UPSC Combined Medical Services Exam Syllabus

PAPER- I

WRITTEN EXAMINATION – (500 marks)

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

Paper I -(Code No. 1) Maximum Marks: (250)

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

Syllabus of Paper‐I
(a) General Medicine including the following:
(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

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 f. Metazoan
g. Fungus
(x) Nutrition/Growth
(xi)Diseases of the skin (Dermatology)
(xii) Musculoskelatal 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 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 programmes related to child health.

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 PAPER- 2
(A) Written Examination: The components and syllabi of two
Papers and the weightage to different components in the two papers are given
below: ‐

Paper (Code No-2) Maximum Marks:( 250)

(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
i) Wounds
ii) Infections
iii) Tumours
iv) Lymphatic
v) Blood vessels
vi) Cysts/sinuses
vii) Head and neck
viii) Breast
ix) Alimentary tract
a) Oesophagus
b) Stomach
c) Intestines
d) Anus
e) Developmental
x) Liver, Bile, Pancreas
xi) Spleen

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 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 patho‐physiology and management.

(b) GYNAECOLOGY & OBSTETRIC

(I) OBSTETRICS
i) Ante‐natal conditions
ii) Intra‐natal conditions
iii) Post‐natal conditions
iv) Management of normal labours or complicated labour

(II) GYNAECOLOGY
(a) Questions on applied anatomy
(b) Questions on applied physiology of menstruation and fertilization
(c) Questions on infections in genital tract

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 (d) Questions on neoplasma in the genital tract v) Questions on displacement of the
uterus
(e) Normal delivery and safe delivery practices vii) High risk pregnancy and
management
(f) Abortions
(g) Intra Uterine growth retardation
(h) Medicolegal examination in obgy and Gynae including Rape

(III) FAMILY PLANNING

(a) Conventional contraceptives
(b) U.D. and oral pills Operative procedure
(c) sterilization and organization of programmes in the urban and rural surroundings
(d) Medical Termination of Pregnancy

PREVENTIVE SOCIAL AND COMMUNITY MEDICINE

1. Social and Community Medicine
2. Concept of Health, Disease and
3. Preventive Medicine
4. Health Administration and Planning
5. General Epidemiology
6. Demography and Health Statistics
7. Communicable Diseases
8. Environmental Health
9. Nutrition and Health
10. Non‐communicable diseases
11. Occupational Health
12. Genetics and Health
13. International Health
14. Medical Sociology and Health Education Maternal and Child Health
15. National Programmes
16. Management of common health problems
17. Ability to monitor national health programmes
18. Knowledge of maternal and child wellness
19. Ability to recognize, investigate, report, plan and manage community health
problems including malnutrition and emergencies
2. 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.
3. Candidates must mark the Papers themselves. In no circumstances will they be allowed
the help of a scribe to mark answers for them

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 4. The Commission have discretion to fix qualifying marks in any or both the papers of the
examination.
5. Penalty for wrong answer

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

(B) PERSONALITY TEST – (100 marks): Candidates who qualify in the Written
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 Written
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.

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