UPSC CMS 2026 written examination was conducted by the Union Public Service Commission on Aug 02, 2026, as a single-day pen-paper-based test divided into two papers for 1,358 Medical Officer vacancies under Category I and Category II posts. The admit cards were released in the last week of July. This article provides the confirmed paper timings, exam pattern, negative marking rules and previous-year trends. The detailed difficulty level, candidate reactions and expected cutoff for UPSC CMS 2026 will be updated after reviewing both papers.
Also Check: UPSC CMS Question Paper 2026 With Answer Key PDF
UPSC CMS 2026 is a single-day written test for MBBS graduates, followed by a Personality Test for those who clear the papers.
| Particulars | Details |
|---|---|
| Exam Name | UPSC Combined Medical Services Examination 2026 |
| Conducting Body | Union Public Service Commission |
| Exam Date | 2 August 2026 |
| Mode | Offline |
| Papers | Paper 1 and Paper 2, same day |
| Total Questions | 240 (120 per paper) |
| Total Written Marks | 500 (250 per paper) |
| Negative Marking | One-third mark deducted per wrong answer; no penalty for unattempted |
| Personality Test | 100 marks |
| Final Merit | Out of 600 (written plus personality test) |
| Selection Stages | Written examination, Personality Test |
| Vacancies | 1358 (854 Category I, 494 Category II) |
Both papers fall on the same day, with a gap between the morning and afternoon sessions.
| Paper | Timing |
|---|---|
| Paper 1 | 9:30 AM to 11:30 AM |
| Paper 2 | 2:00 PM to 4:00 PM |
Candidates should reach the centre well before the reporting time on their individual admit card, since entry closes before each paper begins and the two papers cannot be attempted out of order.
Each paper carries 250 marks across 120 questions, with roughly 2.08 marks for every correct answer.
| Paper | Subjects | Questions | Marks | Duration |
|---|---|---|---|---|
| Paper 1 | General Medicine (96) and Paediatrics (24) | 120 | 250 | 2 hours |
| Paper 2 | Surgery, Gynaecology and Obstetrics, Preventive and Social Medicine (40 each) | 120 | 250 | 2 hours |
| Total | 240 | 500 | 4 hours |
Difficulty depends on the actual paper set on the day, so this cannot be rated before the exam happens. Ratings will replace the placeholders here once both papers are conducted.
| Paper | Difficulty Level |
|---|---|
| Paper 1 (General Medicine and Paediatrics) | Moderate to Difficult |
| Paper 2 (Surgery, Gynaecology and Obstetrics, PSM) | To be updated |
| Overall | To be updated |
A look at how the subject split within each paper has actually moved in recent cycles, ahead of the 2026 papers.
| Subject | Number of Questions | Difficulty Level | Good Attempts |
|---|---|---|---|
| General Medicine | 96 | Moderate to Difficult | To be Updated |
| Paediatrics | 24 | Moderate | To be Updated |
| Total | 120 | Moderate to Difficult | To be Updated |
Unlike the difficulty and cutoff figures, the qualifying threshold is fixed by rule rather than decided after the exam.
| Category | Minimum Qualifying Marks (per paper) |
|---|---|
| General, OBC, SC, ST | 30 percent |
| PH-1 | 20 percent |
With one-third of a mark deducted for every wrong answer, attempting only the questions a candidate is reasonably confident about matters more than attempting all 120 in each paper.
UPSC CMS 2026 cutoff will be available only after the written result is declared. The actual written stage UPSC CMS 2026 cutoff (out of 500) for Category I from the last four cycles is included here for reference.
| Category | 2025 | 2024 | 2023 | 2022 |
|---|---|---|---|---|
| General | 290.24 | 309 | 240 | 241 |
| OBC | 278.20 | Not available | 182 | 221 |
| SC | 243.30 | 260 | 197 | 210 |
| ST | 222.49 | 227 | 176 | 170 |
| EWS | 251.18 | 281 | 132 | 215 |
| Category | Expected Cutoff |
|---|---|
| General | To be updated |
| OBC | To be updated |
| SC | To be updated |
| ST | To be updated |
| EWS | To be updated |
A few instructions candidates should keep in mind heading into 2 August.
With the papers only a day or two away, revision should focus on recall speed rather than new topics.
UPSC CMS 2026 keeps the familiar two-paper, four-hour format for 1358 vacancies, with the same 120-question, 250-mark structure per paper and one-third negative marking that recent cycles have used. Difficulty and cutoff for this specific sitting cannot be set until both papers are actually conducted, so the confirmed pattern and past years' trend above are what aspirants have to plan around for now. The minimum qualifying percentage stays fixed by rule regardless of how the papers turn out, so meeting it is only the first threshold toward the eventual cutoff. Checking the admit card details and reaching the centre early matters as much as revision at this stage.
| Relevant Links | ||
|---|---|---|
| UPSC CMS Exam Pattern | UPSC CMS Syllabus | UPSC CMS Admit Card |
| UPSC CMS Previous Year Papers | UPSC CMS Selection Process | UPSC CMS Salary |
Ques: When is the UPSC CMS exam in 2026?
Ans: UPSC CMS 2026 is scheduled for 2 August 2026, with Paper 1 from 9:30 AM to 11:30 AM and Paper 2 from 2:00 PM to 4:00 PM on the same day.
Ques: How many questions are asked in UPSC CMS 2026?
Ans: UPSC CMS 2026 has 240 questions across two papers, 120 each worth 250 marks, made up of General Medicine and Paediatrics in Paper 1 and Surgery, Gynaecology and Obstetrics, and PSM in Paper 2.
Ques: Is there negative marking in UPSC CMS 2026?
Ans: Yes, one third of a mark is deducted for every wrong answer in both papers of UPSC CMS 2026. No marks are deducted for questions left unattempted.
Ques: What is the expected difficulty level of UPSC CMS 2026?
Ans: The difficulty level for this sitting will only be known once both papers are conducted on 2 August. Recent cycles have shifted more weight toward Paediatrics in Paper 1 and PSM in Paper 2 compared to earlier years.
Ques: What has the UPSC CMS written cutoff trend looked like in recent years?
Ans: The Category I General category written cutoff out of 500 has ranged roughly between 240 and 309 over the last four cycles, with 2024 recording the highest figure among the years covered here.
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