UPSC CMS (UPSC Combined Medical Services Examination) — Free Online Mock Test

UPSC CMS exam at a glance

UPSC CMS key facts & eligibility

Who is eligible for UPSC CMS?

An MBBS degree (candidates in their final year/internship may apply as specified), Indian citizenship (with the usual exceptions for Nepal/Bhutan), within the prescribed age limit.

Last verified July 2026 against UPSC — official website. Always confirm current details on the official website before you register.

UPSC CMS section breakdown

The UPSC CMS mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.

• Paper I — General Medicine (96 Q)
  96 questions · 96 minutes · ~60 sec/question
• Paper I — Paediatrics (24 Q)
  24 questions · 24 minutes · ~60 sec/question
• Paper II — Surgery (40 Q)
  40 questions · 40 minutes · ~60 sec/question
• Paper II — Gynaecology & Obstetrics (40 Q)
  40 questions · 40 minutes · ~60 sec/question
• Paper II — Preventive & Social Medicine (40 Q)
  40 questions · 40 minutes · ~60 sec/question

UPSC CMS scoring & marking scheme

Strategy: UPSC CMS penalises wrong answers (-0.6944444444444445 per mistake). Skip a question if you cannot eliminate at least 2 options — guessing blindly hurts your scaled score more than blanking.

Scale: UPSC CMS (500 marks, 1/3 negative).

How UPSC CMS is conducted

• Mode
  Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
• Test format
  Linear / fixed-form — every candidate sees the same number of questions per section.
• Backtracking
  Allowed — you can revisit and change answers within a section.
• Mark for review
  Available — flag tough questions and return to them before submitting the section.

Tools available during the UPSC CMS exam

• Lab Values
  Built-in lab values reference table (USMLE-style).

Wrexa Edge renders these tools inside the mock test exactly as they appear on the real UPSC CMS exam — same shortcuts, same behaviour.

UPSC CMS time strategy

With 240 questions in 240 minutes, you have about 60 seconds per question on average. Successful candidates aim for the following pacing on each section:

• Paper I — General Medicine (96 Q)
  Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
• Paper I — Paediatrics (24 Q)
  Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
• Paper II — Surgery (40 Q)
  Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
• Paper II — Gynaecology & Obstetrics (40 Q)
  Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.
• Paper II — Preventive & Social Medicine (40 Q)
  Target ~60 sec/question. If a question takes more than 90 seconds, mark for review and move on.

Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.

UPSC CMS topics covered

Across the 50 Wrexa Edge variants of UPSC CMS, the following topics appear most often (sample distribution from one variant):

Paper I — General Medicine (96 Q)

• Clinical — Cardiology · 4
• Clinical — Respiratory · 4
• Clinical — Gastroenterology · 4
• Clinical — Endocrinology · 4
• Clinical — Neurology · 4
• Clinical — Infectious Disease · 3
• Clinical — Renal · 3
• Clinical — Surgery · 3

Paper I — Paediatrics (24 Q)

• Paediatrics — Growth & Development · 11
• Paediatrics — Nutrition · 8
• Paediatrics — Neonatology · 5

Paper II — Surgery (40 Q)

• Surgery — Trauma & Emergency · 11
• Surgery — Oncology · 11
• Surgery — Urology · 11
• Surgery — GI & Hepatobiliary · 5
• Surgery — Vascular & Thoracic · 2

Paper II — Gynaecology & Obstetrics (40 Q)

• Obstetrics — Complications · 13
• Gynaecology — Menstrual & Endocrine · 12
• Gynaecology — Infections & Tumours · 10
• Obstetrics — Antenatal & Labour · 5

Paper II — Preventive & Social Medicine (40 Q)

• PSM — Communicable Diseases · 15
• PSM — Biostatistics · 13
• PSM — Nutrition & Health · 7
• PSM — Epidemiology · 5

UPSC CMS difficulty calibration

Advanced tier. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep.

UPSC Combined Medical Services — computer-based recruitment exam for medical officers. Two papers of 120 MCQ, 2 hours each, 250 marks each. Paper I: General Medicine & Paediatrics. Paper II: Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine. 1/3 negative marking. · Official language: English & Hindi.

Verified content — Wrexa Edge's UPSC CMS bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).

How Wrexa Edge prepares you for UPSC CMS

• Real test-day interface
  Our vignette skin mirrors the actual UPSC CMS testing software — same timer, palette, tools, and navigation.
• 50 distinct variants
  12000 unique practice questions, each variant a fresh test — not just shuffled options.
• Detailed analytics
  Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
• Spaced repetition (Notebook)
  Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
• Optional proctoring
  Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
• Free to start
  No credit card. Sign up, pick a variant, and your first UPSC CMS mock starts in under a minute.

