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UPSC CMS (Combined Medical Services) सिलेबस 2026

2026 के लिए संपूर्ण UPSC CMS (Combined Medical Services) सिलेबस — कुल मिलाकर 5 सेक्शन और 81 टॉपिक, बिल्कुल वैसे व्यवस्थित जैसा Union Public Service Commission (UPSC) निर्धारित करता है। इसे अपनी रिवीज़न चेकलिस्ट के रूप में इस्तेमाल करें, फिर नीचे एक फ्री UPSC CMS (Combined Medical Services) मॉक से खुद को परखें।

General Medicine (Paper I, Part A — 96 प्रश्न / 200 अंक)15 टॉपिक

  • हृदय-रक्तवाहिका: इस्केमिक हृदय रोग (AHA के अनुसार STEMI/NSTEMI निदान और प्रबंधन), उच्च रक्तचाप (JNC 8 / ACC-AHA स्टेजिंग, एंटीहाइपरटेंसिव ड्रग वर्ग), अतालता (AF, VT, हार्ट ब्लॉक — ECG पहचान), रूमेटिक हृदय रोग और संक्रामक एंडोकार्डाइटिस (Duke criteria)
  • Respiratory: bronchial asthma (GINA stepwise management), COPD (GOLD staging), community-acquired और hospital-acquired pneumonia, tuberculosis (NTEP regimens, MDR/XDR-TB, IGRA vs Mantoux), pulmonary embolism, ARDS (Berlin definition)
  • Gastroenterology और hepatology: GERD, peptic ulcer disease और H. pylori eradication, inflammatory bowel disease (UC vs Crohn's), acute और chronic liver disease, viral hepatitis A-E, cirrhosis complications (variceal bleed, hepatic encephalopathy, SBP), acute pancreatitis (Atlanta classification)
  • एंडोक्राइनोलॉजी: diabetes mellitus (ADA diagnostic criteria, OHA classes, insulin regimens, DKA/HHS management), thyroid disorders (hypo/hyperthyroidism, thyroid storm, myxoedema coma), adrenal disorders (Cushing's, Addison's), pituitary axis basics
  • Nephrology: AKI (KDIGO staging), CKD (eGFR staging, dialysis indications), glomerular diseases (nephritic vs nephrotic syndromes), urinary tract infections, electrolyte और acid-base disorders
  • Neurology: stroke (ischaemic vs haemorrhagic, thrombolysis window), seizures और epilepsy (status epilepticus management), meningitis और encephalitis, peripheral neuropathies (GBS, diabetic neuropathy), headache disorders (migraine, cluster, tension), Parkinson's disease
  • इन्फ़ेक्शियस डिज़ीज़ेज़: HIV/AIDS (NACO ART guidelines, opportunistic infections), malaria (P. falciparum vs vivax, NVBDCP treatment protocol), dengue (warning signs, fluid management), enteric fever, leptospirosis, COVID-19 (clinical course, management, vaccination)
  • हीमैटोलॉजी: anaemias (iron deficiency, megaloblastic, haemolytic — sickle cell, thalassaemia), leukaemia basics (AML/ALL/CML/CLL), lymphomas (Hodgkin staging), bleeding disorders (haemophilia, ITP, DIC)
  • Rheumatology: rheumatoid arthritis (ACR criteria), SLE (SLICC criteria), seronegative spondyloarthropathies, gout और pseudogout, vasculitides (Takayasu, GPA, Kawasaki overview)
  • Nutritional और metabolic disorders: protein-energy malnutrition, vitamin deficiencies (A, D, B-complex), obesity (भारतीय जनसंख्या के लिए BMI cut-offs), metabolic syndrome
  • Dermatology (Medicine में सम्मिलित): psoriasis, eczema, leprosy (NLEP classification — paucibacillary vs multibacillary), scabies, आम STIs
  • Psychiatry (Medicine में सम्मिलित): depression (DSM-5/ICD-10 criteria), schizophrenia, bipolar disorder, anxiety disorders, substance use, suicide risk assessment
  • Emergency medicine: poisoning (OP poisoning + atropine/PAM, paracetamol + NAC, snake bite + ASV), shock classification और management
  • Drugs और prescribing: essential drugs list, drug-induced hepatitis, antimicrobial stewardship basics
  • clinical scenarios से संबंधित ECG, ABG, X-ray और basic ultrasound interpretation

