysiciansAnkit Patel

Customer experience

ACP MKSAP

All ratings16 ratings
Positive81.3%
Neutral0.0%
Negative18.8%
Written reviews7 reviews
Positive57.1%
Neutral0.0%
Negative42.9%

Cephra

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews1 reviews
Positive100.0%
Neutral0.0%
Negative0.0%

In-app purchases

1 purchases

ACP MKSAP

Subscriptions1
  • Non-member in-app price$999.991 Year
None

Cephra

No in-app purchases

Questions

Is ACP MKSAP free?
ACP MKSAP is free to download, with in-app purchases available.
Is Cephra free?
Cephra is free to download, with no in-app purchases.
Which has better reviews, ACP MKSAP or Cephra?
Cephra is rated higher. ACP MKSAP averages 4.2 out of 5 from 16 ratings, while Cephra averages 5.0 from 1 ratings.
Do ACP MKSAP or Cephra have ads?
Neither ACP MKSAP nor Cephra shows ads.
Which is updated more often, ACP MKSAP or Cephra?
ACP MKSAP ships an update every 10 days, and Cephra every 9 days. Most recently, ACP MKSAP was updated on September 14, 2026 and Cephra on June 3, 2026.

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