Expert take: what UPSC CMS really tests

UPSC CMS is an MBBS-level exam: two computer-based papers of 250 marks each (General Medicine/Paediatrics and Surgery/O&G/PSM) with 1/3 negative marking, then a 100-mark Personality Test. Broad clinical revision plus disciplined negative-marking management decide the written stage.

UPSC CMS study plan

A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.

Where UPSC CMS can take you

A strong UPSC CMS result opens up these careers and higher-study paths:

• Medical officer in government
  CMS leads to medical-officer posts in central government health services and PSUs.
• Public-health & clinical roles
  Work across railways, municipal services and central health services.
• Stable government career
  A permanent medical-officer career with structured pay and growth.
• MBBS-level entry
  A direct route for MBBS graduates into government medical service.

Best books & official prep for UPSC CMS

• Standard MBBS subject texts + UPSC CMS guides — Various
  The exam is MBBS-level; revise the core clinical subjects and practise CMS-style MCQs.
• Previous-year UPSC CMS papers — Various
  Reveal the MCQ pattern and manage the 1/3 negative marking.

Official practice: Prepare from the official UPSC notification on upsc.gov.in; revise General Medicine, Paediatrics, Surgery, O&G and PSM to MBBS level and practise MCQs against the negative marking.

Previous-year papers: Previous UPSC CMS papers are widely available and reflect the current two-paper pattern.

Frequently asked questions

What is the UPSC CMS exam pattern?

UPSC Combined Medical Services Examination contains 240 questions across 5 sections: Paper I — General Medicine (96 Q), Paper I — Paediatrics (24 Q), Paper II — Surgery (40 Q), Paper II — Gynaecology & Obstetrics (40 Q), Paper II — Preventive & Social Medicine (40 Q). Total duration is 240 minutes (about 60 seconds per question).

Does UPSC CMS have negative marking?

Yes — UPSC CMS carries negative marking of -0.6944444444444445 per wrong answer and 2.0833333333333335 per correct answer. Skipping is safer than guessing blindly.

How is UPSC CMS scored?

Scaled score range: 0 to 500. UPSC CMS (500 marks, 1/3 negative).

How can I practise UPSC CMS online for free?

Wrexa Edge gives you 10 free full-length UPSC CMS mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.

What is the difficulty level of UPSC CMS?

UPSC CMS is rated Advanced difficulty on Wrexa Edge. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep. UPSC Combined Medical Services — computer-based recruitment exam for medical officers. Two papers of 120 MCQ, 2 hours each, 250 marks each. Paper I: General Medicine & Paediatrics. Paper II: Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine. 1/3 negative marking. · Official language: English & Hindi.

How long is the UPSC CMS exam?

UPSC CMS runs for 240 minutes total across 5 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.

What topics are covered in UPSC CMS?

UPSC CMS is split into: Paper I — General Medicine (96 Q), Paper I — Paediatrics (24 Q), Paper II — Surgery (40 Q), Paper II — Gynaecology & Obstetrics (40 Q), Paper II — Preventive & Social Medicine (40 Q). Each section is timed and weighted separately. UPSC Combined Medical Services — computer-based recruitment exam for medical officers. Two papers of 120 MCQ, 2 hours each, 250 marks each. Paper I: General Medicine & Paediatrics. Paper II: Surgery, Gynaecology & Obstetrics, and Preventive & Social Medicine. 1/3 negative marking. · Official language: English & Hindi.

What tools or aids are allowed during UPSC CMS?

Built-in lab values reference table (USMLE-style).

Is the UPSC CMS test adaptive?

No — UPSC CMS is a fixed-form (linear) test. Every candidate sees the same number of questions per section.

How many UPSC CMS mock tests does Wrexa Edge offer?

Wrexa Edge generates 50 distinct UPSC CMS variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 12000 unique practice questions in the real test-day interface.

Is there a free UPSC CMS test series 2026?

Yes. The Wrexa Edge UPSC CMS test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.

Are UPSC CMS previous year question–style papers included?

Every UPSC CMS mock is modelled on the official exam pattern and the style of previous years' papers — the same 240-question structure, sections and marking — so your practice mirrors the real paper you'll sit.

Which is the best free UPSC CMS mock test online?

Wrexa Edge's UPSC CMS mock test replicates the real exam interface, timing and negative marking, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.

Can I take the UPSC CMS mock test on mobile?

Yes. UPSC CMS mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.

What is the UPSC CMS syllabus?

The UPSC CMS syllabus maps to its 5 sections: Paper I — General Medicine (96 Q), Paper I — Paediatrics (24 Q), Paper II — Surgery (40 Q), Paper II — Gynaecology & Obstetrics (40 Q), Paper II — Preventive & Social Medicine (40 Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.

What is the eligibility for UPSC CMS?

Eligibility for UPSC CMS — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic UPSC CMS practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.

When is the UPSC CMS exam and how should I prepare?

Official UPSC CMS exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 10 free UPSC CMS mocks with instant scoring so you can track your readiness week by week.

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