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Jul 24

Multiple Choice Questions and Large Languages Models: A Case Study with Fictional Medical Data

Large Language Models (LLMs) like ChatGPT demonstrate significant potential in the medical field, often evaluated using multiple-choice questions (MCQs) similar to those found on the USMLE. Despite their prevalence in medical education, MCQs have limitations that might be exacerbated when assessing LLMs. To evaluate the effectiveness of MCQs in assessing the performance of LLMs, we developed a fictional medical benchmark focused on a non-existent gland, the Glianorex. This approach allowed us to isolate the knowledge of the LLM from its test-taking abilities. We used GPT-4 to generate a comprehensive textbook on the Glianorex in both English and French and developed corresponding multiple-choice questions in both languages. We evaluated various open-source, proprietary, and domain-specific LLMs using these questions in a zero-shot setting. The models achieved average scores around 67%, with minor performance differences between larger and smaller models. Performance was slightly higher in English than in French. Fine-tuned medical models showed some improvement over their base versions in English but not in French. The uniformly high performance across models suggests that traditional MCQ-based benchmarks may not accurately measure LLMs' clinical knowledge and reasoning abilities, instead highlighting their pattern recognition skills. This study underscores the need for more robust evaluation methods to better assess the true capabilities of LLMs in medical contexts.

  • 4 authors
·
Jun 4, 2024

Anchored Answers: Unravelling Positional Bias in GPT-2's Multiple-Choice Questions

Large Language Models (LLMs), such as the GPT-4 and LLaMA families, have demonstrated considerable success across diverse tasks, including multiple-choice questions (MCQs). However, these models exhibit a positional bias, particularly an even worse anchored bias in the GPT-2 family, where they consistently favour the first choice 'A' in MCQs during inference. This anchored bias challenges the integrity of GPT-2's decision-making process, as it skews performance based on the position rather than the content of the choices in MCQs. In this study, we utilise the mechanistic interpretability approach to identify the internal modules within GPT-2 models responsible for this bias. We focus on the Multi-Layer Perceptron (MLP) layers and attention heads, using the "logit lens" method to trace and modify the specific value vectors that contribute to the bias. By updating these vectors within MLP and recalibrating attention patterns to neutralise the preference for the first choice 'A', we effectively mitigate the anchored bias. Our interventions not only mitigate the bias but also improve the overall MCQ prediction accuracy for the GPT-2 family across various datasets. This work represents the first comprehensive mechanistic analysis of anchored bias in MCQs within the GPT-2 models, introducing targeted, minimal-intervention strategies that significantly enhance GPT2 model robustness and accuracy in MCQs. Our code is available at https://github.com/ruizheliUOA/Anchored_Bias_GPT2.

  • 2 authors
·
May 6, 2024

Corpus Prevalence of Multiple-Choice Question Options

In recent years, corpus-driven AI methods, such as Large Language Models (LLMs), have seen widespread use in education. While on the surface their abilities look promising for tasks ranging from generating assessment materials to simulating student performance, we should be aware of the subtle nuances of their frequentist nature that might be affecting their behaviour. In this work, we focus on the aspect of corpus frequency in the context of creating high-quality Multiple Choice Questions (MCQs), specifically asking: What if corpus prevalence were enough to identify the correct answer to an MCQ? We propose a computational method of assessing corpus prevalence of MCQ options in large text corpora leveraging textual embeddings using both expert- and machine-generated MCQ sets. The key finding, across three large question sets, is that correct answers, independently of the question stem, are significantly more available than incorrect options. Specifically, using Wikipedia as the retrieval corpus, we find that always selecting the most prevalent option leads to scores up to 9.0% above the random-guess baseline. We also find that MCQ distractors generated by LLMs often show similar patterns of prevalence compared to expert-created options, despite the LLMs' frequentist nature and their training on large collections of textual data. Moreover, we find that corpus prevalence does not necessarily correlate with how recognisable terms are to humans. This highlights the need to better understand how corpora are used in AI-driven methods for education, whether applied directly or indirectly via LLMs.

  • 3 authors
·
Jun 21

MicroVQA: A Multimodal Reasoning Benchmark for Microscopy-Based Scientific Research

Scientific research demands sophisticated reasoning over multimodal data, a challenge especially prevalent in biology. Despite recent advances in multimodal large language models (MLLMs) for AI-assisted research, existing multimodal reasoning benchmarks only target up to college-level difficulty, while research-level benchmarks emphasize lower-level perception, falling short of the complex multimodal reasoning needed for scientific discovery. To bridge this gap, we introduce MicroVQA, a visual-question answering (VQA) benchmark designed to assess three reasoning capabilities vital in research workflows: expert image understanding, hypothesis generation, and experiment proposal. MicroVQA consists of 1,042 multiple-choice questions (MCQs) curated by biology experts across diverse microscopy modalities, ensuring VQA samples represent real scientific practice. In constructing the benchmark, we find that standard MCQ generation methods induce language shortcuts, motivating a new two-stage pipeline: an optimized LLM prompt structures question-answer pairs into MCQs; then, an agent-based `RefineBot' updates them to remove shortcuts. Benchmarking on state-of-the-art MLLMs reveal a peak performance of 53\%; models with smaller LLMs only slightly underperform top models, suggesting that language-based reasoning is less challenging than multimodal reasoning; and tuning with scientific articles enhances performance. Expert analysis of chain-of-thought responses shows that perception errors are the most frequent, followed by knowledge errors and then overgeneralization errors. These insights highlight the challenges in multimodal scientific reasoning, showing MicroVQA is a valuable resource advancing AI-driven biomedical research. MicroVQA is available at https://huggingface.co/datasets/jmhb/microvqa, and project page at https://jmhb0.github.io/microvqa.

