Combined Medical Services Examination

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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 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.

Eligibility Criteria

Combined Medical Services Examination

  • Nationality:-Citizen of India, Subject of Nepal/Bhutan and some Tibetan refugees,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..
  • Age:-Must not have attained the age of 32 years with relaxations for various categories like SC,ST,OBC,Ex-servicemen etc.
  • Educational Qualifications:-Passed the written and practical parts of the final M.B.B.S. Examination.

Scheme of Examination for Combined Medical Services Examination

There is an objective-type written examination with two papers of two hours duration, each carrying a maximum of 250 marks. This is followed by a Personality Test carrying 100 marks of candidates who qualify on the results of the written examination.

Paper I

Maximum Marks : 250

Subject Questions
General Medicine including Cardiology, Neurology, Dermatology and Psychiatry 60%
Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics 40%

Paper II

Maximum Marks : 250

Subject Questions
Paediatrics 20%
Gynaecology & Obstetrics 40%
Preventive & Social Medicine 40%

Candidates who qualify in the written examination are called for an Interview/Personality Test to be conducted by the Union Public Service Commission which carries 100 marks.


(a) General Ability (30 Questions)

  • (i) Indian Society, Heritage & Culture, Polity, Economy, Human Development Indices and the Development Programmes
  • (ii) Natural Resources, their distribution, exploitation, conservation and related issues
  • (iii) Basic concepts of Ecology and Environment and their impact on health and economy
  • (iv) Impact of changing demographic trends on health, environment and society
  • (v) Indian Agriculture, Industry, Trade, Transportation and Service Sectors
  • (vi) Natural and man made disasters and their management
  • (vii) Food adulteration, Food processing, food distribution, food storage and their relevance to public health
  • (viii) Recent trends in Science and Technology

(b) General Medicine (70 Questions)

(General Medicine including Cardiology, Neurology, Dermatology and Psychiatry)

  • (i) Cardiology
  • (ii) Respiratory diseases
  • (iii) Gastro-intestinal
  • (iv) Genito-Urinary
  • (v) Neurology
  • (vi) Hematology
  • (vii) Endocrinology
  • (viii) Metabolic disorders
  • (ix) Infections/Communicable Diseases (Virus, Rickets, Bacterial, Spirochetal, Protozoan, Metazoan, Fungus)
  • (x) Nutrition/Growth
  • (xi) Diseases of the skin (Dermatology)
  • (xii) Musculoskelatal System
  • (xiii) Psychiatry
  • (xiv) General

(c) Paediatrics (20 Questions)

 (a) Surgery (40 Questions)

(Surgery including ENT, Opthalmology, Traumatology and Orthopaedics)

  • I. General Surgery: Wounds, Infections, Tumours, Lymphatic, Blood vessels, Cysts/sinuses, Head and neck, Breast, Alimentary tract – (Oesophagus, Stomach, Intestines, Anus, Developmental), Liver, Bile, Pancreas, Spleen, Peritoneum, Abdominal wall, 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

(b) Gynaecology & Obstetrics (40 Questions)

  • I. Obstetrics: Ante-natal conditions, Intra-natal conditions, Post-natal conditions, Management of normal labours or complicated labour
  • II. Gynaecology: Questions on applied anatomy, Questions on applied physiology of menstruation and fertilization, Questions on infections in genital tract, Questions on neoplas main the genital tract, Questions on displacement of the uterus
  • III Family Planning: Conventional contraceptives, U.D. and oral pills, Operative procedure, sterilization and organization of programmes in the urban and rural surroundings, Medical Termination of Pregnancy

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

  • I. 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 Programmes