diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
index 1a1d0dec..ce7825ee 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
@@ -298,22 +298,20 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
                 AskTemplateQuestionLibrary questionLibrary = askQuestionMap.get(medicalRecQaVO.getLibraryQuestionId());
                 if (ObjectUtil.isNotEmpty(questionLibrary)) {
                     // 问题
+                    List<String> question = libraryMapQuestion.get(medicalRecQaVO.getLibraryQuestionId());
                     if (CollUtil.isNotEmpty(medicalRecQaVO.getQuestionList())){
-                        if (CollUtil.isNotEmpty(questionLibrary.getQuestion())){
-                            List<String> question = questionLibrary.getQuestion();
+                        if (CollUtil.isNotEmpty(question)){
                             question.remove(CollUtil.getFirst(medicalRecQaVO.getQuestionList()));
                             medicalRecQaVO.getQuestionList().addAll(question);
                         }
                     }else {
-                        medicalRecQaVO.setQuestionList(questionLibrary.getQuestion());
+                        medicalRecQaVO.setQuestionList(question);
                     }
 
                     // 类目
                     medicalRecQaVO.setDictId(questionLibrary.getDictId());
                     // 类目名称
                     medicalRecQaVO.setDictNamePath(dictMap.getOrDefault(questionLibrary.getDictId(), new CommonDic()).getNameZhPath());
-                    // 默认回答
-                    medicalRecQaVO.setDefaultAnswer(questionLibrary.getDefaultAnswer());
                     // 回答视频
                     medicalRecQaVO.setAnswerResourceName(videoInfoMaps.get(medicalRecQaVO.getAnswerResourceId()));
                 }
@@ -349,17 +347,20 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
                 .eq(CommonDic::getParentId, systemDic.getId()).list();
         Assert.notNull(childCommonDicList, "未找到系统问题下的子问题");
         Map<Long, CommonDic> childCommonDicMap = childCommonDicList.stream().collect(Collectors.toMap(CommonDic::getId, Function.identity()));
-
+        final Map<String, List<String>> libraryMapQuestion = new HashMap<>();
         // 从疾病问题记录中查询数据
         if (StrUtil.isNotEmpty(medicalRecId)) {
             List<AskPatientAnswer> askPatientAnswerList = askPatientAnswerService.lambdaQuery()
                     .eq(AskPatientAnswer::getMedicalId, medicalRecId).eq(AskPatientAnswer::getAnswerType, 0).list();
 
             final Map<String, AskTemplateQuestionLibrary> libraryMap = new HashMap<>();
+
             if (CollUtil.isNotEmpty(askPatientAnswerList)){
                 // 查询问题库信息
                 List<String> questionIds = askPatientAnswerList.stream()
                         .map(AskPatientAnswer::getLibraryQuestionId).filter(Objects::nonNull).collect(Collectors.toList());
+                Map<String, List<String>> libraryMapQuestionTmp = askTemplateQuestionSimilarityService.querySimilarityQuestionMapByLibraryIds(questionIds);
+                libraryMapQuestion.putAll(libraryMapQuestionTmp);
                 Map<String, AskTemplateQuestionLibrary> libraryMapTemp = askTemplateQuestionLibraryService.listByIds(questionIds)
                         .stream().collect(Collectors.toMap(AskTemplateQuestionLibrary::getId, Function.identity()));
                 libraryMap.putAll(libraryMapTemp);
@@ -372,7 +373,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
                 // 组装问题列表 和 字典数据
                 AskTemplateQuestionLibrary askTemplateQuestionLibrary = libraryMap.get(e.getLibraryQuestionId());
                 if (Objects.nonNull(askTemplateQuestionLibrary)){
-                    medicalRecQaVO.setQuestionList(askTemplateQuestionLibrary.getQuestion());
+                    medicalRecQaVO.setQuestionList(libraryMapQuestion.get(e.getLibraryQuestionId()));
                     Long dictId = askTemplateQuestionLibrary.getDictId();
                     if (Objects.nonNull(dictId)){
                         medicalRecQaVO.setDictId(dictId);
@@ -390,8 +391,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
             MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
             medicalRecQaVO.setLibraryQuestionId(e.getId());
             medicalRecQaVO.setDictNamePath(childCommonDicMap.getOrDefault(e.getDictId(), new CommonDic()).getNameZhPath());
-            medicalRecQaVO.setMedicalRecAnswer(e.getDefaultAnswer());
-            medicalRecQaVO.setQuestionList(e.getQuestion());
+            medicalRecQaVO.setQuestionList(libraryMapQuestion.get(e.getId()));
             return medicalRecQaVO;
         }).collect(Collectors.toList());
     }