  • 23 authors
·
Mar 17, 2025 2

AtmosSci-Bench: Evaluating the Recent Advance of Large Language Model for Atmospheric Science

The rapid advancements in large language models (LLMs), particularly in their reasoning capabilities, hold transformative potential for addressing complex challenges and boosting scientific discovery in atmospheric science. However, leveraging LLMs effectively in this domain requires a robust and comprehensive evaluation benchmark. Toward this end, we present AtmosSci-Bench, a novel benchmark designed to systematically assess LLM performance across five core categories of atmospheric science problems: hydrology, atmospheric dynamics, atmospheric physics, geophysics, and physical oceanography. AtmosSci-Bench features a dual-format design comprising both multiple-choice questions (MCQs) and open-ended questions (OEQs), enabling scalable automated evaluation alongside deeper analysis of conceptual understanding. We employ a template-based MCQ generation framework to create diverse, graduate-level problems with symbolic perturbation, while OEQs are used to probe open-ended reasoning. We conduct a comprehensive evaluation of representative LLMs, categorized into four groups: instruction-tuned models, advanced reasoning models, math-augmented models, and domain-specific climate models. Our analysis provides some interesting insights into the reasoning and problem-solving capabilities of LLMs in atmospheric science. We believe AtmosSci-Bench can serve as a critical step toward advancing LLM applications in climate services by offering a standard and rigorous evaluation framework. Our source code is available at https://github.com/Relaxed-System-Lab/AtmosSci-Bench.

  • 4 authors
·
Feb 3, 2025 1

TW-LegalBench: Measuring Taiwanese Legal Understanding

Large language models (LLMs) have shown impressive capabilities across diverse tasks, yet their performance on jurisdiction-specific legal reasoning remains underexplored. We present TW-LegalBench that utilizes Taiwanese legal system's rich official corpus open to the public to fill the gap in evaluating LLMs on Taiwanese law, among common-law benchmarks that focus on English sources and civil-law benchmarks focusing on sources of Simplified Chinese. TW-LegalBench comprises three task types: (1) over 16,000 multiple-choice questions (MCQs) across five years of official examinations in 18 professional domains; (2) 117 open-ended essay questions (OEQs) from examinations for legal professionals with official scoring rubrics; and (3) more than 14,000 legal judgment prediction (LJP) instances covering hundreds of crime categories. We evaluate 13 LLMs using accuracy for MCQs, a decomposed LLM-as-Judge framework based on the scoring rubric points for OEQs, and metrics for sentencing accuracy and statute citation for LJP. Our results reveal that top-performing models exceed the passing threshold for qualified lawyers (passing rate: 11%) but fall short of that for judges and prosecutors (passing rate: 1~2%). For LJP, while models demonstrate reasonable verdict type accuracy and sentence prediction capability, they struggle to cite exact legal articles. These findings highlight that reliable legal text generation remains challenging for LLMs, even though their performance on qualification examinations approaches human level.

  • 7 authors
·
Jun 16

PalmX 2025: The First Shared Task on Benchmarking LLMs on Arabic and Islamic Culture

Large Language Models (LLMs) inherently reflect the vast data distributions they encounter during their pre-training phase. As this data is predominantly sourced from the web, there is a high chance it will be skewed towards high-resourced languages and cultures, such as those of the West. Consequently, LLMs often exhibit a diminished understanding of certain communities, a gap that is particularly evident in their knowledge of Arabic and Islamic cultures. This issue becomes even more pronounced with increasingly under-represented topics. To address this critical challenge, we introduce PalmX 2025, the first shared task designed to benchmark the cultural competence of LLMs in these specific domains. The task is composed of two subtasks featuring multiple-choice questions (MCQs) in Modern Standard Arabic (MSA): General Arabic Culture and General Islamic Culture. These subtasks cover a wide range of topics, including traditions, food, history, religious practices, and language expressions from across 22 Arab countries. The initiative drew considerable interest, with 26 teams registering for Subtask 1 and 19 for Subtask 2, culminating in nine and six valid submissions, respectively. Our findings reveal that task-specific fine-tuning substantially boosts performance over baseline models. The top-performing systems achieved an accuracy of 72.15% on cultural questions and 84.22% on Islamic knowledge. Parameter-efficient fine-tuning emerged as the predominant and most effective approach among participants, while the utility of data augmentation was found to be domain-dependent.

  • 6 authors
·
Sep 2, 2025

You May Speak Freely: Improving the Fine-Grained Visual Recognition Capabilities of Multimodal Large Language Models with Answer Extraction

Despite the renewed interest in zero-shot visual classification due to the rise of Multimodal Large Language Models (MLLMs), the problem of evaluating free-form responses of auto-regressive models remains a persistent challenge. Most existing works focus on language-only tasks or don't consider Multiple Choice Questions (MCQs) beyond 5-way options, both of which are critical capabilities to solve tasks in Fine-Grained Visual Classification (FGVC) where choice counts are in the hundreds to thousands and the choices are highly related. Furthermore, in this highly multi-way MCQ setting it is not clear how to extend LLM choice extraction to retrieval-based problems, where computing probabilities over the choice set is computationally costly. In this work we investigate nlg2choice, a simple two-stage method which first asks the MLLM an open-ended question for the task with minimal constraints, then uses text-only constrained decoding to predict the most likely choice. In retrieval settings, we compute the probability of the constrained response taking that choice with an early stopping method to significantly improve throughput. Our results show improvement over a suite of seven fine-grained visual datasets when evaluating in terms of classification and retrieval, and show that this performance holds over the various ways that users of LLMs can implement tasks in natural language.

