diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index 84d954506..3d7cd12ef 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -150,7 +150,7 @@ namespace IRaCIS.Core.Application.Service
                     var taskIds = medicalReviewInfo.TaskList.Select(x => x.TaskId).ToList();
                     
                     // 找访视
-                    var visitTaskAnswer = await _readingTaskQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId)).Select(x => new JudgeQuestionAnswerInfo
+                    var visitTaskAnswer = await _readingTaskQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId)&&x.ReadingQuestionTrial.IsJudgeQuestion).Select(x => new JudgeQuestionAnswerInfo
                     {
                         Answer =  x.Answer,
                         VisitTaskId=x.VisitTaskId,
@@ -160,7 +160,7 @@ namespace IRaCIS.Core.Application.Service
                         QuestionName = x.ReadingQuestionTrial.QuestionName
                     }).ToListAsync();
 
-                    visitTaskAnswer.AddRange(await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId)&&x.GlobalAnswerType==GlobalAnswerType.Question).Select(x => new JudgeQuestionAnswerInfo
+                    visitTaskAnswer.AddRange(await _readingGlobalTaskInfoRepository.Where(x => taskIds.Contains(x.GlobalTaskId)&&x.GlobalAnswerType==GlobalAnswerType.Question && x.TrialReadingQuestion.IsJudgeQuestion).Select(x => new JudgeQuestionAnswerInfo
                     {
                         Answer = x.Answer,
                         VisitTaskId = x.GlobalTaskId,