UPSC Combined Medical Services Examination

About Exam

The "Combined Medical Services" Examination or the CMS Exam is conducted by the Union Public Service Commission for recruitment as Medical Officer in various organizations such as the Indian Ordnance Factories, Indian Railways,municipal corporation of delhi ,new delhi municipal corporation functioning under the Government of India. The Notification for the examination is usually released in the month of march and examination is conducted in June. Successful Candidates are admitted after an interview conducted by the UPSC for those having qualified the written examination.

Exam Pattern

UPSC CMS 2019 Exam Pattern

The examination shall be conducted according to the following plan

Part-I Computer Based Examination - (500 marks)

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.

Part-II Personality Test - (100 Marks):

Personality test carrying 100 marks of such of the candidates who qualify on the results of the Computer Based Examination
Centres for UPSC CMS 2019 Exam


Eligibility Criteria for UPSC CMS 2019


 A candidate must be either
  • (a) a citizen of India, or
  • (b) a subject of Nepal, or
  • (c) a subject of Bhutan, or
  • (d) a Tibetan refugee who came over to India before the 01st January, 1962 with the intention of permanently settling in India; or
  • (e) a person of Indian origin who has migrated from Pakistan, Burma, Sri Lanka or East African Countries of Kenya, Uganda, the United Republic of Tanzania, Zambia, Malawi, Zaire and Ethiopia or from Vietnam with the intention of permanently settling in India.
Provided that a candidate belonging to categories (b), (c), (d) and (e) above shall be a person in whose favour a certificate of eligibility has been issued by the Govt. of India

Age Limit

A candidate for this examination must not have attained the age of 32 years as on 01st August 2019 , i.e. the candidate must have been born not earlier than 02nd August 1987

Upper Age Relaxation

The upper age limit is Relaxable;
  • upto a maximum of five years if a candidate belongs to a SC/ST;
  • upto a maximum of three years in the case of candidates belonging to OBC;
  • upto a maximum of five years if a candidate had ordinarily been domiciled in the State of Jammu & Kashmir during the period from the 01st January 1980 to the 31st December 1989;
  • upto a maximum of three years in the case of Defence Services personnel disabled in operations during hostilities with any foreign country or in a disturbed area and released as a consequence thereof;
  • upto a maximum of five years in the case of Ex-servicemen including Commissioned Officers and ECOs/SSCOs who have rendered at least five years Military Service as on 01st August 2019 and have been released;
  • upto a maximum of five years in the case of ECOs/SSCOs who have completed an initial period of assignment of 5 years Military Service as on 01st August 2019 and whose assignment has been extended beyond 5 years and in whose case the Ministry of Defence issues a certificate that they can apply for civil employment and that they will be released on 3 months’ notice on selection from the date of receipt of offer of appointment;
  • upto a maximum of ten years in the case of blind, deaf-mute and Orthopaedically handicapped
  • The ad hoc Doctors appointed after 01st October 1984 in the Ministry of Railways will be granted relaxation in age to the extent of the period of service rendered by them as ad-hoc Doctors in Railways

Educational Qualification

For admission to the exam,
  • a candidate should have passed the written and practical parts of the final MBBS Examination
  • A candidate who has appeared or has yet to appear at the final MBBS Exam may also apply.
  • Such candidates will be admitted to the exam, if otherwise eligible but the admission would be deemed to be provisional and subject to cancellation, if they do not produce proof of having passed the written and practical part of the final MBBS Exam along with the detailed application which will be required to be submitted to the Commission by the candidates who qualify on the result of the Computer based exam
  • A candidate who has yet to complete the compulsory rotating internship is educationally eligible for admission to the examination but on selection he/she will be appointed only after he/she has completed the compulsory rotating internship

Physical & Medical Standards
Candidates must be physically and medically fit according to the physical/medical standards for the Combined Medical Services Exam 2019 as per regulations contained in Appendix III to the Rules of the exam