  • 6 authors
·
Oct 16, 2025

CG-Bench: Clue-grounded Question Answering Benchmark for Long Video Understanding

Most existing video understanding benchmarks for multimodal large language models (MLLMs) focus only on short videos. The limited number of benchmarks for long video understanding often rely solely on multiple-choice questions (MCQs). However, because of the inherent limitation of MCQ-based evaluation and the increasing reasoning ability of MLLMs, models can give the current answer purely by combining short video understanding with elimination, without genuinely understanding the video content. To address this gap, we introduce CG-Bench, a novel benchmark designed for clue-grounded question answering in long videos. CG-Bench emphasizes the model's ability to retrieve relevant clues for questions, enhancing evaluation credibility. It features 1,219 manually curated videos categorized by a granular system with 14 primary categories, 171 secondary categories, and 638 tertiary categories, making it the largest benchmark for long video analysis. The benchmark includes 12,129 QA pairs in three major question types: perception, reasoning, and hallucination. Compensating the drawbacks of pure MCQ-based evaluation, we design two novel clue-based evaluation methods: clue-grounded white box and black box evaluations, to assess whether the model generates answers based on the correct understanding of the video. We evaluate multiple closed-source and open-source MLLMs on CG-Bench. Results indicate that current models significantly underperform in understanding long videos compared to short ones, and a significant gap exists between open-source and commercial models. We hope CG-Bench can advance the development of more trustworthy and capable MLLMs for long video understanding. All annotations and video data are released at https://cg-bench.github.io/leaderboard/.

  • 9 authors
·
Dec 16, 2024

VideoEval-Pro: Robust and Realistic Long Video Understanding Evaluation

Large multimodal models (LMMs) have recently emerged as a powerful tool for long video understanding (LVU), prompting the development of standardized LVU benchmarks to evaluate their performance. However, our investigation reveals a rather sober lesson for existing LVU benchmarks. First, most existing benchmarks rely heavily on multiple-choice questions (MCQs), whose evaluation results are inflated due to the possibility of guessing the correct answer; Second, a significant portion of questions in these benchmarks have strong priors to allow models to answer directly without even reading the input video. For example, Gemini-1.5-Pro can achieve over 50\% accuracy given a random frame from a long video on Video-MME. We also observe that increasing the number of frames does not necessarily lead to improvement on existing benchmarks, which is counterintuitive. As a result, the validity and robustness of current LVU benchmarks are undermined, impeding a faithful assessment of LMMs' long-video understanding capability. To tackle this problem, we propose VideoEval-Pro, a realistic LVU benchmark containing questions with open-ended short-answer, which truly require understanding the entire video. VideoEval-Pro assesses both segment-level and full-video understanding through perception and reasoning tasks. By evaluating 21 proprietary and open-source video LMMs, we conclude the following findings: (1) video LMMs show drastic performance (>25\%) drops on open-ended questions compared with MCQs; (2) surprisingly, higher MCQ scores do not lead to higher open-ended scores on VideoEval-Pro; (3) compared to other MCQ benchmarks, VideoEval-Pro benefits more from increasing the number of input frames. Our results show that VideoEval-Pro offers a more realistic and reliable measure of long video understanding, providing a clearer view of progress in this domain.

  • 7 authors
·
May 20, 2025 2

Benchmarking the Medical Understanding and Reasoning of Large Language Models in Arabic Healthcare Tasks

Recent progress in large language models (LLMs) has showcased impressive proficiency in numerous Arabic natural language processing (NLP) applications. Nevertheless, their effectiveness in Arabic medical NLP domains has received limited investigation. This research examines the degree to which state-of-the-art LLMs demonstrate and articulate healthcare knowledge in Arabic, assessing their capabilities across a varied array of Arabic medical tasks. We benchmark several LLMs using a medical dataset proposed in the Arabic NLP AraHealthQA challenge in MedArabiQ2025 track. Various base LLMs were assessed on their ability to accurately provide correct answers from existing choices in multiple-choice questions (MCQs) and fill-in-the-blank scenarios. Additionally, we evaluated the capacity of LLMs in answering open-ended questions aligned with expert answers. Our results reveal significant variations in correct answer prediction accuracy and low variations in semantic alignment of generated answers, highlighting both the potential and limitations of current LLMs in Arabic clinical contexts. Our analysis shows that for MCQs task, the proposed majority voting solution, leveraging three base models (Gemini Flash 2.5, Gemini Pro 2.5, and GPT o3), outperforms others, achieving up to 77% accuracy and securing first place overall in the Arahealthqa 2025 shared task-track 2 (sub-task 1) challenge. Moreover, for the open-ended questions task, several LLMs were able to demonstrate excellent performance in terms of semantic alignment and achieve a maximum BERTScore of 86.44%.

  • 2 authors
·
Aug 13, 2025

Susu Box or Piggy Bank: Assessing Cultural Commonsense Knowledge between Ghana and the U.S

Recent work has highlighted the culturally-contingent nature of commonsense knowledge. We introduce AMAMMER{epsilon}, a test set of 525 multiple-choice questions designed to evaluate the commonsense knowledge of English LLMs, relative to the cultural contexts of Ghana and the United States. To create AMAMMER{epsilon}, we select a set of multiple-choice questions (MCQs) from existing commonsense datasets and rewrite them in a multi-stage process involving surveys of Ghanaian and U.S. participants. In three rounds of surveys, participants from both pools are solicited to (1) write correct and incorrect answer choices, (2) rate individual answer choices on a 5-point Likert scale, and (3) select the best answer choice from the newly-constructed MCQ items, in a final validation step. By engaging participants at multiple stages, our procedure ensures that participant perspectives are incorporated both in the creation and validation of test items, resulting in high levels of agreement within each pool. We evaluate several off-the-shelf English LLMs on AMAMMER{epsilon}. Uniformly, models prefer answers choices that align with the preferences of U.S. annotators over Ghanaian annotators. Additionally, when test items specify a cultural context (Ghana or the U.S.), models exhibit some ability to adapt, but performance is consistently better in U.S. contexts than Ghanaian. As large resources are devoted to the advancement of English LLMs, our findings underscore the need for culturally adaptable models and evaluations to meet the needs of diverse English-speaking populations around the world.

