diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
index eeec68c4..50d91c1b 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
@@ -173,7 +173,8 @@ public class AskDiagnosisResultServiceImpl implements AskDiagnosisResultService
         // 2.1 首先获取对话记录
         List<DiagnosisQaRecord> qaRecordList = diagnosisQaRecordService.lambdaQuery().eq(DiagnosisQaRecord::getProcessId, process.getId()).list();
         List<AskPatientAnswer> list = askPatientAnswerService.lambdaQuery()
-                .eq(AskPatientAnswer::getMedicalId, medicalRec.getId()).list();
+                .eq(AskPatientAnswer::getMedicalId, medicalRec.getId())
+                .isNotNull(AskPatientAnswer::getQuestion).eq(AskPatientAnswer::getAnswerType, 1).list();
         // 获取配置了答案的项目(配置了答案的,认为是正确,没有配置答案的,走默认回答的,不标记为以正确)
         List<BasisDiagnosisNodeResVO> basisDiagnosisNodeResVOS = new ArrayList<>(qaRecordMergeListsBasisPrimary(qaRecordList, list));