This thesis mainly expounds the design ideas and the realization methods of medical statistics question database management system. Specifically speaking， the function modules， data struc-ture and business processes of the system are designed based on the analysis of questions， test papers and the needs of system functions. We choose Visual Basic 6.0 to develop the system interface， establish the question database with Access 2003， and make use of Word 2003 to output documents. This system can achieve the separation of teaching and testing effectively which can make examinations more normal and scientific.