UPSC CMS Subject-Wise Weightage: Questions and Marks

The UPSC CMS Subject-Wise Weightage helps candidates understand the distribution of questions across different medical subjects. Paper I covers General Medicine and Paediatrics, while Paper II includes Surgery, Gynaecology and Obstetrics, and Preventive and Social Medicine. Each paper has 120 questions.

The Computer-Based Examination carries a total of 500 marks. Candidates who qualify in this examination are called for the Personality Test, which carries 100 marks. Understanding the UPSC CMS subject-wise question distribution and marking scheme helps candidates become familiar with the examination pattern.

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UPSC CMS Exam Pattern Overview

The UPSC CMS Exam Pattern includes two parts. The first part is the Computer-Based Examination, followed by the Personality Test for qualified candidates. The examination structure is given below:

The Computer-Based Examination consists of two papers. Both papers contain objective-type questions with multiple-choice answers. The question papers are set in English only.

Both papers are based on the MBBS standard. Candidates must mark their answers themselves. The Commission does not allow candidates to use a scribe for marking answers.

UPSC CMS Subject-Wise Weightage for Paper I

Paper I carries 250 marks and covers two subjects: General Medicine and Paediatrics. It contains 120 questions in total.

The distribution of questions is as follows:

General Medicine accounts for 96 questions, while Paediatrics accounts for 24 questions. The syllabus covers different medical conditions, diseases, emergencies and their management.

Also Read - UPSC CMS Syllabus 2026 

1. General Medicine

General Medicine includes the following topics:

• Cardiology: Diseases related to the heart and cardiovascular system.

• Respiratory Diseases: Conditions affecting the respiratory system.

• Gastro-intestinal: Diseases related to the gastrointestinal tract.

• Genito-Urinary: Conditions associated with the genitourinary system.

• Neurology: Diseases and disorders related to the nervous system.

• Hematology: Topics related to blood and blood disorders.

• Endocrinology: Diseases associated with the endocrine system.

• Metabolic Disorders: Different metabolic conditions.

• Infections and Communicable Diseases: Viral, bacterial, spirochetal, protozoan, metazoan and fungal infections. Rickets is also included in this section.

• Nutrition and Growth: Topics related to nutrition and physical growth.

• Dermatology: Diseases of the skin.

• Musculoskeletal System: Conditions affecting muscles, bones and joints.

• Psychiatry: Depression, psychosis, anxiety, bipolar diseases and schizophrenia.

• General Medicine: Other general medical topics.

• Emergency Medicine: Medical emergencies and their management.

• Common Poisoning: Different types of common poisoning.

• Snake Bite: Conditions and management related to snake bites.

• Tropical Medicine: Diseases associated with tropical regions.

• Critical Care Medicine: Medical conditions requiring critical care.

• Medical Procedures: Emphasis on different medical procedures.

• Pathophysiological Basis of Diseases: Understanding the physiological processes behind diseases.

• Vaccines Preventable and Non-Vaccine Preventable Diseases: Diseases that can and cannot be prevented through vaccines.

• Vitamin Deficiency Diseases: Conditions caused by vitamin deficiencies.

2. Paediatrics

Paediatrics accounts for 24 questions in Paper I. Its syllabus focuses on childhood health, newborn care, development and common medical conditions in children.

The important topics include:

• Common childhood emergencies.

• Basic newborn care.

• Normal developmental milestones.

• Accidents and poisonings in children.

• Birth defects and counselling, including autism.

• Immunisation in children.

• Recognising children with special needs and their management.

• National programmes related to child health.

UPSC CMS Subject-Wise Weightage for Paper II

Paper II carries 250 marks and includes three subjects: Surgery, Gynaecology and Obstetrics, and Preventive and Social Medicine.

Each subject has an equal distribution of questions.

Each section contains 40 questions. The syllabus covers surgical conditions, women's health, pregnancy, family planning, community medicine and public health.

1. Surgery

Surgery includes General Surgery, ENT, Ophthalmology, Traumatology and Orthopaedics. The syllabus covers the following topics:

• General Surgery: Wounds, infections, tumours, lymphatic system, blood vessels, cysts and sinuses.