Paediatrics (Paper I, Part B — 24 सवाल / 50 अंक)15 टॉपिक

  • Neonatology: APGAR scoring, Neonatal Resuscitation Programme (NRP) algorithm, neonatal jaundice (physiological vs pathological, Kramer staging, phototherapy thresholds), prematurity और low birth weight classification
  • Growth और development: anthropometric measurements (weight, length, head circumference, MUAC), milestones (gross motor, fine motor, language, social), failure to thrive
  • इम्युनाइज़ेशन: Universal Immunisation Programme (UIP) schedule, Mission Indradhanush, vaccine cold chain, contraindications, AEFI classification
  • Nutrition और PEM: kwashiorkor vs marasmus, IAP classification of malnutrition, severe acute malnutrition (SAM) management, complementary feeding, exclusive breastfeeding (WHO/IYCF)
  • आम paediatric infections: acute diarrhoeal disease और ORS (WHO low-osmolarity ORS), zinc supplementation, acute respiratory infections (IMNCI classification), measles, mumps, rubella, chickenpox, pertussis
  • बच्चों में Tuberculosis: NTEP paediatric regimen, BCG, बच्चों में Mantoux interpretation
  • कॉन्जेनिटल हार्ट डिज़ीज़: acyanotic (VSD, ASD, PDA, coarctation) vs cyanotic (TOF, TGA), murmur recognition, neonatal cyanosis evaluation
  • पीडियाट्रिक हीमैटोलॉजी: nutritional anaemias, thalassaemia major (transfusion, chelation), sickle cell disease, ITP
  • Genetic और chromosomal disorders: Down syndrome (trisomy 21 features), Turner, Klinefelter, inborn errors of metabolism overview (PKU, galactosaemia, MSUD)
  • पीडियाट्रिक न्यूरोलॉजी: febrile seizures, cerebral palsy classification, neural tube defects, developmental delay screening
  • IMNCI और IMCI: triage assessment, under-fives में danger signs, treatment algorithms
  • Adolescent health: RKSK programme, किशोरियों में anaemia, menstrual hygiene, mental health screening
  • Paediatric emergencies: बच्चों में shock, status asthmaticus, बच्चों में DKA, accidental poisoning
  • बाल स्वास्थ्य के लिए राष्ट्रीय कार्यक्रम: RBSK, JSSK, Janani Suraksha Yojana, POSHAN Abhiyaan, Anaemia Mukt Bharat
  • न्यूबॉर्न स्क्रीनिंग: hearing screening, ROP screening, congenital hypothyroidism

Surgery (Paper II, Part A — 40 सवाल, ENT, Ophthalmology, Anaesthesia, Orthopaedics शामिल)15 टॉपिक

  • अक्यूट एब्डोमेन: appendicitis (Alvarado score), acute cholecystitis (Tokyo guidelines), intestinal obstruction (small bowel vs large bowel, sigmoid volvulus), perforation peritonitis
  • हर्निया: inguinal (direct vs indirect, NYHUS/Gilbert), femoral, umbilical, incisional, strangulation vs obstruction
  • ब्रेस्ट: triple assessment (clinical + imaging + FNAC/core), breast cancer staging (TNM), benign breast disease (fibroadenoma, fibrocystic), Paget's disease
  • थायरॉयड: solitary thyroid nodule workup, thyroid cancer (papillary, follicular, medullary, anaplastic), retrosternal goitre + Pemberton sign, thyroidectomy complications
  • यूरोलॉजी: BPH (IPSS scoring, TURP), urolithiasis (calcium oxalate, struvite, uric acid), carcinoma prostate (Gleason scoring, PSA), bladder cancer, renal cell carcinoma
  • Orthopaedics: fracture classification (open fractures के लिए Gustilo-Anderson, femoral neck के लिए Garden), osteoarthritis vs rheumatoid arthritis, osteomyelitis, congenital DDH, club foot (Ponseti method)
  • Anaesthesia: airway assessment (Mallampati grading), ASA physical status grades, आम induction agents (propofol, thiopentone, ketamine), inhalational agents, local anaesthetics (toxicity, max doses), spinal vs epidural anaesthesia
  • ENT: otitis media (ASOM, CSOM tubotympanic vs atticoantral), otosclerosis, sinusitis, allergic rhinitis, tonsillectomy के लिए tonsillitis indications, laryngeal cancer, head और neck cancers overview
  • ऑप्थैल्मोलॉजी: cataract (types, IOL), glaucoma (open-angle vs angle-closure), refractive errors (myopia, hypermetropia, astigmatism, presbyopia), diabetic retinopathy (NPDR/PDR), ROP screening, conjunctivitis types, NPCB programme
  • Burns: Wallace rule of 9, fluid resuscitation के लिए Parkland formula, burn depth assessment, escharotomy indications
  • Trauma: ATLS primary और secondary survey, Glasgow Coma Scale, head injury management (CT indications, ICP), chest trauma (tension pneumothorax, flail chest, cardiac tamponade)
  • वैस्कुलर सर्जरी: peripheral arterial disease (Fontaine classification), DVT (Wells score, prophylaxis), varicose veins
  • हेपेटोबिलियरी: gallstone disease, obstructive jaundice workup, pancreatic carcinoma (Whipple), liver abscess (amoebic vs pyogenic)
  • Colorectal: haemorrhoids (grading), fissure-in-ano, fistula (Park's classification), carcinoma colon और rectum (Dukes, TNM)
  • Skin और soft tissue: cellulitis, necrotising fasciitis, lipoma, sebaceous cyst, basal cell carcinoma, squamous cell carcinoma, melanoma (Breslow, Clark)

