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

arXiv: https://arxiv.org/abs/2509.07135 · HTML: https://mlsanity.com/paper/2509.07135/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 16 of its 33 references that are in the map.
- First posted on arXiv 8 Sep 2025.

## Builds on (most cited first, 16 of 16)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Measuring Massive Multitask Language Understanding](https://mlsanity.com/paper/2009.03300/) (2020)
- [GLUE: A Multi-Task Benchmark and Analysis Platform for Natural Language Understanding](https://mlsanity.com/paper/1804.07461/) (2018)
- [Phi-3 Technical Report: A Highly Capable Language Model Locally on Your Phone](https://mlsanity.com/paper/2404.14219/) (2024)
- [MMLU-Pro: A More Robust and Challenging Multi-Task Language Understanding Benchmark](https://mlsanity.com/paper/2406.01574/) (2024)
- [SuperGLUE: A Stickier Benchmark for General-Purpose Language Understanding Systems](https://mlsanity.com/paper/1905.00537/) (2019)
- [Calibrate Before Use: Improving Few-Shot Performance of Language Models](https://mlsanity.com/paper/2102.09690/) (2021)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [OLMo: Accelerating the Science of Language Models](https://mlsanity.com/paper/2402.00838/) (2024)
- [GSM-Symbolic: Understanding the Limitations of Mathematical Reasoning in Large Language Models](https://mlsanity.com/paper/2410.05229/) (2024)
- [Aya Model: An Instruction Finetuned Open-Access Multilingual Language Model](https://mlsanity.com/paper/2402.07827/) (2024)
- [MedExQA: Medical Question Answering Benchmark with Multiple Explanations](https://mlsanity.com/paper/2406.06331/) (2024)
- [The Invalsi Benchmarks: measuring Linguistic and Mathematical understanding of Large Language Models in Italian](https://mlsanity.com/paper/2403.18697/) (2024)

## Built on by (most cited first, 1 of 1)

- [Shaping Explanations: Semantic Reward Modeling with Encoder-Only Transformers for GRPO](https://mlsanity.com/paper/2509.13081/) (2025)

## Abstract (arXiv)

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.