UPSC: CMS Exam - Scheme & Syllabus

(Syllabus) UPSC Combined Medical Services Examination

Exam Scheme:

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.

(A) Computer based Examination:

1. The components and syllabus of two Papers and the weightage to different components in the two papers are given below: -

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

(a) General Ability 30 questions
(b) General Medicine 70 questions
(c) Paediatrics 20 questions

Total questions in Paper I = 120 (30 General Ability, 70 General Medicine and 20 Paediatrics).

Compensatory time of twenty minutes per hour shall be permitted for the candidates with locomotors disability and cerebral palsy where dominant (Writing) extremity is affected to the extent of slowing the performance of function (minimum of 40% impairment) in the Combined Medical Services Examination, 2016.

Syllabus of Paper : I

(a) General Ability

(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 (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

a) Virus
b) Rickets
c) Bacterial
d) Spirochetal
e) Protozoan
f) Metazoan
g) Fungus

(x) Nutrition/Growth
(xi) Diseases of the skin (Dermatology)
(xii) Musculoskelatal System
(xiii) Psychiatry
(xiv) General

(c) Paediatrics

Syllabus of Paper : II

(a) Surgery (Surgery including ENT, Opthalmology, 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
- 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

(b) GYNAECOLOGY & OBSTETRICS

I OBSTETRICS
- i) Ante-natal conditions
- ii) Intra-natal conditions
- iii) Post-natal conditions
- iv) Management of normal labours or complicated labour
II GYNAECOLOGY
- i) Questions on applied anatomy
- ii) Questions on applied physiology of menstruation and fertilization
- iii) Questions on infections in genital tract
- iv) Questions on neoplasma in the genital tract
- v) Questions on displacement of the uterus
III FAMILY PLANNING
- i) Conventional contraceptives
- ii) U.D. and oral pills
- iii) Operative procedure, sterilization and organization of programmes in the urban and rural surroundings
- iv) Medical Termination of Pregnancy

(c) PREVENTIVE SOCIAL AND COMMUNITY MEDICINE

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

2. The written examination in both the papers will be completely of objective (Multiple choice answer) type. The question Papers (Test Booklets) will be set in English only.
3. Candidates must write the Papers in their own hand. In no circumstances will they be allowed the help of a scribe to write answers for them.
4. The Commission have discretion to fix qualifying marks in any or both the papers of the examination.
5. Penalty for wrong answers : 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 (0.33) 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.

Candidates are not permitted to use calculators for answering objective type papers. They should, therefore not bring the same inside the Examination Hall.

(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 judgment and alertness of mind, ability for social cohesion, integrity of character, initiative and capability for leadership.

Revised Syllabus (FROM 2018) :

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.
(A) Computer based Examination:

1. The components and syllabi of two Papers and the weightage to different components in the two papers are given below: -

Paper I Maximum
(Code No. 1) 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
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.

Paper II                                    Maximum
(Code No. 2)                     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) Intestine s
d) Anus
e) Developmental
x) Liver, Bile, Pancreas
xi) Spleen
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 & OBSTETRICS
(I) OBSTETRICS
i) Ante-natal conditions
ii) Intra-natal conditions
iii) Post-natal conditions
iv) Management of normal labours or complicated labour

(II) GYNAECOLOGY
i) Questions on applied anatomy
ii) Questions on applied physiology of menstruation and fertilization
iii) Questions on infections in genital tract
iv) Questions on neoplasma in the genital tract
v) Questions on displacement of the uterus
vi) Normal delivery and safe delivery practices
vii) High risk pregnancy and management
viii) Abortions
ix) Intra Uterine growth retardation
x) Medicolegal examination in obgy and Gynae including Rape.

(III) FAMILY PLANNING
i) Conventional contraceptives
ii) U.D. and oral pills
iii) Operative procedure, sterilization and organization of programmes in the urban and rural surroundings
iv) Medical Termination of Pregnancy
(c) PREVENTIVE SOCIAL AND COMMUNITY MEDICINE
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
XVI      Management of common health problems
XVII Ability to monitor national health programmes
XVIII Knowledge of maternal and child wellness
XIX    Ability to recognize, investigate, report, plan and manage community health problems including
malnutrition and emergencies.

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

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 computer based 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 computer based 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.