UPSC Combined Medical Services 2022 Exam Pattern & Syllabus



The Combined Medical Services is conducted by the Union Public Service Commission (UPSC) according to the following pattern and syllabus:

(News update: UPSC Combined Medical Service Exam)

Combined Medical Services 2022 Examination Pattern

Part-I Written examination (500 marks): The written exam has two papers of 250 marks each. The exam duration of each paper is 2 hours. Both the papers will have objective (multiple choice) type questions. The question paper shall be set in English only. 

There will be negative marking for wrong answers. 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.

Part-II Personality Test (100 marks): The personality test is conducted for only those candidates who qualify in the written examination. The interview for Personality Test is used to gauge the General Knowledge and ability of the candidates in the fields of their academic study. The test may also assess the candidate’s intellectual curiosity, critical powers of assimilation, balance of judgement and alertness of mind, integrity of character and capability for leadership and initiative.

Part-I Written examination (500 marks)

Paper I (250 marks, 120 questions)

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

Paper II (250 marks, 120 questions)

(a) Surgery: 40 questions
(b) Gynaecology & Obstetrics: 40 questions    
(c) Preventive & Social Medicine: 40 questions

Combined Medical Services 2022 Syllabus

Syllabus of Combined Medical Services Paper

(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 Combined Medical Services Paper – II

(a) Surgery
(Surgery including ENT, Opthalmology, Traumatology and Orthopaedics)
I  General Surgery
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
Neuro Surgery
IV Otorhinolaryngology E.N.T.
Thoracic surgery
VI  Orthopedic surgery
VII   Ophthalmology
VIII Anesthesiology
IX Traumatology


i) Ante-natal conditions
ii) Intra-natal conditions
iii) Post-natal conditions
iv) Management of normal labours or complicated labour
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
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


I  Social and Community Medicine
II Concept of Health, Disease and Preventive Medicine
III  Health Administration and Planning
IV General Epidemiology
Demography and Health Statistics
VI Communicable Diseases
VII  Environmental Health
VIII  Nutrition and Health
IX Non-communicable diseases
Occupational Health
XI Genetics and Health
XII International Health
XIII Medical Sociology and Health Education
XIV Maternal and Child Health
XV National Programmes

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