Gynaecology & Obstetrics (Paper II, Part B — 40 सवाल)16 टॉपिक

  • Antenatal care: WHO 8-contact ANC schedule, booking visit investigations, supplementation (iron-folic acid, calcium), tetanus immunisation, pregnancy में ultrasound (NT scan, anomaly scan, growth scan)
  • Gestational diabetes: DIPSI single-step 75g OGTT (भारतीय मानक), IADPSG criteria, management (MNT + insulin), postpartum follow-up
  • हाइपरटेंसिव डिसऑर्डर्स ऑफ़ प्रेग्नेंसी: gestational hypertension, pre-eclampsia (severe features), eclampsia management (MgSO4 — Pritchard/Zuspan regimens), HELLP syndrome
  • एंटीपार्टम हेमरेज: placenta praevia (types, management), abruptio placentae, vasa praevia
  • Postpartum haemorrhage: कारण (4 Ts — tone, trauma, tissue, thrombin), uterotonics (oxytocin, methergine, carboprost, misoprostol), B-Lynch suture, balloon tamponade, internal iliac ligation
  • ऑपरेटिव ऑब्स्टेट्रिक्स: vacuum vs forceps (indications, contraindications), Caesarean section indications (NICE classification 1-4), VBAC criteria
  • मेंस्ट्रुअल डिसऑर्डर्स: AUB-PALM-COEIN classification (FIGO), DUB, dysmenorrhoea, amenorrhoea (primary vs secondary workup)
  • PCOS: Rotterdam criteria (3 में से 2), insulin resistance, management (lifestyle, metformin, OCPs, ovulation induction के लिए letrozole)
  • Uterine fibroids: FIGO classification (0-8), pregnancy में red degeneration, myomectomy vs hysterectomy
  • सर्वाइकल कैंसर: HPV vaccination (Cervavac, quadrivalent, nonavalent), VIA/VILI screening, Pap smear, colposcopy, FIGO staging, surgical vs radiation management
  • Endometrial और ovarian cancers: risk factors, staging, screening limitations (CA-125)
  • कॉन्ट्रासेप्शन: Cu-T 380A, hormonal IUDs (LNG-IUS), combined OCPs, POPs, injectables (DMPA), emergency contraception (levonorgestrel, ulipristal, Cu-T as EC), sterilisation (tubectomy, vasectomy)
  • Medical Termination of Pregnancy: MTP Amendment Act 2021 — एक doctor की राय पर 20 हफ़्ते तक, दो doctors की राय पर विशेष श्रेणियों (rape survivors, minors, foetal anomalies) के लिए 20-24 हफ़्ते, 24 हफ़्ते से आगे के लिए foetal anomaly board
  • Infertility: workup (WHO 2021 के अनुसार semen analysis, HSG/SSG/laparoscopy से tubal patency, ovulation studies), ovulation induction (clomiphene, letrozole), ART overview (IUI, IVF, ICSI)
  • Menopause: physiology, vasomotor symptoms, osteoporosis (T-score, DEXA), hormone replacement therapy के जोखिम और लाभ
  • Genital tract infections: vaginitis (candidial, bacterial, trichomonas), PID, NACO के अनुसार syndromic management

Preventive & Social Medicine (Paper II, Part C — 40 सवाल, परीक्षा में सबसे ऊँचा PSM वेटेज)20 टॉपिक

