diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/AskQuestionLibraryManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/AskQuestionLibraryManageServiceImpl.java
index f56c4eac..5e8f92fc 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/AskQuestionLibraryManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/AskQuestionLibraryManageServiceImpl.java
@@ -94,7 +94,7 @@ public class AskQuestionLibraryManageServiceImpl implements AskQuestionLibraryMa
                 question = CollUtil.newArrayList(askTemplateQuestionLibrary.getDescription());
                 one.setDefaultAnswer(askTemplateQuestionLibrary.getDefaultAnswer());
             }else if (!question.contains(askTemplateQuestionLibrary.getDescription())){
-                question.add(askTemplateQuestionLibrary.getDescription());
+                question.add(0,askTemplateQuestionLibrary.getDescription());
             }
             if (StrUtil.isNotEmpty(askTemplateQuestionLibrary.getDefaultAnswer())){
                 one.setDefaultAnswer(askTemplateQuestionLibrary.getDefaultAnswer());
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 811a5a24..be68d042 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
@@ -225,6 +225,9 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
                 askPatientAnswer.setMedicalId(medicalRec.getId());
                 askPatientAnswer.setAnswerResourceId(medicalRecQaVO.getAnswerResourceId());
                 askPatientAnswer.setQuestion(CollUtil.getFirst(medicalRecQaVO.getQuestionList()));
+                if (null == askPatientAnswer.getAnswerType()){
+                    askPatientAnswer.setAnswerType(1);
+                }
                 askPatientAnswer.insert();
             }
         }
diff --git a/virtual-patient-manage/src/test/java/com/supervision/manage/VirtualPatientManageApplicationTests.java b/virtual-patient-manage/src/test/java/com/supervision/manage/VirtualPatientManageApplicationTests.java
index 4085dbb2..1eeaa65e 100644
--- a/virtual-patient-manage/src/test/java/com/supervision/manage/VirtualPatientManageApplicationTests.java
+++ b/virtual-patient-manage/src/test/java/com/supervision/manage/VirtualPatientManageApplicationTests.java
@@ -3,6 +3,7 @@ package com.supervision.manage;
 
 import cn.hutool.core.collection.CollUtil;
 import cn.hutool.core.io.FileUtil;
+import cn.hutool.core.lang.Assert;
 import cn.hutool.json.JSONUtil;
 import cn.hutool.poi.excel.ExcelUtil;
 import cn.hutool.poi.excel.ExcelWriter;
@@ -11,8 +12,10 @@ import com.supervision.manage.pojo.vo.MedicalAnswerVideoResVo;
 import com.supervision.manage.pojo.vo.UploadQuestionLibraryResVo;
 import com.supervision.manage.service.AnswerVideoResourceService;
 import com.supervision.manage.service.AskQuestionLibraryManageService;
+import com.supervision.model.CommonDic;
 import com.supervision.service.AskPatientAnswerService;
 import com.supervision.service.AskTemplateQuestionLibraryService;
+import com.supervision.service.CommonDicService;
 import lombok.extern.slf4j.Slf4j;
 import org.junit.jupiter.api.Test;
 import org.springframework.beans.factory.annotation.Autowired;
@@ -20,7 +23,6 @@ import org.springframework.boot.test.context.SpringBootTest;
 import org.springframework.mock.web.MockMultipartFile;
 
 import java.io.*;
-import java.nio.file.Files;
 import java.util.*;
 import java.util.stream.Collectors;
 
@@ -101,4 +103,84 @@ class VirtualPatientManageApplicationTests {
 
     }
 
+
+    @Autowired
+    private CommonDicService commonDicService;
+    /**
+     * 更新问答数据字典
+     */
+    @Test
+    public void  updateAQTDicTest(){
+
+        // 类目1 类目2
+
+        List<Map<String, String>> mapList = loadItems();
+
+        Set<String> item1s = mapList.stream().map(item -> item.get("item1")).collect(Collectors.toSet());
+
+        log.info("----update begin---");
+        List<CommonDic> parents = new ArrayList<>();
+        int i = 1;
+        for (String item1 : item1s) {
+            CommonDic commonDic = new CommonDic();
+            commonDic.setNameZh(item1);
+            commonDic.setNameZhPath(item1);
+            commonDic.setGroupCode("AQT");
+            commonDic.setCode(item1);
+            commonDic.setPriority(i);
+            log.info("save:{}", commonDic.getNameZh());
+          //  commonDicService.save(commonDic);
+            parents.add(commonDic);
+            i ++;
+        }
+
+        Map<String, List<CommonDic>> parentMap = parents.stream().collect(Collectors.groupingBy(CommonDic::getNameZh));
+
+        i = 1;
+        for (Map<String, String> map : mapList) {
+            String item1 = map.get("item1");
+            String item2 = map.get("item2");
+            CommonDic commonDic = new CommonDic();
+            commonDic.setNameZh(item2);
+            commonDic.setNameZhPath(item1 + "/" + item2);
+            commonDic.setGroupCode("AQT");
+            commonDic.setCode(item1 + "/" + item2);
+            commonDic.setParentId(CollUtil.getFirst(parentMap.get(item1)).getId());
+            commonDic.setPriority(i ++);
+            log.info("save:{}", commonDic.getNameZh());
+           // commonDicService.save(commonDic);
+        }
+        log.info("----update end---");
+
+    }
+
+    private static List<Map<String, String>> loadItems(){
+
+        String s = "现病史 发病时间\n" +
+                "现病史 发病时间\n";
+
+
+        List<Map<String, String>> mapList = new ArrayList<>();
+        HashSet<String> sets = new HashSet<>();
+        String[] split = s.split("\n");
+
+        for (String string : split) {
+            String[] split1 = string.split(" ");
+            Assert.isTrue(split1.length ==2, "数据格式错误");
+            Map<String, String> map = new HashMap<>();
+            map.put("item1", split1[0]);
+            map.put("item2", split1[1]);
+            if (sets.add(split1[0]+split1[1])){
+                mapList.add(map);
+            }
+
+        }
+        return mapList;
+
+    }
+
+    public static void main(String[] args) {
+        List<Map<String, String>> mapList = loadItems();
+    }
+
 }