UPSC Combined Medical Services Exam Syllabus & Exam pattern 2019

UPSC Combined Medical Services Exam Syllabus & Exam pattern 2019: Union Public Service Commission has released UPSC Combined Medical Services Exam 2019 notification for various posts under Railway, Health Services, etc for a total of 965 Posts. The recruitment process for the posts notified in this Centralized Employment Notification is based on Two stage viz Computer based Exam followed by Interview. Interested and eligible candidates can apply online before 6th May 2019.

UPSC Combined Medical Services Exam Syllabus & Exam pattern 2019 – Exam Pattern for 1st Stage Computer Based Exam:


No of QuestionsMarks


Paper – 1 (General Medicine & Paediatrics)

1202502 hours
Paper – 2120



  • Paper I consists of 120 Questions out of which 96 questions will be from General Medicine & 24 will be from Paediatrics.
  • Paper II will be comprised of questions from 3 categories viz Surgery, Gynaecology & Obstetrics, Preventive & Social Medicine (40 Questions from each category)
  • There shall be negative marking for incorrect answers 1/3rd of the marks allotted for each question shall be deducted for each wrong answer.
  • Questions will be set only in English.

Syllabus for 1st Stage UPSC Combined Medical Services Exam:

Syllabus of Paper-I :

General Medicine including the following:

  • Cardiology
  • Respiratory diseases
  • Gastro-intestinal
  • Genito-Urinary
  • Neurology
  • Hematology
  • Endocrinology
  • Metabolic disorders
  • Infections/Communicable Diseases
    • Virus
    • Rickets
    • Bacterial
    • Spirochetal
    • Protozoan
    • Metazoan
    • Fungus
  • Nutrition/Growth
  • Diseases of the skin (Dermatology)
  • Musculoskelatal System
  • Psychiatry
  • General
  • Emergency Medicine
  • Common Poisoning
  • Snake bite
  • Tropical Medicine
  • Critical Care Medicine
  • Emphasis on medical procedures
  • Patho physiological basis of diseases
  • Vaccines preventable diseases and Non vaccines preventable diseases
  • Vitamin deficiency diseases
  • In psychiatry include – Depression, psychosis, anxiety, bipolar diseases and Schizoprenia.

Paediatrics including the following:

  • Common childhood emergencies
  • Basic new born care
  • Normal developmental milestones
  • Accidents and poisonings in children
  • Birth defects and counseling including autism
  • Immunization in children
  • Recognizing children with special needs and management
  • National programmes related to child health.
Syllabus of Paper – II:

Surgery (Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics):

  • 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
  • Urological Surgery
  • Neuro Surgery
  • Otorhinolaryngology E.N.T.
  • Thoracic surgery
  • Orthopedic surgery
  • Ophthalmology
  • Anesthesiology
  • Traumatology
  • Diagnosis and management of common surgical ailments
  • Pre-operative and post operative care of surgical patients
  • Medicolegal and ethical issues of surgery
  • Wound healing
  • Fluid and electrolyte management in surgery
  • Shock patho-physiology and management.


  • Ante-natal conditions
  • Intra-natal conditions
  • Post-natal conditions
  • Management of normal labours or complicated labour


  • Questions on
    • applied anatomy
    • applied physiology of menstruation and fertilization
    • infections in genital tract
    • neoplasma in the genital tract
    • displacement of the uterus
  • Normal delivery and safe delivery practices
  • High risk pregnancy and management
  • Abortions
  • Intra Uterine growth retardation
  • Medicolegal examination in obgy and Gynae including Rape


  • Conventional contraceptives
  • U.D. and oral pills
  • Operative procedure, sterilization and organization of programmes in the urban and rural surroundings
  • Medical Termination of Pregnancy


  • Social and Community Medicine
  • Concept of Health, Disease and Preventive Medicine
  • Health Administration and Planning
  • General Epidemiology
  • Demography and Health Statistics
  • Communicable Diseases
  • Environmental Health
  • Nutrition and Health
  • Non-communicable diseases
  • Occupational Health
  • Genetics and Health
  • International Health
  • Medical Sociology and Health Education
  • Maternal and Child Health
  • National Programmes
  • Management of common health problems
  • Ability to monitor national health programmes
  • Knowledge of maternal and child wellness
  • Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies
2nd and Final Stage of the selection process is Personal Interview.

Important Links:

To Apply

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For UPSC Combined Medical Services Exam 2019

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For Official Notification

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For Official Website

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