  • स्वास्थ्य और रोग की अवधारणाएँ: WHO परिभाषा, natural history of disease, levels of prevention (primordial, primary, secondary, tertiary), iceberg phenomenon
  • एपिडेमियोलॉजिकल मेज़रमेंट्स: incidence, prevalence (point vs period), attack rate, secondary attack rate, case fatality rate, mortality rates (crude, age-specific, cause-specific), standardisation
  • Study designs: descriptive, cross-sectional, case-control (odds ratio), cohort (relative risk, attributable risk), RCT (allocation concealment, blinding, intention-to-treat), systematic review और meta-analysis
  • डायग्नोस्टिक टेस्ट इवैल्यूएशन: sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratios, ROC curve, screening criteria (Wilson-Jungner)
  • Biostatistics: mean/median/mode, standard deviation vs standard error, normal distribution, parametric vs non-parametric tests, t-test, chi-square, ANOVA, correlation और regression, p-value और confidence intervals
  • Demography: NFHS-5 (2019-21) प्रमुख indicators — Total Fertility Rate, Infant Mortality Rate, Maternal Mortality Ratio, Under-5 Mortality Rate, sex ratio at birth, contraceptive prevalence — और NFHS-3/4 से NFHS-5 तक के trends
  • वाइटल स्टैटिस्टिक्स: crude birth rate, crude death rate, age-specific rates, demographic transition, dependency ratio, Sample Registration System
  • National Health Mission: NRHM → NHM evolution, ASHA, ANM, PHC/CHC/SDH पदानुक्रम और IPHS standards, Ayushman Bharat के तहत Health and Wellness Centres
  • नेशनल डिज़ीज़ कंट्रोल प्रोग्राम्स: NTEP (Nikshay portal, BPaLM regimen), NLEP (leprosy elimination), NVBDCP (malaria, dengue, chikungunya, kala-azar, lymphatic filariasis, JE), NPCDCS (NCDs), NPCB&VI, NMHP, NTCP, IDSP/IHIP
  • Reproductive, Maternal, Newborn, Child और Adolescent Health: RCH-II, JSY, JSSK, LaQshya, SUMAN, RBSK, RKSK, POSHAN Abhiyaan, Anaemia Mukt Bharat, Mission Indradhanush 5.0
  • Ayushman Bharat: Pradhan Mantri Jan Arogya Yojana (PMJAY) — ₹5 lakh cover, SECC के ज़रिए eligibility, empanelment process, claim cycle; Health and Wellness Centres द्वारा comprehensive primary healthcare की delivery
  • Universal Immunisation Programme: पूरा schedule (BCG, OPV, Hep B, Pentavalent, Rotavirus, PCV, fIPV, MR, JE, DPT booster, TT/Td), cold chain (ILR, deep freezer, vaccine carrier, ice pack), WHO EPI
  • Occupational health: silicosis (mining, stone-cutting), byssinosis (cotton), pneumoconioses, lead poisoning (Burton's line, basophilic stippling), benzene, mercury, Factories Act 1948 के medical प्रावधान, ESI Act
  • एनवायरनमेंटल हेल्थ: water quality (WHO/BIS standards, residual chlorine, MPN coliform), water purification (slow sand filter, rapid sand filter, household methods), sanitation (Swachh Bharat Mission, twin-pit latrine), air pollution (NAAQS, NCAP), solid waste management
  • न्यूट्रिशन: Recommended Dietary Allowances (ICMR-NIN 2020), balanced diet, food fortification (salt iodisation, oil + vitamin A/D, wheat flour + iron), ICDS scheme (Anganwadi services), Mid-Day Meal/PM-POSHAN, National Nutritional Anaemia Prophylaxis Programme
  • Communicable disease epidemiology: chain of infection, modes of transmission, herd immunity threshold, R-naught, outbreak investigation steps, COVID-19 सबक़ (containment zones, contact tracing, vaccination drive)
  • Non-communicable diseases: NPCDCS के तहत hypertension और diabetes screening, cancer screening (oral, cervix, breast), tobacco control (COTPA 2003), mental health (Mental Healthcare Act 2017, District Mental Health Programme)
  • डिज़ास्टर मैनेजमेंट: NDMA structure, triage colour codes (red/yellow/green/black), START triage, mass casualty management, post-disaster epidemics
  • Health planning और policy: National Health Policy 2017 targets, NMC Act 2019, Clinical Establishments Act, IPHS standards, health financing (out-of-pocket expenditure, PMJAY impact)
  • International health: WHO structure और regions, SDG-3 targets और India की प्रगति, Alma-Ata 1978 और Astana 2018 declarations, IHR 2005

सिलेबस जान लिया — अब देखें आप कहां खड़े हैं।

UPSC CMS (Combined Medical Services) फ्री अभ्यास करें →