• Head and Neck: Surgical conditions affecting the head and neck.

• Breast: Breast-related surgical conditions.

• Alimentary Tract: Oesophagus, stomach, intestines, anus and developmental conditions.

• Liver, Bile and Pancreas: Surgical conditions related to these organs.

• Spleen and Peritoneum: Conditions affecting the spleen and peritoneum.

• Abdominal Wall and Injuries: Abdominal wall conditions and abdominal injuries.

• Urological Surgery: Surgical conditions related to the urinary system.

• Neurosurgery: Surgical conditions involving the nervous system.

• Otorhinolaryngology (ENT): Ear, nose and throat conditions.

• Thoracic Surgery: Surgical conditions involving the chest.

• Orthopaedic Surgery: Conditions related to bones and joints.

• Ophthalmology: Eye-related conditions.

• Anaesthesiology: Topics related to anaesthesia.

• Traumatology: Injuries and their management.

Other important areas include the diagnosis and management of common surgical ailments, pre-operative and post-operative care, medicolegal and ethical issues, wound healing, fluid and electrolyte management, and the pathophysiology and management of shock.

2. Gynaecology and Obstetrics

This section covers Obstetrics, Gynaecology and Family Planning. The syllabus includes the following topics:

Obstetrics

• Ante-natal conditions.

• Intra-natal conditions.

• Post-natal conditions.

• Management of normal and complicated labour.

Gynaecology

• Applied anatomy.

• Applied physiology of menstruation and fertilisation.

• Infections in the genital tract.

• Neoplasms in the genital tract.

• Displacement of the uterus.

• Normal delivery and safe delivery practices.

• High-risk pregnancy and its management.

• Abortions.

• Intrauterine growth retardation.

• Medicolegal examination in Obstetrics and Gynaecology, including rape.

Family Planning

• Conventional contraceptives.

• IUCD and oral pills.

• Operative procedures and sterilisation.

• Organisation of family planning programmes in urban and rural areas.

• Medical Termination of Pregnancy.

3. Preventive and Social Medicine

Preventive and Social Medicine focuses on community health, disease prevention and health administration. The syllabus includes:

• 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.

• Monitoring of National Health Programmes.

• Maternal and Child Wellness.

• Recognition, investigation, reporting, planning and management of community health problems, including malnutrition and emergencies.

UPSC CMS Marking Scheme

The Exam follows an objective-type format. Each question has four alternative answers. Candidates must select the correct option.

There is negative marking for incorrect answers. The marking rules are as follows:

Candidates should carefully mark their responses because selecting more than one option is considered an incorrect answer, even if one of the selected options is correct.

The use of calculators is not permitted in the objective-type papers. Candidates must not bring calculators into the examination hall.

The Commission also has the discretion to fix qualifying marks in either or both papers.

Also Read - UPSC CMS Eligibility Criteria 2026 

UPSC CMS Personality Test: Marks and Assessment

Candidates who qualify in the Computer-Based Examination are called for the Personality Test conducted by the Union Public Service Commission. This stage carries 100 marks.

The Personality Test supplements the written examination. It assesses candidates' general knowledge and their understanding of subjects related to their academic studies.

The interview also evaluates the following qualities:

• Intellectual curiosity.

• Critical powers of assimilation.

• Balance of judgement.

• Alertness of mind.

• Ability for social cohesion.

• Integrity of character.

• Initiative.

• Capability for leadership.

The assessment focuses on the candidate's knowledge, judgement, personality and other qualities mentioned in the examination scheme.

The UPSC CMS Subject-Wise Weightage provides a clear understanding of the question distribution across both Computer-Based Examination papers. Paper I contains 96 General Medicine and 24 Paediatrics questions. Paper II has 40 questions each from Surgery, Gynaecology and Obstetrics, and Preventive and Social Medicine.

The written examination carries 500 marks, followed by a 100-mark Personality Test. Candidates should understand the syllabus, question distribution and negative marking rules before appearing for the examination.