UPSC CMS Paper 1 Syllabus

(a) General Medicine (96 Questions)

  1. Cardiology
  2. Respiratory diseases
  3. Gastro-intestinal
  4. Genito-Urinary
  5. Neurology
  6. Hematology
  7. Endocrinology
  8. Metabolic disorders
  9. Infections/Communicable Diseases
    • Virus
    • Rickets
    • Bacterial
    • Spirochetal
    • Protozoan
    • Metazoan
    • Fungus
  10. Nutrition/Growth
  11. Diseases of the skin (Dermatology)
  12. Musculoskelatal System
  13. Psychiatry
  14. General
  15. Emergency Medicine
  16. Common Poisoning
  17. Snake bite
  18. Tropical Medicine
  19. Critical Care Medicine
  20. Emphasis on medical procedures
  21. Patho physiological basis of diseases
  22. Vaccines preventable diseases and Non vaccines preventable diseases
  23. Vitamin  deficiency diseases
  24. In psychiatry include - Depression, psychosis, anxiety, bipolar diseases and Schizoprenia

(b) Paediatrics (24 Questions)

  1. Common childhood emergencies
  2. Basic new born care
  3. Normal developmental milestones
  4. Accidents and poisonings in children
  5. Birth defects and counseling including autism
  6. Immunization in children
  7. Recognizing children with special needs and management
  8. National programmes related to child health

UPSC CMS Paper 2 Syllabus

(a) Surgery (40 Questions)

(Surgery including ENT, Opthalmology, Traumatology and Orthopaedics)

  1. General Surgery
    1. Wounds
    2. Infections
    3. Tumours
    4. Lymphatic
    5. Blood vessels
    6. Cysts/sinuses
    7. Head and neck
    8. Breast
    9. Alimentary tract - Oesophagus, Stomach, Intestines, Anus, Developmental, Liver, Bile, Pancreas, Spleen, Peritoneum, Abdominal wall, Abdominal injuries
  2. Urological Surgery
  3. Neuro Surgery
  4. Otorhinolaryngology E.N.T.
  5. Thoracic surgery
  6. Orthopedic surgery
  7. Ophthalmology
  8. Anesthesiology
  9. Traumatology
  10. Diagnosis and management of common surgical ailments
  11. Pre‐operative and post operative care of surgical patients
  12. Medicolegal and ethical issues of surgery
  13. Wound healing
  14. Fluid and electrolyte management in surgery
  15. Shock patho‐physiology and management

(b) Gynaecology & Obstetrics (40 Questions)

  1. Obstetrics:
    1. Ante-natal conditions
    2. Intra-natal conditions
    3. Post-natal conditions
    4. Management of normal labours or complicated labour
  2. Gynaecology: 
    1. Questions on applied anatomy
    2. Questions on applied physiology of menstruation and fertilization
    3. Questions on infections in genital tract
    4. Questions on neoplas main the genital tract
    5. Questions on displacement of the uterus
    6. Normal delivery and safe delivery practices
    7. High risk pregnancy and management
    8. Abortions
    9. Intra Uterine growth retardation
    10. Medicolegal examination in obgy and Gynae including Rape
  3. Family Planning:
    1. Conventional contraceptives
    2. U.D. and oral pills
    3. Operative procedure, sterilization and organization of programmes in the urban and rural surroundings
    4. Medical Termination of Pregnancy

(c) Preventive Social and Community Medicine (40 Questions)

  1. Social and community Medicine
  2. Concept of Health, Disease and Preventive Medicine
  3. Health Administration and Planning
  4. General Epidemiology
  5. Demography and Health Statistics
  6. Communicable Diseases
  7. Environmental Health
  8. Nutrition and Health 
  9. Non-communicable diseases
  10. Occupational Health
  11. Genetics and Health
  12. International Health
  13. Medical Sociology and Health Education
  14. 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