  • 3 authors
·
Oct 21, 2024

MMEvalPro: Calibrating Multimodal Benchmarks Towards Trustworthy and Efficient Evaluation

Large Multimodal Models (LMMs) exhibit impressive cross-modal understanding and reasoning abilities, often assessed through multiple-choice questions (MCQs) that include an image, a question, and several options. However, many benchmarks used for such evaluations suffer from systematic biases. Remarkably, Large Language Models (LLMs) without any visual perception capabilities achieve non-trivial performance, undermining the credibility of these evaluations. To address this issue while maintaining the efficiency of MCQ evaluations, we propose MMEvalPro, a benchmark designed to avoid Type-I errors through a trilogy evaluation pipeline and more rigorous metrics. For each original question from existing benchmarks, human annotators augment it by creating one perception question and one knowledge anchor question through a meticulous annotation process. MMEvalPro comprises 2,138 question triplets, totaling 6,414 distinct questions. Two-thirds of these questions are manually labeled by human experts, while the rest are sourced from existing benchmarks (MMMU, ScienceQA, and MathVista). Compared with the existing benchmarks, our experiments with the latest LLMs and LMMs demonstrate that MMEvalPro is more challenging (the best LMM lags behind human performance by 31.73%, compared to an average gap of 8.03% in previous benchmarks) and more trustworthy (the best LLM trails the best LMM by 23.09%, whereas the gap for previous benchmarks is just 14.64%). Our in-depth analysis explains the reason for the large performance gap and justifies the trustworthiness of evaluation, underscoring its significant potential for advancing future research.

  • 16 authors
·
Jun 29, 2024 2

Med-CMR: A Fine-Grained Benchmark Integrating Visual Evidence and Clinical Logic for Medical Complex Multimodal Reasoning

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.

  • 12 authors
·
Mar 30

AgMMU: A Comprehensive Agricultural Multimodal Understanding and Reasoning Benchmark

We curate a dataset AgMMU for evaluating and developing vision-language models (VLMs) to produce factually accurate answers for knowledge-intensive expert domains. Our AgMMU concentrates on one of the most socially beneficial domains, agriculture, which requires connecting detailed visual observation with precise knowledge to diagnose, e.g., pest identification, management instructions, etc. As a core uniqueness of our dataset, all facts, questions, and answers are extracted from 116,231 conversations between real-world users and authorized agricultural experts. After a three-step dataset curation pipeline with GPT-4o, LLaMA models, and human verification, AgMMU features an evaluation set of 5,460 multiple-choice questions (MCQs) and open-ended questions (OEQs). We also provide a development set that contains 205,399 pieces of agricultural knowledge information, including disease identification, symptoms descriptions, management instructions, insect and pest identification, and species identification. As a multimodal factual dataset, it reveals that existing VLMs face significant challenges with questions requiring both detailed perception and factual knowledge. Moreover, open-source VLMs still demonstrate a substantial performance gap compared to proprietary ones. To advance knowledge-intensive VLMs, we conduct fine-tuning experiments using our development set, which improves LLaVA-1.5 evaluation accuracy by up to 3.1%. We hope that AgMMU can serve both as an evaluation benchmark dedicated to agriculture and a development suite for incorporating knowledge-intensive expertise into general-purpose VLMs.

  • 6 authors
·
Apr 14, 2025

Do LLMs Make Mistakes Like Students? Exploring Natural Alignment between Language Models and Human Error Patterns

Large Language Models (LLMs) have demonstrated remarkable capabilities in various educational tasks, yet their alignment with human learning patterns, particularly in predicting which incorrect options students are most likely to select in multiple-choice questions (MCQs), remains underexplored. Our work investigates the relationship between LLM generation likelihood and student response distributions in MCQs with a specific focus on distractor selections. We collect a comprehensive dataset of MCQs with real-world student response distributions to explore two fundamental research questions: (1). RQ1 - Do the distractors that students more frequently select correspond to those that LLMs assign higher generation likelihood to? (2). RQ2 - When an LLM selects a incorrect choice, does it choose the same distractor that most students pick? Our experiments reveals moderate correlations between LLM-assigned probabilities and student selection patterns for distractors in MCQs. Additionally, when LLMs make mistakes, they are more likley to select the same incorrect answers that commonly mislead students, which is a pattern consistent across both small and large language models. Our work provides empirical evidence that despite LLMs' strong performance on generating educational content, there remains a gap between LLM's underlying reasoning process and human cognitive processes in identifying confusing distractors. Our findings also have significant implications for educational assessment development. The smaller language models could be efficiently utilized for automated distractor generation as they demonstrate similar patterns in identifying confusing answer choices as larger language models. This observed alignment between LLMs and student misconception patterns opens new opportunities for generating high-quality distractors that complement traditional human-designed distractors.

