Comparison

ACP MKSAP vs ImagingGuide

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

ImagingGuide

Read full description

ImagingGuide helps physicians and medical students select the most appropriate imaging study for any clinical scenario, based on the official ACR Appropriateness Criteria®. Choose a body area, answer a few clinical questions, and instantly see ranked imaging recommendations — organized by appropriateness (Usually Appropriate / May Be Appropriate / Usually Not Appropriate) and radiation level. • Covers 3,900+ clinical scenarios across all major specialties • Adult and pediatric modes • Works completely offline — no account needed • Search any scenario directly from the home screen • Save favorites and revisit recent scenarios Based on guidelines published by the American College of Radiology. Always apply clinical judgment.

Screenshots

ACP MKSAP1 screens

Verdict

The call

The clearest difference is in-app purchases: ImagingGuide at none against ACP MKSAP's 1. ACP MKSAP's advantage is update cadence (every 10 days vs every 2 months) and device support. On price 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. ImagingGuide asks for nothing beyond the download.

UpkeepUpdate frequency

ACP MKSAP ships an update every 10 days, ImagingGuide every 2 months. The most recent releases landed on October 21, 2026 and October 16, 2026 respectively.

Scorecard4 real differences · 6 level
ACP MKSAP versus ImagingGuide: the parameters behind the verdict, then further details
ParameterACP MKSAPImagingGuide
PriceFreeFree
Rating4.2 (16 ratings) — better—
Positive reviews57.1% of reviews—
Number of ratings16 — better—
Update frequencyEvery 10 days — betterEvery 2 months
AdsNo—
In-app purchasesYesNo — better
MonetizationFree with in-app purchases—
DevicesiPhone, iPad, iPod — better—
Requires iOS13.0 — better26.1
Further details — not scored
Size540 MB11 MB
Age rating17+4+
DeveloperAmerican College of PhysiciansDzuy Do

In-app purchases

1 purchases

ACP MKSAP

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

ImagingGuide

No in-app purchases

Questions

Is ACP MKSAP free?
ACP MKSAP is free to download, with in-app purchases available.
Is ImagingGuide free?
ImagingGuide is free to download, with no in-app purchases.
Which is updated more often, ACP MKSAP or ImagingGuide?
ACP MKSAP ships an update every 10 days, and ImagingGuide every 2 months. Most recently, ACP MKSAP was updated on October 21, 2026 and ImagingGuide on October 16, 2026.

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