SYLLABUS OF PAPER-I: (a) General Medicine including the following: (i) Cardiology (ii) Respiratory diseases (iii) Gastro-intestinal (iv) Genito-Urinary (v) Neurology (vi) Hematology (vii) Endocrinology (viii) Metabolic disorders (ix) Infections/Communicable Diseases a) Virus b) Rickets c) Bacterial d) Spirochetal e) Protozoan f) Metazoan g) Fungus (x) Nutrition/Growth (xi) Diseases of the skin (Dermatology) (xii) Musculoskeletal System (xiii) Psychiatry (xiv) General (xv) Emergency Medicine (xvi) Common Poisoning (xvii) Snake bite (xviii) Tropical Medicine (xix) Critical Care Medicine (xx) Emphasis on medical procedures (xxi) Patho physiological basis of diseases (xxii) Vaccines preventable diseases and Non vaccines preventable diseases (xxiii) Vitamin deficiency diseases (xxiv) In psychiatry include – Depression, psychosis, anxiety, bipolar diseases and Schizophrenia. (b) Paediatrics including the following – (i) Common childhood emergencies, (ii) Basic new born care, (iii) Normal developmental milestones, (iv) Accidents and poisonings in children, (v) Birth defects and counselling including autism, (vi) Immunization in children, (vii) Recognizing children with special needs and management, and (viii) National programmes related to child health. SYLLABUS OF PAPER – II: (a) SURGERY (Surgery including ENT, Ophthalmology, Traumatology and Orthopaedics) (I) General Surgery i) Wounds ii) Infections iii) Tumours iv) Lymphatic v) Blood vessels vi) Cysts/sinuses vii) Head and neck viii) Breast ix) Alimentary tract a) Oesophagus b) Stomach c) Intestines d) Anus e) Developmental x) Liver, Bile, Pancreas xi) Spleen xii) Peritoneum xiii) Abdominal wall xiv) Abdominal injuries (II) Urological Surgery (III) Neuro Surgery (IV) Otorhinolaryngology E.N.T. (V) Thoracic surgery (VI) Orthopaedic surgery (VII) Ophthalmology (VIII) Anesthesiology (IX) Traumatology (X) Diagnosis and management of common surgical ailments (XI) Pre-operative and post-operative care of surgical patients (XII) Medicolegal and ethical issues of surgery (XIII) Wound healing (XIV) Fluid and electrolyte management in surgery (XV) Shock patho-physiology and management. (b) GYNAECOLOGY & OBSTETRICS (I) OBSTETRICS i) Ante-natal conditions ii) Intra-natal conditions iii) Post-natal conditions iv) Management of normal labours or complicated labour (II) GYNAECOLOGY i) Questions on applied anatomy ii) Questions on applied physiology of menstruation and fertilization iii) Questions on infections in genital tract iv) Questions on neoplasma in the genital tract v) Questions on displacement of the uterus vi) Normal delivery and safe delivery practices vii) High risk pregnancy and management viii) Abortions ix) Intra Uterine growth retardation x) Medicolegal examination in obgy and Gynae including Rape. (III) FAMILY PLANNING i) Conventional contraceptives ii) U.D. and oral pills iii) Operative procedure, sterilization and organization of programmes in the urban and rural surroundings iv) Medical Termination of Pregnancy (c) PREVENTIVE SOCIAL AND COMMUNITY MEDICINE I Social and Community Medicine II Concept of Health, Disease and Preventive Medicine III Health Administration and Planning IV General Epidemiology V Demography and Health Statistics VI Communicable Diseases VII Environmental Health VIII Nutrition and Health IX Non-communicable diseases X Occupational Health XI Genetics and Health XII International Health XIII Medical Sociology and Health Education XIV Maternal and Child Health XV National Programmes XVI Management of common health problems XVII Ability to monitor national health programmes XVIII Knowledge of maternal and child wellness XIX Ability to recognize, investigate, report, plan and manage community health problems including malnutrition and emergencies.

COMBINED MEDICAL SERVICES EXAMINATION, 2026

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