MedBench-IT: A Comprehensive Benchmark for Evaluating Large Language Models on Italian Medical Entrance Examinations

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Main Authors: Lazzaroni, Ruggero Marino, Angioi, Alessandro, Puliga, Michelangelo, Sanna, Davide, Marras, Roberto
Format: Preprint
Published: 2025
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author Lazzaroni, Ruggero Marino
Angioi, Alessandro
Puliga, Michelangelo
Sanna, Davide
Marras, Roberto
author_facet Lazzaroni, Ruggero Marino
Angioi, Alessandro
Puliga, Michelangelo
Sanna, Davide
Marras, Roberto
contents Large language models (LLMs) show increasing potential in education, yet benchmarks for non-English languages in specialized domains remain scarce. We introduce MedBench-IT, the first comprehensive benchmark for evaluating LLMs on Italian medical university entrance examinations. Sourced from Edizioni Simone, a leading preparatory materials publisher, MedBench-IT comprises 17,410 expert-written multiple-choice questions across six subjects (Biology, Chemistry, Logic, General Culture, Mathematics, Physics) and three difficulty levels. We evaluated diverse models including proprietary LLMs (GPT-4o, Claude series) and resource-efficient open-source alternatives (<30B parameters) focusing on practical deployability. Beyond accuracy, we conducted rigorous reproducibility tests (88.86% response consistency, varying by subject), ordering bias analysis (minimal impact), and reasoning prompt evaluation. We also examined correlations between question readability and model performance, finding a statistically significant but small inverse relationship. MedBench-IT provides a crucial resource for Italian NLP community, EdTech developers, and practitioners, offering insights into current capabilities and standardized evaluation methodology for this critical domain.
format Preprint
id arxiv_https___arxiv_org_abs_2509_07135
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedBench-IT: A Comprehensive Benchmark for Evaluating Large Language Models on Italian Medical Entrance Examinations
Lazzaroni, Ruggero Marino
Angioi, Alessandro
Puliga, Michelangelo
Sanna, Davide
Marras, Roberto
Computation and Language
Large language models (LLMs) show increasing potential in education, yet benchmarks for non-English languages in specialized domains remain scarce. We introduce MedBench-IT, the first comprehensive benchmark for evaluating LLMs on Italian medical university entrance examinations. Sourced from Edizioni Simone, a leading preparatory materials publisher, MedBench-IT comprises 17,410 expert-written multiple-choice questions across six subjects (Biology, Chemistry, Logic, General Culture, Mathematics, Physics) and three difficulty levels. We evaluated diverse models including proprietary LLMs (GPT-4o, Claude series) and resource-efficient open-source alternatives (<30B parameters) focusing on practical deployability. Beyond accuracy, we conducted rigorous reproducibility tests (88.86% response consistency, varying by subject), ordering bias analysis (minimal impact), and reasoning prompt evaluation. We also examined correlations between question readability and model performance, finding a statistically significant but small inverse relationship. MedBench-IT provides a crucial resource for Italian NLP community, EdTech developers, and practitioners, offering insights into current capabilities and standardized evaluation methodology for this critical domain.
title MedBench-IT: A Comprehensive Benchmark for Evaluating Large Language Models on Italian Medical Entrance Examinations
topic Computation and Language
url https://arxiv.org/abs/2509.07135