Medical Science

UPSC Medical Science 2026

All 16 questions from the 2026 Civil Services Mains Medical Science paper across 2 papers — 800 marks in total. Each question comes with a detailed evaluation rubric, directive word analysis, and model answer points.

16Questions
800Total marks
2Papers
2026Exam year

Paper I

8 questions · 400 marks
Q1
50M Compulsory describe

(a) Describe the hip joint under the following headings : (i) Factors responsible for its stability (ii) Arterial supply of upper end of femur along with mechanism of avascular ne…

Q2
50M discuss

(a) A 32-year-old male is brought to the emergency department following a road traffic accident. His clinical examination shows that his arm is adducted and medially rotated, elbo…

Q3
50M explain

(a) (i) 1. Name the ligaments of ovary and their role in ovarian torsion and its complications. 2. Explain the surgical importance of anatomical relations of structures in ovarian…

Q4
50M describe

(a) (i) Describe the cerebrospinal fluid (CSF) flow from site of production to its absorption. Write a note on the mechanism of its absorption. (5 marks) (ii) A 62-year-old hypert…

Q5
50M Compulsory state

(a) (i) State the therapeutic indications, drug interactions and side effects of Methotrexate. (5 marks) (ii) State the therapeutic indications, drug interactions and side effects…

Q6
50M describe

(a) (i) Define inflammation. Describe the cardinal features of acute inflammation. (10 marks) (ii) Describe the pathogenesis of secondary tuberculosis. Enumerate five microscopic…

Q7
50M classify

(a) (i) Classify neurotoxic poisons. Discuss in brief the clinical features, treatment and postmortem findings in acute poisoning by 'opiates'. (10 marks) (ii) Write a brief note…

Q8
50M enumerate

(a) (i) 1. Enumerate five agents of malaria in humans. 2. Describe in brief rapid diagnostic test (RDT) used for malaria and its advantages. 3. Mention the vaccine available for m…

Paper II

8 questions · 400 marks
Q1
50M Compulsory discuss

(a) Discuss the various sputum-based tests for the diagnosis of tuberculosis under the National Programme in India, along with their advantages and disadvantages. (10 marks) (b) D…

Q2
50M discuss

(a) A 20-year-old medical student presents with fever, dry cough, and right-sided chest pain. She also has loss of weight and loss of appetite. The chest X-ray shows right-sided p…

Q3
50M discuss

(a) An 18-year-old girl presents with episodic breathlessness, cough with sputum, chest tightness and wheezing for the last 4 years. She also complains of recurrent sneezing and n…

Q4
50M discuss

(a) A 45-year-old hepatitis-C positive patient presents with icterus, oliguria, abdominal distention and blood in stools. Discuss the investigations and management of this patient…

Q5
50M Compulsory enumerate

(a) Enumerate the causes of lower gastrointestinal bleeding in an adult. Discuss the management of actively bleeding haemorrhoids. (10 marks) (b) Briefly discuss the life cycle of…

Q6
50M enumerate

(a) (i) Describe the causes of occipito-posterior position and different modes of delivery in the occipito-posterior position. (ii) Define ‘Deep Transverse Arrest’ and enumerate t…

Q7
50M describe

(a) Describe the various complications of acute pancreatitis. Discuss the role of surgery in acute pancreatitis. (20 marks) (b) Under the National Rural Health Mission, explain th…

Q8
50M explain

(a) (i) What are the main objectives and key strategies of the National Strategic Plan (NSP) for Tuberculosis Elimination in India ? (ii) Explain the significance of the “Pradhan…

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