  • 3 authors
·
Feb 20, 2025

SecBench: A Comprehensive Multi-Dimensional Benchmarking Dataset for LLMs in Cybersecurity

Evaluating Large Language Models (LLMs) is crucial for understanding their capabilities and limitations across various applications, including natural language processing and code generation. Existing benchmarks like MMLU, C-Eval, and HumanEval assess general LLM performance but lack focus on specific expert domains such as cybersecurity. Previous attempts to create cybersecurity datasets have faced limitations, including insufficient data volume and a reliance on multiple-choice questions (MCQs). To address these gaps, we propose SecBench, a multi-dimensional benchmarking dataset designed to evaluate LLMs in the cybersecurity domain. SecBench includes questions in various formats (MCQs and short-answer questions (SAQs)), at different capability levels (Knowledge Retention and Logical Reasoning), in multiple languages (Chinese and English), and across various sub-domains. The dataset was constructed by collecting high-quality data from open sources and organizing a Cybersecurity Question Design Contest, resulting in 44,823 MCQs and 3,087 SAQs. Particularly, we used the powerful while cost-effective LLMs to (1). label the data and (2). constructing a grading agent for automatic evaluation of SAQs. Benchmarking results on 16 SOTA LLMs demonstrate the usability of SecBench, which is arguably the largest and most comprehensive benchmark dataset for LLMs in cybersecurity. More information about SecBench can be found at our website, and the dataset can be accessed via the artifact link.

  • 8 authors
·
Dec 30, 2024

How Can We Diagnose and Treat Bias in Large Language Models for Clinical Decision-Making?

Recent advancements in Large Language Models (LLMs) have positioned them as powerful tools for clinical decision-making, with rapidly expanding applications in healthcare. However, concerns about bias remain a significant challenge in the clinical implementation of LLMs, particularly regarding gender and ethnicity. This research investigates the evaluation and mitigation of bias in LLMs applied to complex clinical cases, focusing on gender and ethnicity biases. We introduce a novel Counterfactual Patient Variations (CPV) dataset derived from the JAMA Clinical Challenge. Using this dataset, we built a framework for bias evaluation, employing both Multiple Choice Questions (MCQs) and corresponding explanations. We explore prompting with eight LLMs and fine-tuning as debiasing methods. Our findings reveal that addressing social biases in LLMs requires a multidimensional approach as mitigating gender bias can occur while introducing ethnicity biases, and that gender bias in LLM embeddings varies significantly across medical specialities. We demonstrate that evaluating both MCQ response and explanation processes is crucial, as correct responses can be based on biased reasoning. We provide a framework for evaluating LLM bias in real-world clinical cases, offer insights into the complex nature of bias in these models, and present strategies for bias mitigation.

Large Language Models (GPT) Struggle to Answer Multiple-Choice Questions about Code

We analyzed effectiveness of three generative pre-trained transformer (GPT) models in answering multiple-choice question (MCQ) assessments, often involving short snippets of code, from introductory and intermediate programming courses at the postsecondary level. This emerging technology stirs countless discussions of its potential uses (e.g., exercise generation, code explanation) as well as misuses in programming education (e.g., cheating). However, the capabilities of GPT models and their limitations to reason about and/or analyze code in educational settings have been under-explored. We evaluated several OpenAI's GPT models on formative and summative MCQ assessments from three Python courses (530 questions). We found that MCQs containing code snippets are not answered as successfully as those that only contain natural language. While questions requiring to fill-in a blank in the code or completing a natural language statement about the snippet are handled rather successfully, MCQs that require analysis and/or reasoning about the code (e.g., what is true/false about the snippet, or what is its output) appear to be the most challenging. These findings can be leveraged by educators to adapt their instructional practices and assessments in programming courses, so that GPT becomes a valuable assistant for a learner as opposed to a source of confusion and/or potential hindrance in the learning process.

  • 4 authors
·
Mar 9, 2023

Open-LLM-Leaderboard: From Multi-choice to Open-style Questions for LLMs Evaluation, Benchmark, and Arena

Multiple-choice questions (MCQ) are frequently used to assess large language models (LLMs). Typically, an LLM is given a question and selects the answer deemed most probable after adjustments for factors like length. Unfortunately, LLMs may inherently favor certain answer choice IDs, such as A/B/C/D, due to inherent biases of priori unbalanced probabilities, influencing the prediction of answers based on these IDs. Previous research has introduced methods to reduce this ''selection bias'' by simply permutating options on a few test samples and applying to new ones. Another problem of MCQ is the lottery ticket choice by ''random guessing''. The LLM does not learn particular knowledge, but the option is guessed correctly. This situation is especially serious for those small-scale LLMs. To address them, a more thorough approach involves shifting from MCQ to open-style questions, which can fundamentally eliminate selection bias and random guessing issues. However, transitioning causes its own set of challenges in (1) identifying suitable open-style questions and (2) validating the correctness of LLM open-style responses against human-annotated ground-truths. This work aims to tackle these significant difficulties, and establish a new LLM evaluation benchmark through entirely open-style questions. Consequently, we introduce the Open-LLM-Leaderboard to track various LLMs' performance and reflect true capability of them, such as GPT-4o/4/3.5, Claude 3, Gemini, etc. Our code and dataset are available at https://github.com/VILA-Lab/Open-LLM-Leaderboard.

