diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 62dcea97d..6934ed6bb 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -8462,6 +8462,13 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.AddDefaultQuestions(IRaCIS.Core.Application.ViewModel.AddDefaultQuestionsInDto)">
+            <summary>
+            一键添加默认医学审核问题
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingMedicineQuestionService.AddTrialDataFromSystem(IRaCIS.Core.Application.ViewModel.AddTrialDataFromSystemInDto)">
             <summary>
             从系统里面选择问题添加到项目里面
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
index e2e9128a2..730a1fec2 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicineQuestionViewModel.cs
@@ -91,7 +91,16 @@ namespace IRaCIS.Core.Application.ViewModel
     {
         public Guid SystemQuestionId { get; set; }
     }
-    public class AddTrialDataFromSystemInDto
+
+    public class AddDefaultQuestionsInDto
+    {
+		public Guid TrialId { get; set; }
+
+		[NotDefault]
+		public Guid TrialReadingCriterionId { get; set; }
+	}
+
+	public class AddTrialDataFromSystemInDto
     {
         public Guid TrialId { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
index a82e5e672..31252ff65 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicineQuestionService.cs
@@ -6,6 +6,8 @@ using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Application.Contracts;
 using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Application.Filter;
+using DocumentFormat.OpenXml.Office2010.Excel;
+using System.Linq.Dynamic.Core;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -491,13 +493,86 @@ namespace IRaCIS.Core.Application.Service
 			return ResponseOutput.Result(true);
         }
 
+		/// <summary>
+		/// 一键添加默认医学审核问题
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
+		public async Task<IResponseOutput> AddDefaultQuestions(AddDefaultQuestionsInDto inDto)
+		{
+			if (await _readingMedicineTrialQuestionRepository.AnyAsync(x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId))
+			{
+				throw new BusinessValidationFailedException(_localizer["Medicine_ExistsMedicineQuestion"]);
+			}
+			var criterionInfo = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == inDto.TrialReadingCriterionId).FirstNotNullAsync();
+			List<ReadingCategory> needAddCategory = new List<ReadingCategory>() { ReadingCategory.Visit };
+			if(criterionInfo.IsReadingPeriod)
+			{
+				needAddCategory.Add(ReadingCategory.Global);
+			}
+			if (criterionInfo.IsArbitrationReading)
+			{
+				needAddCategory.Add(ReadingCategory.Judge);
+			}
+			if (criterionInfo.IsOncologyReading)
+			{
+				needAddCategory.Add(ReadingCategory.Oncology);
+			}
 
-        /// <summary>
-        /// 从系统里面选择问题添加到项目里面
-        /// </summary>
-        /// <param name="inDto"></param>
-        /// <returns></returns>
-        [HttpPost]
+			var maxOrder = await _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId && x.TrialReadingCriterionId == inDto.TrialReadingCriterionId).OrderByDescending(x => x.ShowOrder).Select(x => x.ShowOrder).FirstOrDefaultAsync();
+			List<TrialDataFromSystem> needList = await _readingMedicineSystemQuestionRepository
+				.WhereIf(_userInfo.IsEn_Us, x => x.LanguageType == LanguageType.English)
+				.WhereIf(!_userInfo.IsEn_Us, x => x.LanguageType == LanguageType.Chinese)
+				.Where(x => x.CriterionTypeEnum == criterionInfo.CriterionType && needAddCategory.Contains(x.ReadingCategory))
+				.Select(x => new TrialDataFromSystem()
+				{
+					Id = NewId.NextGuid(),
+					ShowOrder = x.ShowOrder,
+					IsEnable = x.IsEnable,
+					LanguageType = x.LanguageType,
+					IsRequired = x.IsRequired,
+					QuestionName = x.QuestionName,
+					TrialReadingCriterionId = inDto.TrialReadingCriterionId,
+					Type = x.Type,
+					ParentId = x.ParentId,
+					SystemQuestionId = x.Id,
+					ReadingCategory = x.ReadingCategory,
+					TypeValue = x.TypeValue,
+					TrialId = inDto.TrialId,
+				}).ToListAsync();
+
+			needList.ForEach(x => {
+				maxOrder++;
+				x.ShowOrder = maxOrder;
+			});
+
+			foreach (var item in needList.Where(x => x.ParentId != null))
+			{
+				var parent = needList.Where(x => x.SystemQuestionId == item.ParentId).FirstOrDefault();
+				if (parent == null)
+				{
+					item.ParentId = null;
+					item.ParentTriggerValue = String.Empty;
+				}
+				else
+				{
+					item.ParentId = parent.Id;
+				}
+			}
+
+			await _readingMedicineTrialQuestionRepository.AddRangeAsync(_mapper.Map<List<ReadingMedicineTrialQuestion>>(needList));
+			var result = await _readingMedicineTrialQuestionRepository.SaveChangesAsync();
+			return ResponseOutput.Result(result);
+
+		}
+
+		/// <summary>
+		/// 从系统里面选择问题添加到项目里面
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
 		public async Task<IResponseOutput> AddTrialDataFromSystem(AddTrialDataFromSystemInDto inDto)
 		{
 			// 直接写??
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index d99d8d493..c80d3e13e 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1756,9 +1756,9 @@ namespace IRaCIS.Application.Services
         {
             await VerifyTaskIsSign(inDto.VisitTaskId);
 
+			var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Include(x => x.TrialReadingCriterion).FirstNotNullAsync();
 
-
-            var deleteRowInfo = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.RowId).FirstOrDefaultAsync();
+			var deleteRowInfo = await _readingTableAnswerRowInfoRepository.Where(x => x.Id == inDto.RowId).FirstOrDefaultAsync();
 
             if (deleteRowInfo == null)
             {
@@ -1903,7 +1903,23 @@ namespace IRaCIS.Application.Services
                 VisitTaskId = inDto.VisitTaskId,
                 ComputationTrigger=ComputationTrigger.Lesion,
             });
-            return ResponseOutput.Ok(true);
+
+
+			switch (taskinfo.TrialReadingCriterion.CriterionType)
+			{
+				case CriterionType.Lugano2014:
+					if (deleteRowInfo.RowIndex % 1 != 0)
+					{
+						await _luganoCalculateService.CalculateTargetLesionStatus(new CalculateTargetLesionStatusInDto()
+						{
+							QuestionId = inDto.QuestionId,
+							VisitTaskId = inDto.VisitTaskId,
+							RowNumber = deleteRowInfo.RowIndex
+						});
+					}
+					break;
+			}
+			return ResponseOutput.Ok(true);
         }
 
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 57a6dce9a..5b6489826 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1094,6 +1094,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 									);
 							}
 
+                            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
 
 						}
 					}