diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/pojo/vo/MedicalRecQaVO.java b/virtual-patient-manage/src/main/java/com/supervision/manage/pojo/vo/MedicalRecQaVO.java
index de81c24e..afd40552 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/pojo/vo/MedicalRecQaVO.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/pojo/vo/MedicalRecQaVO.java
@@ -35,6 +35,9 @@ public class MedicalRecQaVO {
     @ApiModelProperty("针对病例的特定回答,新增更新时必填")
     private String medicalRecAnswer;
 
+    @ApiModelProperty(value = "回答类型",hidden = true)
+    private String answerType;
+
 
 
 }
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 6cf1ea96..27ea5591 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
@@ -204,7 +204,10 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         // 处置计划
         medicalRecInfoVO.setTreatmentPlanList(diseaseTreatmentPlanManageService.queryListByDiseaseId(medicalRec.getDiseaseId()));
         // 问答策略
-        medicalRecInfoVO.setQaList(queryMedicalRecQaInfo(id));
+        List<MedicalRecQaVO> medicalRecQaVOS = queryMedicalRecQaInfo(id);
+        Map<String, List<MedicalRecQaVO>> qaListMap = medicalRecQaVOS.stream().collect(Collectors.groupingBy(MedicalRecQaVO::getAnswerType));
+        medicalRecInfoVO.setQaList(qaListMap.getOrDefault("1", Collections.emptyList()));
+        medicalRecInfoVO.setDefaultQaList(qaListMap.getOrDefault("0", Collections.emptyList()));
         return medicalRecInfoVO;
     }
 
@@ -217,7 +220,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
             MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
             medicalRecQaVO.setId(e.getId());
             medicalRecQaVO.setLibraryQuestionId(e.getLibraryQuestionId());
-
+            medicalRecQaVO.setAnswerType(StrUtil.isEmpty(e.getAnswerType()) ? "1" : e.getAnswerType());
             // 病历的回答
             medicalRecQaVO.setMedicalRecAnswer(e.getAnswer());
             return medicalRecQaVO;