# ACP MKSAP vs ImagingGuide

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.

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.

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.

## The numbers

| Metric | ACP MKSAP | ImagingGuide |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.2 (16 ratings)](https://appshunter.io/ios/app/acp-mksap/id6739636797/reviews)** | — |
| Number of ratings | **16** | — |
| Positive reviews | 57.1% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | — |
| Update frequency | **Every 10 days** | Every 2 months |
| Monetization | Free with in-app purchases | — |
| Size | 540 MB | 11 MB |
| Requires iOS | **13.0** | 26.1 |
| Devices | **iPhone, iPad, iPod** | — |
| Age rating | 17+ | 4+ |
| Developer | [American College of Physicians](https://appshunter.io/developer/371090673) | [Dzuy Do](https://appshunter.io/developer/1859439808) |

## What reviewers say

### ACP MKSAP

[App page](https://appshunter.io/ios/app/acp-mksap/id6739636797)

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:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Non-member in-app price | $999.99 | per year |


### ImagingGuide

[App page](https://appshunter.io/ios/app/imagingguide/id6761346019)

**In-app purchases:** none


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