diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
index cdf51ec42..7cc34a1bc 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingMedicineQuestionService.cs
@@ -305,13 +305,16 @@ namespace IRaCIS.Core.Application.Service
 
 
 		/// <summary>
-		/// 确认医学审核问题
+		/// 验证医学审核问题
 		/// </summary>
+		/// <param name="inDto"></param>
 		/// <returns></returns>
-		public async Task<IResponseOutput> ConfirmReadingMedicineQuestion(ConfirmReadingMedicineQuestionInDto inDto)
+		/// <exception cref="BusinessValidationFailedException"></exception>
+		public async Task<IResponseOutput> VerifyReadingMedicineQuestion(ConfirmReadingMedicineQuestionInDto inDto)
 		{
 			var readingMedicineQuestionList = await _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId)
-				.Select(x => new TrialQuestion() {
+				.Select(x => new TrialQuestion()
+				{
 					Id = x.Id,
 					ReadingCategory = x.ReadingCategory,
 					ParentShowOrder = (int?)x.ParentQuestion.ShowOrder,
@@ -341,7 +344,7 @@ namespace IRaCIS.Core.Application.Service
 				throw new BusinessValidationFailedException("当前项目启用了全局阅片,但未配置全局医学审核问题");
 			}
 
-			if (trialInfo.IsArbitrationReading??false && !readingMedicineQuestionList.Any(x => x.ReadingCategory == ReadingCategory.Judge))
+			if (trialInfo.IsArbitrationReading ?? false && !readingMedicineQuestionList.Any(x => x.ReadingCategory == ReadingCategory.Judge))
 			{
 				throw new BusinessValidationFailedException("当前项目启用了仲裁阅片,但未配置仲裁医学审核问题");
 			}
@@ -351,6 +354,57 @@ namespace IRaCIS.Core.Application.Service
 				throw new BusinessValidationFailedException("当前项目启用了肿瘤学阅片,但未配置肿瘤学医学审核问题");
 			}
 
+			return ResponseOutput.Ok();
+
+		}
+
+		/// <summary>
+		/// 确认医学审核问题
+		/// </summary>
+		/// <returns></returns>
+		public async Task<IResponseOutput> ConfirmReadingMedicineQuestion(ConfirmReadingMedicineQuestionInDto inDto)
+		{
+			var readingMedicineQuestionList = await _readingMedicineTrialQuestionRepository.Where(x => x.TrialId == inDto.TrialId)
+				.Select(x => new TrialQuestion()
+				{
+					Id = x.Id,
+					ReadingCategory = x.ReadingCategory,
+					ParentShowOrder = (int?)x.ParentQuestion.ShowOrder,
+					ShowOrder = x.ShowOrder,
+				}).ToListAsync();
+			if (readingMedicineQuestionList.Count == 0)
+			{
+				throw new BusinessValidationFailedException("当前未添加医学审核问题。请先添加医学审核问题，再进行确认。");
+			}
+
+			if (readingMedicineQuestionList.Count() != readingMedicineQuestionList.Select(t => t.ShowOrder).Distinct().Count())
+			{
+				throw new BusinessValidationFailedException("影像医学审核问题显示序号不能重复。");
+			}
+
+
+			if (readingMedicineQuestionList.Where(t => t.ParentShowOrder != null).Any(t => t.ParentShowOrder > t.ShowOrder))
+			{
+				throw new BusinessValidationFailedException("父问题的显示序号要比子问题的显示序号小，请确认。");
+			}
+
+
+			var trialInfo = await _trialRepository.Where(x => x.Id == inDto.TrialId).FirstNotNullAsync();
+
+			if (trialInfo.IsGlobalReading && !readingMedicineQuestionList.Any(x => x.ReadingCategory == ReadingCategory.Global))
+			{
+				throw new BusinessValidationFailedException("当前项目启用了全局阅片,但未配置全局医学审核问题");
+			}
+
+			if (trialInfo.IsArbitrationReading ?? false && !readingMedicineQuestionList.Any(x => x.ReadingCategory == ReadingCategory.Judge))
+			{
+				throw new BusinessValidationFailedException("当前项目启用了仲裁阅片,但未配置仲裁医学审核问题");
+			}
+
+			if (trialInfo.IsClinicalReading && !readingMedicineQuestionList.Any(x => x.ReadingCategory == ReadingCategory.Oncology))
+			{
+				throw new BusinessValidationFailedException("当前项目启用了肿瘤学阅片,但未配置肿瘤学医学审核问题");
+			}
 
 
 			await _readingMedicineTrialQuestionRepository.BatchUpdateNoTrackingAsync(x => x.TrialId == inDto.TrialId, x => new ReadingMedicineTrialQuestion()