Union Public Service Commission(UPSC) conducts a Combined Medical Service(CMS) Examination for the recruitment of Group-A Medical Officers posts. As thousands of candidates appear for the exam which makes competition among candidates tough, candidates must be aware of the syllabus, pattern, and every criterion to make their strategy according to it, so that they can plan a full- proof strategy so that they can score good and their chances of the selection can increases. In this article, we will be introducing the Syllabus, Pattern, criterion, and much more to the candidates.

UPSC CMS Syllabus and Exam Pattern

The Union Public Service Commission (UPSC) conducts the Combined Medical Services (CMS) exam every year. The exam is held to recruit medical professionals for central and state health services. The selection process for UPSC Combined Medical Services includes a two-stage process: Written exam and  Interview. The written exam consists of 2 papers, each paper (Paper 1 and Paper 2) is worth 250 marks, with 120 multiple-choice questions in total, and a negative marking of 1/3rd mark is deducted for every incorrect answer.

UPSC CMS Syllabus 2025- Overview
Exam Conducting BodyUnion Public Service Commission(UPSC)
Exam NameCombined Medical Service(CMS)
QualificationMBBS
LanguageEnglish
Part 1Written Exam (Paper1 and Paper2)
Question TypesMCQ format
Weightage500 ( 250 Marks For Each Paper)
Duration4 Hours ( 2 Hours Each)
Negative Marking⅓rd Marks
Selection ProcessPrelims- Mains- Interview
Marks100
Official Websitewww.upsconline.gov.in

UPSC CMS Selection Process 2025

UPSC CMS 2025 includes 2 stages for the selection process ;

Stage 1 -  Written examination: It is divided into 2 Papers - Paper 1(250 Marks) and Paper 2(250 Marks)
Stage 2 - Interview : Candidates who will be passing in written examination only those candidates are eligible for interview.

UPSC CMS Exam Pattern 2025

The UPSC CMS 2025 will be conducted in two stages: 1. Written Exam , 2. Interview

  1. Written Exam; It is divided into 2 papers that is Paper 1 and Paper 2
    Paper 1 : General Medicine and Pediatrics (250 marks)
Paper 1
SubjectQuestionsMarksDurationType
General Medicine962502 HoursObjective
Pediatrics24
Total120

Paper 2 : Surgery, Preventive & Social Medicine, and Genecology & Obstetrics (250 marks).

Paper 2
SubjectQuestionsMarksDurationType
Surgery402502 HoursObjective
Preventive & social medicine40
gynecology and obstetrics40
Total120

Both papers are multiple-choice questions (MCQs) and are conducted on the same day. Candidates will have a total of 4 hours to complete both papers combined. Both the exam have negative marking that is minus 1/3 marks for one wrong answer. Only those who score above the cutoff in the written exam will be eligible for the next stage.

  1. Interview; Candidates who qualify the written exam will be called for an interview, which tests their suitability for service as a medical officer. The interview typically carries 100 marks. The final selection is based on the combined score of the written exam and the interview.

UPSC CMS Syllabus 2025

The syllabus for Paper 1 and Paper 2 are provided below-

UPSC CMS Syllabus for Paper 1

Paper 1 of the UPSC CMS Exam focuses on General Medicine and Pediatrics, carrying a total of 250 marks. It includes 120 questions (96 from General Medicine and 24 from Pediatrics).

UPSC CMS Syllabus for Paper 1
SubjectsTopics
General Medicine

(i) Cardiology
(ii) Respiratory diseases
(iii) Gastro-intestinal
(iv) Genito-Urinary
(v) Neurology
(vi) Hematology
(vii) Endocrinology
(viii) Metabolic disorders
(ix) Infections/Communicable Diseases
a) Virus
b) Rickets
c) Bacterial
d) Spirochetal
e) Protozoan
f) Metazoan
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) Pathos 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 Schizophrenia.

Pediatrics(i) Common childhood emergencies,
(ii) Basic new born 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 programmers related to child health. 

UPSC CMS Syllabus for Paper 2

Paper 2, also carrying 250 marks, is designed around Surgery, Gynecology's & Obstetrics, and Preventive & Social Medicine. Each section consists of 40 questions.

UPSC CMS Syllabus for Paper 2
SubjectsTopic
Surgery(I) General Surgery
i) Wounds
ii) Infections
iii) Tumors
iv) Lymphatic
v) Blood vessels
vi) Cysts/sinuses
vii) Head and neck
viii) Breast
ix) Alimentary tract
a) Esophagus
b) Stomach
c) Intestines
d) Anus
e) Developmental
x) Liver, Bile, Pancreas
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) Pre-operative 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 pathos-physiology and management.
Gynecology's & Obstetrics(I) OBSTETRICS
i) Ante-natal conditions
ii) Intra-natal conditions
iii) Post-natal conditions
iv) Management of normal labor or complicated labor
(II) GYNAECOLOGY
i) Questions on applied anatomy
ii) Questions on applied physiology of menstruation and fertilization
iii) Questions on infections in genital tract
iv) Questions on neoplasma in the genital tract
v) Questions on displacement of the uterus
vi)Normal delivery and safe delivery practices
vii) High risk pregnancy and management
viii) Abortions
ix) Intra Uterine growth retardation
x) Medicolegal examination in obgy and Gynae including Rape.
(III) FAMILY PLANNING
i) Conventional contraceptives
ii) U.D. and oral pills
iii) Operative procedure, sterilization and organization of programmers in
the urban and rural surroundings
iv) Medical Termination of Pregnancy
Preventive & Social MedicineI 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 Non-communicable diseases
X Occupational Health
XI Genetics and Health
XII International Health
XIII Medical Sociology and Health Education
XIV Maternal and Child Health
XV National Programmers
XVI Management of common health problems
XVII Ability to monitor national health programmers
XVIII Knowledge of maternal and child wellness
XIX Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies
UPSC CMS Syllabus- FAQs

The selection process for UPSC CMS posts includes three stages i.e. Prelims- Mains- Interview.

The negative marking for ⅓rd Marks is applicable for wrong answer.

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