UPSC syllabus forCombined Medical Service (CMS) Examination

The examination shall be conducted according to the following plan: 




The candidates will take the Computer based examination in two Papers, each Paper carrying a maximum of 250 marks. Each Paper will be of two hours duration.


Personality Test: (100 Marks):

Personality test carrying 100 marks of such candidates who qualify on the results of the Computer based examination.

(A) Computer based Examination:

  1. The components and syllabi of two Papers and the weight age to different components in the two papers are given below:

Paper I                      Maximum

(Code No. 1)       Marks: 250

General Medicine and Paediatrics

Total questions in Paper I = 120 (96 from General Medicine and 24 from Paediatrics);

Syllabus of PaperI

(a) General Medicine including the following:

(i) Cardiology 

(ii) Respiratory diseases

(iii) Gastrointestinal

(iv) Genitourinary

(v) Neurology

(vi) Hematology

(vii) Endocrinology

(viii) Metabolic disorders

(ix)Infections/Communicable Diseases

  1. a) Virus
  2. b) Rickets
  3. c) Bacterial
  4. d) Spirochetal
  5. e) Protozoan
  6. f) Metazoan
  7. g) Fungus

(x) Nutrition/Growth

(xi)Diseases of the skin (Dermatology)

(xii) Musculoskeletal System

(xiii) Psychiatry

(xiv) General

(xv) Emergency Medicine

(xvi) Common Poisoning

(xvii) Snake bite

(xviii) Tropical Medicine

(xix) Critical Care Medicine

(xx) Emphasis on medical procedures

(xxi) Patho physiological basis of diseases

(xxii) Vaccines preventable diseases and Non vaccines preventable diseases

(xxiii) Vitamin deficiency diseases

(xxiv) In psychiatry include – Depression, psychosis, anxiety, bipolar diseases and Schizoprenia.

(b) Paediatrics including the following  

(i)Common childhood emergencies,  

(ii) Basic newborn care,

(iii) Normal developmental milestones,  

(iv)  Accidents and poisonings in children,

(v) Birth defects and counseling including autism,

(vi) Immunization in children,

(vii) Recognizing children with special needs and management, and

(viii) National programmes related to child health.

Paper II  (Maximum Marks: 250)

(Code No. 2)                    

(a) Surgery                                

(b) Gynaecology & Obstetrics

(c) Preventive & Social Medicine

Total questions in Paper II = 120 (40 questions from each part.)

Syllabus of Paper II

(a) Surgery

(Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics)

(I)    General Surgery

  1. i) Wounds
  2. ii) Infections

iii) Tumours

  1. iv) Lymphatic
  2. v) Blood vessels
  3. vi) Cysts/sinuses

vii) Head and neck

viii) Breast

  1. ix) Alimentary tract
  2. a) Oesophagus
  3. b) Stomach
  4. c) Intestines
  5. d) Anus
  6. e) Developmental
  7. x) Liver, Bile, Pancreas
  8. xi) Spleen

xii) Peritoneum

xiii) Abdominal wall

xiv) Abdominal injuries

(II)   Urological Surgery

(III)   Neuro Surgery

(IV)   Otorhinolaryngology E.N.T.

(V)   Thoracic surgery

(VI)   Orthopedic surgery

(VII)   Ophthalmology

(VIII)   Anesthesiology

(IX)   Traumatology

(X) Diagnosis and management of common surgical ailments

(XI) Preoperative and post operative care of surgical patients

(XII) Medicolegal and   ethical issues of surgery

(XIII) Wound healing

(XIV) Fluid and electrolyte management in surgery

(XV) Shock pathophysiology and management.



  1. i) Antenatal conditions
  2. ii) Intranatal conditions

iii) Postnatal conditions

  1. iv) Management of normal labours or complicated labour


  1. i) Questions on applied anatomy
  2. ii) Questions on applied physiology of menstruation and fertilization

iii) Questions on infections in genital tract

  1. iv) Questions on neoplasma in the genital tract
  2. v)  Questions on displacement of the uterus
  3. vi) Normal delivery and safe delivery practices

vii) High risk pregnancy and management

viii) Abortions

  1. ix)  Intrauterine growth retardation
  2. x) Medico-legal examination in obgy and Gynae including Rape.


  1. i) Conventional contraceptives
  2. ii) U.D. and oral pills

iii) Operative procedure, sterilization and organization of programmes in the urban and rural surroundings

  1. iv) Medical Termination of Pregnancy


I   Social and Community Medicine

II   Concept of Health, Disease and Preventive Medicine

III   Health Administration and Planning

IV   General Epidemiology

V   Demography and Health Statistics

VI   Communicable Diseases

VII   Environmental Health

VIII   Nutrition and Health

IX   Noncommunicable diseases

X   Occupational Health

XI   Genetics and Health

XII   International Health

XIII  Medical Sociology and Health Education

XIV  Maternal and Child Health

XV   National Programmes

XVI  Management of common health problems

XVII Ability to monitor national health programmes

XVIII Knowledge of maternal and child wellness

XIX  Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies.

  1. The Computer based 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.
  2. Candidates must mark the Papers themselves. In no circumstances will they be allowed the help of a scribe to mark answers for them.
  3. The Commission have discretion to fix qualifying marks in any or both the papers of the examination.
  4. Penalty for wrong answers

There will be penalty (Negative Marking) for wrong answers marked by a candidate in the objective type question papers.

(i) There are four alternatives for the answers to every question. For each question for which a wrong answer has been given by the candidate, one third of the marks assigned to that question will be deducted as penalty.

(ii) If a candidate gives more than one answer, it will be treated as a wrong answer even if one of the given answers happens to be correct and there will be same penalty as above for that question.

(iii) If a question is left blank i.e. no answer is given by the candidate, there will be no penalty for that question.

  1. Candidates are not permitted to use calculators for answering objective type papers. They should, therefore not bring the same inside the Examination Hall.
  2. Both the Papers of the CMSE will be of MBBS standard.  

(B) PERSONALITY TEST – (100 marks):

Candidates who qualify in the computer based examination will be called for Interview/Personality Test to be conducted by the Union Public Service Commission. The Interview/Personality Test will carry 100 marks. The Interview for Personality Test will be intended to serve as a supplement to the computer based examination for testing the General Knowledge and ability of the candidates in the fields of their academic study and also in the nature of a personality test to assess the candidate’s intellectual curiosity, critical powers of assimilation, balance of judgement and alertness of mind, ability for social cohesion, integrity of character, initiative and capability for leadership.