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: Question papers by year · Syllabus & pattern · All exams · How to use PYQs
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
UPSC CMS 2026
Latest two papers from UPSC.
UPSC CMS 2025
Paper I and Paper II, a clean timed attempt.
UPSC CMS 2024
Both papers; good for tracking subject split.
UPSC CMS 2023
Use for a Surgery, OBG and PSM revision cycle.
UPSC CMS 2022
Standard two-paper structure.
UPSC CMS 2021
Two-paper set for a full-length mock.
UPSC CMS 2020
Pandemic-year cycle on the same pattern.
UPSC CMS 2019
UPSC named these Paper-I and Paper-II files CMSE-2019.
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
- Pick the paper or papers your path needs from the pattern table above and ignore the rest.
- Sit one full paper at the real duration, then stop when the clock ends.
- Mark each miss as concept, calculation, time or misread, and revise only the logged items.
- Move to an older year only after the newest paper is reviewed.
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.