  • 3 authors
·
Jun 10, 2024

Multiple Choice Questions: Reasoning Makes Large Language Models (LLMs) More Self-Confident Even When They Are Wrong

One of the most widely used methods to evaluate LLMs are Multiple Choice Question (MCQ) tests. MCQ benchmarks enable the testing of LLM knowledge on almost any topic at scale as the results can be processed automatically. To help the LLM answer, a few examples called few shots can be included in the prompt. Moreover, the LLM can be asked to answer the question directly with the selected option or to first provide the reasoning and then the selected answer, which is known as chain of thought. In addition to checking whether the selected answer is correct, the evaluation can look at the LLM-estimated probability of its response as an indication of the confidence of the LLM in the response. In this paper, we study how the LLM confidence in its answer depends on whether the model has been asked to answer directly or to provide the reasoning before answering. The results of the evaluation of questions on a wide range of topics in seven different models show that LLMs are more confident in their answers when they provide reasoning before the answer. This occurs regardless of whether the selected answer is correct. Our hypothesis is that this behavior is due to the reasoning that modifies the probability of the selected answer, as the LLM predicts the answer based on the input question and the reasoning that supports the selection made. Therefore, LLM estimated probabilities seem to have intrinsic limitations that should be understood in order to use them in evaluation procedures. Interestingly, the same behavior has been observed in humans, for whom explaining an answer increases confidence in its correctness.

  • 5 authors
·
Jan 16, 2025 2

Right Answer, Wrong Score: Uncovering the Inconsistencies of LLM Evaluation in Multiple-Choice Question Answering

One of the most widely used tasks to evaluate Large Language Models (LLMs) is Multiple-Choice Question Answering (MCQA). While open-ended question answering tasks are more challenging to evaluate, MCQA tasks are, in principle, easier to assess, as the model's answer is thought to be simple to extract and is directly compared to a set of predefined choices. However, recent studies have started to question the reliability of MCQA evaluation, showing that multiple factors can significantly impact the reported performance of LLMs, especially when the model generates free-form text before selecting one of the answer choices. In this work, we shed light on the inconsistencies of MCQA evaluation strategies, which can lead to inaccurate and misleading model comparisons. We systematically analyze whether existing answer extraction methods are aligned with human judgment, and how they are influenced by answer constraints in the prompt across different domains. Our experiments demonstrate that traditional evaluation strategies often underestimate LLM capabilities, while LLM-based answer extractors are prone to systematic errors. Moreover, we reveal a fundamental trade-off between including format constraints in the prompt to simplify answer extraction and allowing models to generate free-form text to improve reasoning. Our findings call for standardized evaluation methodologies and highlight the need for more reliable and consistent MCQA evaluation practices.

  • 6 authors
·
Mar 19, 2025

Evaluating the Symbol Binding Ability of Large Language Models for Multiple-Choice Questions in Vietnamese General Education

In this paper, we evaluate the ability of large language models (LLMs) to perform multiple choice symbol binding (MCSB) for multiple choice question answering (MCQA) tasks in zero-shot, one-shot, and few-shot settings. We focus on Vietnamese, with fewer challenging MCQA datasets than in English. The two existing datasets, ViMMRC 1.0 and ViMMRC 2.0, focus on literature. Recent research in Vietnamese natural language processing (NLP) has focused on the Vietnamese National High School Graduation Examination (VNHSGE) from 2019 to 2023 to evaluate ChatGPT. However, these studies have mainly focused on how ChatGPT solves the VNHSGE step by step. We aim to create a novel and high-quality dataset by providing structured guidelines for typing LaTeX formulas for mathematics, physics, chemistry, and biology. This dataset can be used to evaluate the MCSB ability of LLMs and smaller language models (LMs) because it is typed in a strict LaTeX style. We focus on predicting the character (A, B, C, or D) that is the most likely answer to a question, given the context of the question. Our evaluation of six well-known LLMs, namely BLOOMZ-7.1B-MT, LLaMA-2-7B, LLaMA-2-70B, GPT-3, GPT-3.5, and GPT-4.0, on the ViMMRC 1.0 and ViMMRC 2.0 benchmarks and our proposed dataset shows promising results on the MCSB ability of LLMs for Vietnamese. The dataset is available for research purposes only.

  • 2 authors
·
Oct 18, 2023

Listening to the Wise Few: Select-and-Copy Attention Heads for Multiple-Choice QA

A standard way to evaluate the abilities of LLM involves presenting a multiple-choice question and selecting the option with the highest logit as the model's predicted answer. However, such a format for evaluating LLMs has limitations, since even if the model knows the correct answer, it may struggle to select the corresponding letter simply due to difficulties in following this rigid format. To address this, we introduce new scores that better capture and reveal model's underlying knowledge: the Query-Key Score (QK-score), derived from the interaction between query and key representations in attention heads, and the Attention Score, based on attention weights. These scores are extracted from specific select-and-copy heads, which show consistent performance across popular Multi-Choice Question Answering (MCQA) datasets. Based on these scores, our method improves knowledge extraction, yielding up to 16\% gain for LLaMA2-7B and up to 10\% for larger models on popular MCQA benchmarks. At the same time, the accuracy on a simple synthetic dataset, where the model explicitly knows the right answer, increases by almost 60\%, achieving nearly perfect accuracy, therefore demonstrating the method's efficiency in mitigating MCQA format limitations. To support our claims, we conduct experiments on models ranging from 7 billion to 70 billion parameters in both zero- and few-shot setups.

  • 8 authors
·
Oct 3, 2024

Student Answer Forecasting: Transformer-Driven Answer Choice Prediction for Language Learning

Intelligent Tutoring Systems (ITS) enhance personalized learning by predicting student answers to provide immediate and customized instruction. However, recent research has primarily focused on the correctness of the answer rather than the student's performance on specific answer choices, limiting insights into students' thought processes and potential misconceptions. To address this gap, we present MCQStudentBert, an answer forecasting model that leverages the capabilities of Large Language Models (LLMs) to integrate contextual understanding of students' answering history along with the text of the questions and answers. By predicting the specific answer choices students are likely to make, practitioners can easily extend the model to new answer choices or remove answer choices for the same multiple-choice question (MCQ) without retraining the model. In particular, we compare MLP, LSTM, BERT, and Mistral 7B architectures to generate embeddings from students' past interactions, which are then incorporated into a finetuned BERT's answer-forecasting mechanism. We apply our pipeline to a dataset of language learning MCQ, gathered from an ITS with over 10,000 students to explore the predictive accuracy of MCQStudentBert, which incorporates student interaction patterns, in comparison to correct answer prediction and traditional mastery-learning feature-based approaches. This work opens the door to more personalized content, modularization, and granular support.

