Syllabus of combined medical service exam
Last Updated: Jan 1, 2026
UPSC’s Combined Medical Services (CMS) Exam recruits Medical Officers for central government bodies like Indian Railways, Ordnance Factories, Municipal Corporations, and Defense Services. Open to MBBS graduates under 32 years (relaxations apply), it features two objective papers on medicine, surgery, pediatrics, gynecology, and preventive care, typically held in July with salaries from ₹56,100 basic pay. Ideal for public service enthusiasts, preparation centers on MBBS syllabus, mocks, and clinical knowledge—no PG needed.
This exam is mainly conducted in two parts include written exam and personality test. The weightage of the written exam is 500 marks and candidate can take it in 2 papers (each 250 marks). Duration of each paper is 2 hours.
Combined medical service exam
Part 1: (500 Marks)
· Paper 1 (Code No 1): (250 Marks)
· Paper 2 (Code No 2): (250 Marks)
Part 2:
· Personality Test (100 Marks)
The syllabus of paper 1: (Code No 1:)
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General ability (30 questions) |
General Medicine (70 questions)
It includes Neurology, Cardiology, Dermatology and Psychiatry
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Paediatrics (20 questions) |
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Science and Technology (Recent trends) |
General |
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Food processing, Food adulteration, food storage, food distribution, relevance to public health; |
Psychiatry |
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Natural and manmade (disasters and management) |
Musculoskelatal System |
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Industry, Trade, Indian Agriculture, Transportation and Service Sectors; |
Diseases of the skin (Dermatology) |
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Impact of changing demographic trends on society, environment and health |
Nutrition/Growth |
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Basic concepts of Ecology and Environment and their impact on health and economy |
Infections/Communicable Diseases (Virus, Rickets, Bacterial, Spirochetal, Protozoan, Metazoan and Fungus) |
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Natural Resources, their distribution, exploitation, conservation and related issues |
Metabolic disorders |
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Indian Society, Heritage & Culture, Polity, Economy, Human Development Indices and the Development Programmes; |
Endocrinology |
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Hematology |
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Neurology |
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Genito-Urinary |
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Gastro-intestinal |
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Respiratory diseases |
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Cardiology |
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The syllabus of Paper 2: (Code No 2)
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Surgery (40 questions)
(Opthalmology, ENT, Traumatology and Orthopaedics) |
Gynaecology & Obstetrics (40 questions) |
Preventive & Social Medicine (40 questions)
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General Surgery
(abdominal injuries, abdominal wall, peritoneum, spleen, pancreas, bile, liver, elementary tract, anus, intestine, stomach, esophagus, breast, hand, neck, cysts, blood vessels, lymphatic, tumuor, infections, wounds)
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Obstrtrick
(Management of normal labours or complicated labour, Post-natal conditions, Intra-natal conditions, Ante-natal conditions) |
National Programmes |
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Traumatology |
Gynaecology
(applied anatomy, applied physiology of menstruation and fertilization, infections in genital tract, neoplasma in the genital tract, displacement of the uterus)
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Maternal and Child Health |
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Anesthesiology |
Family Planning
(U.D. and oral pills, Conventional contraceptives, Operative procedure, sterilization and organization of programmes in the urban and rural surroundings, Medical Termination of Pregnancy) |
Medical Sociology and Health Education |
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Ophthalmology |
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International Health |
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Orthopedic surgery |
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Genetics and Health |
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Thoracic surgery |
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Occupational Health |
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Otorhinolaryngology E.N.T. |
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Non-communicable diseases |
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Neuro Surgery |
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Nutrition and Health |
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Urological Surgery |
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Environmental Health |
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Communicable Diseases |
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Demography and Health Statistics |
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General Epidemiology |
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Health Administration and Planning |
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Concept of Health, Disease and Preventive Medicine |
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Social and Community Medicine |
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Personality Test:
Only those candidates who qualify the written exam are eligible for personality test or interview. This is to test the GK, alertness, and ability of leadership and judgments.
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