Just use the $count
variable that you are incrementing:
<?php
$count = 0;
$some_featured_posts = new WP_Query(array('category_name' => 'apps', 'posts_per_page' => 5));
while ($some_featured_posts->have_posts()):
$some_featured_posts->the_post();
$count++;
if( $count <= 2 )
the_post_thumbnail( 'large' );
elseif( 3 == $count )
the_post_thumbnail( 'medium' );
else
the_post_thumbnail( 'thumbnail' );
endwhile;
wp_reset_postdata();
?>