  • 7 authors
·
May 30, 2024

The Achievement of Higher Flexibility in Multiple Choice-based Tests Using Image Classification Techniques

In spite of the high accuracy of the existing optical mark reading (OMR) systems and devices, a few restrictions remain existent. In this work, we aim to reduce the restrictions of multiple choice questions (MCQ) within tests. We use an image registration technique to extract the answer boxes from answer sheets. Unlike other systems that rely on simple image processing steps to recognize the extracted answer boxes, we address the problem from another perspective by training a machine learning classifier to recognize the class of each answer box (i.e., confirmed, crossed out, or blank answer). This gives us the ability to deal with a variety of shading and mark patterns, and distinguish between chosen (i.e., confirmed) and canceled answers (i.e., crossed out). All existing machine learning techniques require a large number of examples in order to train a model for classification, therefore we present a dataset including six real MCQ assessments with different answer sheet templates. We evaluate two strategies of classification: a straight-forward approach and a two-stage classifier approach. We test two handcrafted feature methods and a convolutional neural network. In the end, we present an easy-to-use graphical user interface of the proposed system. Compared with existing OMR systems, the proposed system has the least constraints and achieves a high accuracy. We believe that the presented work will further direct the development of OMR systems towards reducing the restrictions of the MCQ tests.

  • 2 authors
·
Nov 2, 2017

STOC-TOT: Stochastic Tree-of-Thought with Constrained Decoding for Complex Reasoning in Multi-Hop Question Answering

Multi-hop question answering (MHQA) requires a model to retrieve and integrate information from multiple passages to answer a complex question. Recent systems leverage the power of large language models and integrate evidence retrieval with reasoning prompts (e.g., chain-of-thought reasoning) for the MHQA task. However, the complexities in the question types (bridge v.s. comparison questions) and the reasoning types (sequential v.s. parallel reasonings) require more novel and fine-grained prompting methods to enhance the performance of MHQA under the zero-shot setting. In this paper, we propose STOC-TOT, a stochastic tree-of-thought reasoning prompting method with constrained decoding for MHQA and conduct a detailed comparison with other reasoning prompts on different question types and reasoning types. Specifically, we construct a tree-like reasoning structure by prompting the model to break down the original question into smaller sub-questions to form different reasoning paths. In addition, we prompt the model to provide a probability estimation for each reasoning path at each reasoning step. At answer time, we conduct constrained decoding on the model to generate more grounded answers and reduce hallucination. Experiments comparing STOC-TOT with two MHQA datasets and five large language models showed that our framework outperforms other reasoning prompts by a significant margin.

  • 5 authors
·
Jul 4, 2024

FREESON: Retriever-Free Retrieval-Augmented Reasoning via Corpus-Traversing MCTS

Large Reasoning Models (LRMs) have demonstrated remarkable capabilities in multi-step reasoning and calling search engines at appropriate steps. However, existing retrieval-augmented reasoning approaches rely on separate retrieval models, limiting the LRM's role in retrieval to deciding when to retrieve and how to query. This separation not only increases hardware and operational costs but also leads to errors in the retrieval process due to the representation bottleneck, a phenomenon where the retriever's embedding space is not expressive enough to meet the generator's requirements. To address this, we shift our perspective from sequence-to-sequence matching to locating the answer-containing paths within the corpus, and propose a novel framework called FREESON (Retriever-FREE Retrieval-Augmented ReaSONing). This framework enables LRMs to retrieve relevant knowledge on their own by acting as both a generator and retriever. To achieve this, we introduce a variant of the MCTS algorithm specialized for the retrieval task, which we call CT-MCTS (Corpus-Traversing Monte Carlo Tree Search). In this algorithm, LRMs traverse through the corpus toward answer-containing regions. Our results on five open-domain QA benchmarks, including single-hop and multi-hop questions, show that FREESON achieves an average improvement of 14.4% in EM and F1 over four multi-step reasoning models with a separate retriever, and it also performs comparably to the strongest baseline, surpassing it by 3% on PopQA and 2WikiMultihopQA.

  • 2 authors
·
May 22, 2025 2

TurkishMMLU: Measuring Massive Multitask Language Understanding in Turkish

Multiple choice question answering tasks evaluate the reasoning, comprehension, and mathematical abilities of Large Language Models (LLMs). While existing benchmarks employ automatic translation for multilingual evaluation, this approach is error-prone and potentially introduces culturally biased questions, especially in social sciences. We introduce the first multitask, multiple-choice Turkish QA benchmark, TurkishMMLU, to evaluate LLMs' understanding of the Turkish language. TurkishMMLU includes over 10,000 questions, covering 9 different subjects from Turkish high-school education curricula. These questions are written by curriculum experts, suitable for the high-school curricula in Turkey, covering subjects ranging from natural sciences and math questions to more culturally representative topics such as Turkish Literature and the history of the Turkish Republic. We evaluate over 20 LLMs, including multilingual open-source (e.g., Gemma, Llama, MT5), closed-source (GPT 4o, Claude, Gemini), and Turkish-adapted (e.g., Trendyol) models. We provide an extensive evaluation, including zero-shot and few-shot evaluation of LLMs, chain-of-thought reasoning, and question difficulty analysis along with model performance. We provide an in-depth analysis of the Turkish capabilities and limitations of current LLMs to provide insights for future LLMs for the Turkish language. We publicly release our code for the dataset and evaluation: https://github.com/ArdaYueksel/TurkishMMLU.

