# UPSC CMS PYQ: Previous Year Question Papers 2019–2026

> UPSC CMS papers from 2019 to 2026 from UPSC, with the exam pattern, marks and papers each cycle. Official PDFs only.

Source: https://previousyearquestions.app/cms/

This page lists CMS previous year question papers for 8 years, 2019 to 2026, with 16 official PDFs (question papers and answer keys). CMS (Combined Medical Services Examination) is conducted by the Union Public Service Commission (UPSC) and covers General Medicine and Paediatrics and Surgery, OBG and PSM. Pick a year below for the paper, answer key and a timed practice plan; confirm dates and pattern on upsc.gov.in.

Explore: <a href="#year-wise-question-papers">Question papers by year</a> · <a href="/cms/syllabus-pattern/">Syllabus & pattern</a> · <a href="/pyq/">All exams</a> · <a href="/guides/how-to-use-previous-year-papers/">How to use PYQs</a>

UPSC CMS is the UPSC Combined Medical Services Examination, which recruits medical officers for the railways, ordnance factories, Central Health Service, New Delhi Municipal Council and Municipal Corporation of Delhi. This hub hosts every question paper UPSC has posted for the exam from 2019 to 2026, with a link to the original on upsc.gov.in.

## Exam pattern at a glance

The written test has two objective papers of 2 hours and 250 marks each. Paper I carries General Medicine (96 questions) and Paediatrics (24 questions). Paper II carries Surgery, Gynaecology and Obstetrics, and Preventive and Social Medicine, 40 questions each. Together that is 120 questions per paper and 500 marks. Wrong answers lose one-third of the marks for the question. A 100-mark Personality Test follows for those who qualify.

| Stage or paper | Subject | Marks and format |
|---|---|---|
| Paper I | General Medicine (96 Q) and Paediatrics (24 Q) | 120 questions, 250 marks, 2 hours |
| Paper II | Surgery, Gynaecology and Obstetrics, Preventive and Social Medicine (40 Q each) | 120 questions, 250 marks, 2 hours |
| Marking | Negative marking | One-third of the marks for a wrong answer |
| Personality Test | Interview | 100 marks |

## Year-wise question papers

<div class="card-grid-wrapper">

  <Card title="UPSC CMS 2026" icon="lucide:calendar" link="/cms/2026/">
    Latest two papers from UPSC.
  </Card>
  <Card title="UPSC CMS 2025" icon="lucide:calendar" link="/cms/2025/">
    Paper I and Paper II, a clean timed attempt.
  </Card>
  <Card title="UPSC CMS 2024" icon="lucide:calendar" link="/cms/2024/">
    Both papers; good for tracking subject split.
  </Card>
  <Card title="UPSC CMS 2023" icon="lucide:calendar" link="/cms/2023/">
    Use for a Surgery, OBG and PSM revision cycle.
  </Card>
  <Card title="UPSC CMS 2022" icon="lucide:calendar" link="/cms/2022/">
    Standard two-paper structure.
  </Card>
  <Card title="UPSC CMS 2021" icon="lucide:calendar" link="/cms/2021/">
    Two-paper set for a full-length mock.
  </Card>
  <Card title="UPSC CMS 2020" icon="lucide:calendar" link="/cms/2020/">
    Pandemic-year cycle on the same pattern.
  </Card>
  <Card title="UPSC CMS 2019" icon="lucide:calendar" link="/cms/2019/">
    UPSC named these Paper-I and Paper-II files CMSE-2019.
  </Card>

</div>

## What is hosted per year

| Year | Papers hosted | Total size |
|---|---|---|
| 2026 | 2 | 35.1 MB |
| 2025 | 2 | 38.7 MB |
| 2024 | 2 | 35.9 MB |
| 2023 | 2 | 29.3 MB |
| 2022 | 2 | 41.0 MB |
| 2021 | 2 | 36.1 MB |
| 2020 | 2 | 0.2 MB |
| 2019 | 2 | 0.3 MB |

UPSC's previous-papers page lists question papers only for this exam. It carries no answer keys, so none are hosted here.

## How to use these papers

1. Pick the paper or papers your path needs from the pattern table above and ignore the rest.
2. Sit one full paper at the real duration, then stop when the clock ends.
3. Mark each miss as concept, calculation, time or misread, and revise only the logged items.
4. Move to an older year only after the newest paper is reviewed.

<a href="/cms/syllabus-pattern/">UPSC CMS syllabus & pattern →</a>

## FAQ

### How many questions are in each CMS paper?
Each paper has 120 questions and carries 250 marks over 2 hours.

### What is the subject split in CMS?
Paper I is General Medicine (96) and Paediatrics (24). Paper II is Surgery, Gynaecology and Obstetrics, and Preventive and Social Medicine, 40 each.

### Is there negative marking in CMS?
Yes, one-third of the marks assigned to the question for each wrong answer.

### Does this site host CMS answer keys?
UPSC does not list CMS keys on the previous-papers page, so only the official question papers are hosted here.

### Where do these papers come from?
Every PDF on this hub is UPSC's own file from upsc.gov.in, with a link to UPSC's original on each year page.