UPSC Combined Medical Services Examination (CMS) Syllabus and Exam Pattern

This article presents information regarding the UPSC Combined Medical Services Exam Syllabus. The authorities are scheduling the exam for a specific date. As a result, all applicants for the UPSC CMS Exam can use this resource to obtain the requisite information. The article also contains details about the UPSC CMS Exam Pattern for, along with the UPSC CMS Paper 1 Syllabus and UPSC CMS Paper 2 Syllabus, outlined in the subsequent sections. For your convenience, a direct link to download the UPSC CMS Syllabus PDF is provided.

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UPSC CMS 2026: Recruitment Highlights

Feature	Details
Exam Name	Combined Medical Services Examination (CMS) 2026
Conducting Body	Union Public Service Commission (UPSC)
Total Vacancies	1,358 Posts
Primary Roles	Medical Officers, ADMO (Railways), GDMO (NDMC/MCD)
Notification Date	March 11, 2026
Application Mode	Online (upsconline.nic.in)
Selection Process	Computer-Based Test (500 Marks) + Personality Test (100 Marks)
Official Website	upsc.gov.in

UPSC Combined Medical Services Exam Syllabus

UPSC CMS Paper 1 Syllabus

General Medicine

• Cardiology
• Respiratory diseases
• Gastro‐intestinal
• Genito‐Urinary
• Neurology
• Hematology
• Endocrinology
• Metabolic disorders
• Infections/ Communicable Diseases
  • Virus
  • Rickets
  • Bacterial
  • Spirochetal
  • Protozoan
  • Metazoan
  • Fungus
• Nutrition/ Growth
• Diseases of the skin (Dermatology)
• Musculoskeletal System
• Psychiatry
• General
• Emergency Medicine
• Common Poisoning
• Snakebite
• Tropical Medicine
• Critical Care Medicine
• Emphasis on medical procedures
• Pathophysiological basis of diseases
• Vaccines preventable diseases and Non-vaccines preventable diseases
• Vitamin deficiency diseases
• In psychiatry include – Depression, psychosis, anxiety, bipolar diseases, and
• Schizophrenia

Pediatrics

• Common childhood emergencies,
• Basic newborn care,
• Normal developmental milestones,
• Accidents and poisonings in children,
• Birth defects and counseling including autism,
• Immunization in children,
• Recognizing children with special needs and management, and
• National programs related to child health.

UPSC CMS Paper 2 Syllabus

Surgery (Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics)

• General Surgery
  • Wounds
  • Infections
  • Tumors
  • Lymphatic
  • Blood vessels
  • Cysts/sinuses
  • Head and neck
  • Breast
  • Alimentary tract
    • Oesophagus
    • Stomach
    •  Intestines
    • Anus
    • Developmental
  • Liver, Bile, Pancreas
  • Spleen
  • Peritoneum
  • Abdominal wall
  • Abdominal injuries
• Urological Surgery
• Neuro Surgery
• Otorhinolaryngology E.N.T.
• Thoracic surgery
• Orthopedic surgery
• Ophthalmology
• Anesthesiology
• Traumatology
• Diagnosis and management of common surgical ailments
• Pre‐operative and post-operative care of surgical patients
• Medicolegal and ethical issues of surgery
• Wound healing
• Fluid and electrolyte management in surgery
• Shock pathophysiology and management.

Gynaecology & Obstetrics

• Obstetrics
  • Ante‐natal conditions
  • Intra‐natal conditions
  • Post‐natal conditions
  • Management of normal labor or complicated labor
• Gynecology
  • Questions on applied anatomy
  • Questions on applied physiology of menstruation and fertilization
  • Questions on infections in the genital tract
  • Questions on neoplasm in the genital tract
  • Questions on the displacement of the uterus
  • Normal delivery and safe delivery practices
  • High-risk pregnancy and management
  • Abortions
  • Intra-Uterine growth retardation
  • Medicolegal examination in body and Gynae including Rape.
• Family Planning
  • Conventional contraceptives
  • U.D. and oral pills
  • The operative procedure, sterilization, and organization of programs in the urban and rural surroundings
  • Medical Termination of Pregnancy

Preventive Social and Community Medicine

• Social and Community Medicine
• Concept of Health, Disease and
• Preventive Medicine
• Health Administration and Planning
• General Epidemiology
• Demography and Health Statistics
• Communicable Diseases
• Environmental Health
• Nutrition and Health
• Non‐communicable diseases
• Occupational Health
• Genetics and Health
• International Health
• Medical Sociology and Health Education
• Maternal and Child Health
• National Programme
• Management of common health problems
• Ability to monitor national health programs
• Knowledge of maternal and child wellness
• Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies.

UPSC CMS Exam Pattern

• The written examination in both the papers will be completely of objective (Multiple choice answers) type. The question Papers (Test Booklets) will be set in English only.
• Negative Marking – Candidates should note that there will be penalty (Negative Marking) for wrong answers, One third (0.33) of the marks assigned to that question will be deducted as penalty.

Papers	Subjects	Number of Questions	Maximum Marks
Paper I	General Medicine	96 questions	250 marks
	Pediatrics	24 questions
Total		120 Questions	250 Marks
Paper II	Surgery (ENT, Ophthalmology, Traumatology, and Orthopedics)	40 questions	250 marks
	Gynaecology & Obstetrics	40 questions
	Preventive & Social Medicine	40 questions
Total		120 Questions	250 Marks
Duration: 2 Hours For Each Paper

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