The national traditional Chinese medicine question bank

an essential component of the TCM examination system

plays a crucial role in selecting medical talent. However

the question bank faces several issues such as insufficient humanistic attributes

weak application orientation

lack of TCM characteristics in question types

suboptimal question quality

and redundancy in questions. Maintaining the "health" of the question bank is a significant challenge for exam workers. This paper discusses the construction of the TCM question bank based on the PDCA quality cycle. By implementing four fundamental cycles

it aims to improve the quality of questions. In conjunction with the construction of an expert database

it gradually builds a large cycle for a healthy question bank ecosystem

hoping to provide new ideas for the standardization of China’s TCM question bank.