100+ Free UPSC CMS Practice Questions
Pass your Combined Medical Services Examination (UPSC CMS) exam on the first try — instant access, no signup required.
According to standard growth milestones, at approximately what age does a healthy infant typically begin to sit without support?
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Key Facts: UPSC CMS Exam
240
Total MCQs (120 per paper)
UPSC CMS Scheme of Examination
500
Written Marks (250 + 250)
UPSC CMS Scheme of Examination
1/3
Negative Marking per Wrong Answer
UPSC CMS notification
2 hours
Duration per Paper
UPSC CMS Scheme of Examination
Rs. 200
Application Fee (General/OBC male)
UPSC CMS notification
100 marks
Personality Test (Interview)
UPSC CMS Scheme of Examination
UPSC CMS is a once-a-year, computer-based exam recruiting MBBS doctors into Group A medical posts. The written stage has two 250-mark papers (500 total), each with 120 MCQs in 2 hours: Paper I covers General Medicine and Paediatrics; Paper II covers Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine. One-third negative marking applies per wrong answer, and qualifiers attend a 100-mark Personality Test.
Sample UPSC CMS Practice Questions
Try these sample questions to test your UPSC CMS exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 55-year-old man presents with crushing retrosternal chest pain radiating to the left arm for 30 minutes. His ECG shows ST-segment elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?
2Which of the following is the most common cause of community-acquired pneumonia in adults?
3A patient with longstanding diabetes develops bilateral lower-limb numbness in a 'stocking' distribution. This pattern is most characteristic of which complication?
4Which antitubercular drug is most commonly associated with optic neuritis as an adverse effect?
5A 30-year-old woman has fatigue, cold intolerance, weight gain, and constipation. Investigations show raised TSH and low free T4. What is the diagnosis?
6In a patient with chronic kidney disease, which type of anaemia is most typically seen and what is its principal mechanism?
7Which of the following ECG findings is most characteristic of hyperkalaemia?
8A young adult presents with massive haematemesis. Examination reveals splenomegaly, ascites, and dilated abdominal wall veins. What is the most likely underlying cause of the bleeding?
9Which one of the following is the drug of choice for acute anaphylaxis?
10A farm worker is brought in with pinpoint pupils, excessive salivation, muscle fasciculations, and difficulty breathing after pesticide exposure. Which antidote should be given first?
About the UPSC CMS Exam
The Combined Medical Services Examination (CMS) is a national, computer-based objective examination conducted once a year by the Union Public Service Commission (UPSC) to recruit MBBS-qualified medical officers into Group A government services such as the Central Health Service, Indian Railways, and Delhi municipal bodies. The written stage has two papers of 250 marks each, taken on the same day: Paper I covers General Medicine and Paediatrics, and Paper II covers Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine. Each paper contains 120 multiple-choice questions to be answered in two hours, with a negative marking of one-third of the marks for every wrong answer. Candidates who qualify the 500-mark written examination are called for a 100-mark Personality Test, giving a total of 600 marks. The questions are set in English at the MBBS standard.
Questions
240 scored questions
Time Limit
2 hours per paper (Paper I and Paper II)
Passing Score
Year-specific qualifying cut-off set by UPSC; no fixed pass mark is published
Exam Fee
Rs. 200 (General/OBC male); free for female, SC, ST, and PwBD candidates (Union Public Service Commission (UPSC))
UPSC CMS Exam Content Outline
General Medicine
Cardiology, respiratory, GI, genito-urinary, neurology, haematology, endocrinology, metabolic disorders, infectious diseases, dermatology, psychiatry, emergency medicine, and poisoning (96 questions in Paper I)
Paediatrics
Childhood emergencies, newborn care, developmental milestones, immunisation, nutrition, and national child-health programmes (24 questions in Paper I)
Surgery
General surgery, trauma, ENT, ophthalmology, orthopaedics, anaesthesia, urology, shock and fluid management, and surgical ethics (40 questions in Paper II)
Gynaecology & Obstetrics
Antenatal care, labour, obstetric emergencies, gynaecological disorders, contraception, and family planning (40 questions in Paper II)
Preventive & Social Medicine
Epidemiology, biostatistics, communicable diseases, environmental health, nutrition, demography, health planning, and national health programmes (40 questions in Paper II)
How to Pass the UPSC CMS Exam
What You Need to Know
- Passing score: Year-specific qualifying cut-off set by UPSC; no fixed pass mark is published
- Exam length: 240 questions
- Time limit: 2 hours per paper (Paper I and Paper II)
- Exam fee: Rs. 200 (General/OBC male); free for female, SC, ST, and PwBD candidates
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
UPSC CMS Study Tips from Top Performers
Frequently Asked Questions
What is the UPSC CMS examination?
The Combined Medical Services Examination (CMS) is a national computer-based exam conducted once a year by the Union Public Service Commission to recruit MBBS-qualified medical officers into Group A government services such as the Central Health Service and Indian Railways.
What is the exam pattern and how many questions are there?
The written stage has two papers of 250 marks each, taken on the same day. Each paper has 120 objective multiple-choice questions to be answered in two hours, for 240 questions in total. Qualified candidates then attend a 100-mark Personality Test.
What subjects are covered in Paper I and Paper II?
Paper I covers General Medicine (96 questions) and Paediatrics (24 questions). Paper II covers Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine, with 40 questions from each subject.
Is there negative marking in UPSC CMS?
Yes. One-third of the marks assigned to a question is deducted for each wrong answer. Marking more than one option counts as wrong, and there is no penalty for questions left unanswered.
What score do I need to pass?
UPSC does not publish a fixed pass mark. Instead it sets a year-specific qualifying cut-off (which varies by category) for the written examination, and final selection is based on combined written and Personality Test marks out of 600.
What is the application fee and who is exempt?
The application fee is Rs. 200 for General and OBC male candidates. Female candidates and those from SC, ST, and PwBD categories are exempt from the fee.
Who is eligible to apply for UPSC CMS?
Candidates must hold an MBBS degree (or have passed the final MBBS examination, completing internship before joining as required) and meet the age limit, generally 21 to 32 years with relaxations for reserved categories, along with nationality and physical-standard requirements.
How often is the exam held and is it online?
The CMS examination is conducted once a year as a computer-based test at designated centres across India. Both papers are taken on the same day, and the question paper is in English.