UPSC CMS 2026 Question Paper with Answer Key, Check Detailed Solution PDF

UPSC CMS 2026 Question Paper with Answer Key and Detailed Solutions will be available here for download in PDF format. Union Public Service Commission will conduct the Combined Medical Services Examination on August 2, 2026, in two sessions.

Download:- UPSC CMS Previous Year Question Paper and Answer Key PDF; Check Detailed Solutions

UPSC CMS 2026 Question Paper and Answer Key PDF

Question Paper PDF	Answer Key PDF	Detailed Solution
UPSC CMS 2026 General Medicine and Paediatrics Question Paper and Answer Key PDF (Aug 02, 2026)	Available Soon	Available Soon
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, & Preventive & Social Medicine Question Paper and Answer Key PDF (Aug 02, 2026)	Available Soon	Available Soon

UPSC CMS 2026 Exam Analysis

Previous UPSC CMS papers indicate that the overall difficulty level generally ranges from moderate to difficult. The examination has gradually shifted from straightforward factual questions to clinical scenarios, integrated concepts and multiple-statement questions.

Paper 1 usually requires strong clinical understanding because many questions present symptoms, investigation findings or treatment situations. Candidates must identify the diagnosis, appropriate investigation, possible complication or suitable line of management rather than simply recall a definition.

Paper 2 is generally moderate but covers a wider range of subjects. Surgery and Obstetrics questions frequently involve clinical decision-making, while Preventive and Social Medicine tests epidemiological concepts, health programmes, screening, biostatistics and public-health applications.

Analysis of papers from 2020 to 2025 shows that multiple-statement questions increased from about 18% in 2020 to more than half of the paper in some later years. Around 48% to 53% of questions in recent papers have followed a multiple-statement format, making conceptual accuracy and option elimination increasingly important.

UPSC CMS 2026 Difficulty Level

Clinical scenario-based questions generally take more time than direct factual questions. Candidates therefore need to balance speed with accuracy, especially because negative marking applies.

UPSC CMS 2026 Subject-Wise Weightage

The official scheme broadly defines the subjects covered in each paper. However, manual classification of the actual questions shows that effective subject weightage has varied across different years, particularly in 2024 and 2025.

Paper 1 Weightage

General Medicine remained the dominant subject in all six years. However, the share of Paediatrics increased considerably in 2024 and 2025, moving from approximately one-fifth of Paper 1 to nearly one-third.

Paper 2 2026 Weightage

Paper 2 maintained an almost equal subject distribution between 2020 and 2023. However, Preventive and Social Medicine received higher effective weightage in 2024 and 2025, accounting for more than 40% of the questions in those papers.

These figures are based on subject-wise classification of previous question papers and should not be treated as a fixed distribution for UPSC CMS 2026. Integrated questions may also cover concepts from more than one medical discipline.

UPSC CMS Important Topics

General Medicine and Paediatrics

Frequently tested General Medicine areas include:

• Cardiology and respiratory medicine
• Gastroenterology and hepatology
• Neurology and nephrology
• Endocrinology and haematology
• Infectious diseases
• Emergency medicine and toxicology
• Psychiatry and dermatology

In Paediatrics, candidates should prioritise neonatal care, paediatric emergencies, immunisation, growth and development, nutrition and common childhood infections.

Cardiology, pulmonology and infectious diseases were among the most prominent Paper 1 areas in the 2024 and 2025 papers, while gastroenterology and endocrinology had higher representation during 2021–2023.

Surgery

Important Surgery topics include General Surgery, gastrointestinal surgery, trauma, orthopaedics, pre-operative and post-operative management, anaesthesia, ENT and Ophthalmology. General Surgery and abdominal or gastrointestinal conditions have repeatedly contributed a substantial number of questions.

Gynaecology and Obstetrics

Candidates should focus on antenatal care, high-risk pregnancy, labour management, obstetric emergencies, postpartum complications, menstrual disorders, infertility, contraception and gynaecological malignancies. Obstetrics has received greater attention than Gynaecology in several recent papers.

Preventive and Social Medicine

Important PSM areas include:

• Epidemiology and biostatistics
• Screening tests
• National health programmes
• Communicable and non-communicable diseases
• Nutrition and environmental health
• Maternal and child health
• Vaccination and disease-prevention strategies

The recent increase in PSM weightage makes it an important scoring area for UPSC CMS 2026 preparation.

UPSC CMS 2026 Marking Scheme

Each question carries approximately 2.08 marks. One-third of the marks assigned to a question will be deducted for an incorrect answer. Selecting more than one option will also be treated as incorrect, even when one of the selected options is correct. No penalty is applied to an unanswered question.

Candidates can estimate their marks using the following method:

Estimated marks = Marks obtained from correct answers – Negative marks for incorrect answers

The score calculated using an unofficial answer key will remain provisional until UPSC publishes the official answer key.