📚 Official Syllabus
UPSC CMS Syllabus 2026
The UPSC Combined Medical Services examination syllabus covers the standard MBBS curriculum across two papers. Both papers test clinical and theoretical knowledge at the level expected of a government medical officer.
Exam Pattern Overview
| Paper I | General Medicine & Paediatrics — 120 Questions — 240 Marks — 2 Hours |
| Paper II | General Surgery, OBG & PSM — 120 Questions — 240 Marks — 2 Hours |
| Marking | +2 per correct; −0.667 (1/3) per wrong; 0 for unattempted |
| Medium | English only |
| Mode | Computer Based Test (CBT) |
Paper I Syllabus — General Medicine & Paediatrics
💊 General Medicine
- Internal Medicine: Cardiovascular, Respiratory, Gastrointestinal, Hepatic, Renal, Neurological, Haematological, Endocrine, Musculoskeletal, Infectious Diseases
- Dermatology and Venereology
- Psychiatry and Behavioural Sciences
- Ophthalmology
- Ear, Nose and Throat (ENT)
- Radiology and Imaging (clinical application)
- Clinical Pharmacology relevant to Medicine
👶 Paediatrics
- Neonatology and Newborn Care
- Growth and Development, Developmental Paediatrics
- Paediatric Nutrition and Nutritional Disorders
- Paediatric Infectious Diseases
- Paediatric Respiratory, Cardiovascular, Gastrointestinal, Renal
- Paediatric Neurology and Genetic Disorders
- National Immunization Programme and Child Health Programmes
Paper II Syllabus — Surgery, OBG & PSM
🔬 General Surgery
- General Surgical Principles: Wound healing, infections, fluid management, shock, anaesthesia basics
- Abdominal Surgery: GI, hepatobiliary, pancreatic, hernias
- Breast, Thyroid, Parathyroid, Adrenal Surgery
- Vascular Surgery, Burns, Trauma (ATLS principles)
- Orthopaedics: Fractures, dislocations, common orthopaedic conditions
- Urology: Renal calculi, BPH, bladder and renal tumours
- Surgical Oncology: Staging principles, commonly tested cancers
- Paediatric Surgery: Common congenital anomalies
🌹 Obstetrics & Gynaecology
- Normal and Abnormal Labour, Operative Obstetrics
- High-Risk Pregnancy: Pre-eclampsia, APH, PPH, Gestational Diabetes
- Antenatal, Intranatal, Postnatal Care
- Gynaecological Disorders: Menstrual, Structural, Malignancies
- Reproductive Oncology: Cervix, Uterus, Ovary
- Family Planning and Contraception
- Infertility, Assisted Reproduction basics
🌎 Preventive & Social Medicine (PSM)
- Epidemiology: Study designs, disease burden, outbreak investigation
- Biostatistics: Statistical tests, diagnostic accuracy measures
- National Health Programmes: NHM, RNTCP, NACP, NVBDCP, NPCB, NPCDCS
- Demography and Health Indicators (NFHS-5 data)
- Nutrition and Nutritional Programmes
- Environmental Health: Water, sanitation, waste management
- Health Administration and PHC system
- Occupational Health and Social Medicine
Recommended Textbooks
| Medicine | Harrison’s Principles of Internal Medicine (21st Ed.) |
| Paediatrics | Ghai Essential Paediatrics (9th Ed.), Nelson Textbook |
| Surgery | Bailey & Love’s Short Practice of Surgery (28th Ed.) |
| OBG | DC Dutta’s Obstetrics & Gynaecology (9th Ed.) |
| PSM | Park’s Textbook of Preventive & Social Medicine (26th Ed.) |
| Pharmacology | KD Tripathi Essentials of Medical Pharmacology |