diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
index 60f936f51..c9e701b47 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicalReviewService.cs
@@ -199,7 +199,10 @@ namespace IRaCIS.Core.Application.Service
         #region 问题
         private async Task<List<ReadingMedicineQuestion>> GetMedicalQuestionAnswer(GetMedicalReviewReadingTaskInDto inDto)
         {
-            var questionQuery = from data in _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId && x.IsConfirm && x.IsEnable)
+            var medicalReview = await _taskMedicalReviewRepository.Where(x => x.Id == inDto.TaskMedicalReviewId).FirstNotNullAsync();
+            var taskInfo = await _visitTaskRepository.Where(x => x.Id == medicalReview.VisitTaskId).FirstNotNullAsync();
+
+            var questionQuery = from data in _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId && x.IsConfirm && x.IsEnable&&x.ReadingCategory==taskInfo.ReadingCategory)
                                 join questionAnswer in _readingMedicineQuestionAnswerRepository.Where(x => x.TaskMedicalReviewId == inDto.TaskMedicalReviewId) on data.Id equals questionAnswer.ReadingMedicineQuestionId into questionAnswerTemp
                                 from leftquestionAnswer in questionAnswerTemp.DefaultIfEmpty()
                                 select new ReadingMedicineQuestion()