  • 5 authors
·
Jul 17, 2024

Answer Matching Outperforms Multiple Choice for Language Model Evaluation

Multiple choice benchmarks have long been the workhorse of language model evaluation because grading multiple choice is objective and easy to automate. However, we show multiple choice questions from popular benchmarks can often be answered without even seeing the question. These shortcuts arise from a fundamental limitation of discriminative evaluation not shared by evaluations of the model's free-form, generative answers. Until recently, there appeared to be no viable, scalable alternative to multiple choice--but, we show that this has changed. We consider generative evaluation via what we call answer matching: Give the candidate model the question without the options, have it generate a free-form response, then use a modern language model with the reference answer to determine if the response matches the reference. To compare the validity of different evaluation strategies, we annotate MMLU-Pro and GPQA-Diamond to obtain human grading data, and measure the agreement of each evaluation approach. We find answer matching using recent models--even small ones--achieves near-perfect agreement, in the range of inter-annotator agreement. In contrast, both multiple choice evaluation and using LLM-as-a-judge without reference answers aligns poorly with human grading. Improving evaluations via answer matching is not merely a conceptual concern: the rankings of several models change significantly when evaluating their free-form responses with answer matching. In light of these findings, we discuss how to move the evaluation ecosystem from multiple choice to answer matching.

  • 5 authors
·
Jul 3, 2025 2

MMLU-CF: A Contamination-free Multi-task Language Understanding Benchmark

Multiple-choice question (MCQ) datasets like Massive Multitask Language Understanding (MMLU) are widely used to evaluate the commonsense, understanding, and problem-solving abilities of large language models (LLMs). However, the open-source nature of these benchmarks and the broad sources of training data for LLMs have inevitably led to benchmark contamination, resulting in unreliable evaluation results. To alleviate this issue, we propose a contamination-free and more challenging MCQ benchmark called MMLU-CF. This benchmark reassesses LLMs' understanding of world knowledge by averting both unintentional and malicious data leakage. To avoid unintentional data leakage, we source data from a broader domain and design three decontamination rules. To prevent malicious data leakage, we divide the benchmark into validation and test sets with similar difficulty and subject distributions. The test set remains closed-source to ensure reliable results, while the validation set is publicly available to promote transparency and facilitate independent verification. Our evaluation of mainstream LLMs reveals that the powerful GPT-4o achieves merely a 5-shot score of 73.4% and a 0-shot score of 71.9% on the test set, which indicates the effectiveness of our approach in creating a more rigorous and contamination-free evaluation standard. The GitHub repository is available at https://github.com/microsoft/MMLU-CF and the dataset refers to https://huggingface.co/datasets/microsoft/MMLU-CF.

  • 11 authors
·
Dec 19, 2024

Wrong Answers Can Also Be Useful: PlausibleQA -- A Large-Scale QA Dataset with Answer Plausibility Scores

Large Language Models (LLMs) are revolutionizing information retrieval, with chatbots becoming an important source for answering user queries. As by their design, LLMs prioritize generating correct answers, the value of highly plausible yet incorrect answers (candidate answers) tends to be overlooked. However, such answers can still prove useful, for example, they can play a crucial role in tasks like Multiple-Choice Question Answering (MCQA) and QA Robustness Assessment (QARA). Existing QA datasets primarily focus on correct answers without explicit consideration of the plausibility of other candidate answers, limiting opportunity for more nuanced evaluations of models. To address this gap, we introduce PlausibleQA, a large-scale dataset comprising 10,000 questions and 100,000 candidate answers, each annotated with plausibility scores and justifications for their selection. Additionally, the dataset includes 900,000 justifications for pairwise comparisons between candidate answers, further refining plausibility assessments. We evaluate PlausibleQA through human assessments and empirical experiments, demonstrating its utility in MCQA and QARA analysis. Our findings show that plausibility-aware approaches are effective for MCQA distractor generation and QARA. We release PlausibleQA as a resource for advancing QA research and enhancing LLM performance in distinguishing plausible distractors from correct answers.

  • 4 authors
·
Feb 22, 2025

PUB: A Pragmatics Understanding Benchmark for Assessing LLMs' Pragmatics Capabilities

LLMs have demonstrated remarkable capability for understanding semantics, but they often struggle with understanding pragmatics. To demonstrate this fact, we release a Pragmatics Understanding Benchmark (PUB) dataset consisting of fourteen tasks in four pragmatics phenomena, namely, Implicature, Presupposition, Reference, and Deixis. We curated high-quality test sets for each task, consisting of Multiple Choice Question Answers (MCQA). PUB includes a total of 28k data points, 6.1k of which have been created by us, and the rest are adapted from existing datasets. We evaluated nine models varying in the number of parameters and type of training. Our study indicates that fine-tuning for instruction-following and chat significantly enhances the pragmatics capabilities of smaller language models. However, for larger models, the base versions perform comparably with their chat-adapted counterparts. Additionally, there is a noticeable performance gap between human capabilities and model capabilities. Furthermore, unlike the consistent performance of humans across various tasks, the models demonstrate variability in their proficiency, with performance levels fluctuating due to different hints and the complexities of tasks within the same dataset. Overall, the benchmark aims to provide a comprehensive evaluation of LLM's ability to handle real-world language tasks that require pragmatic reasoning.

  • 6 authors
·
Jan 13, 2024

KazQAD: Kazakh Open-Domain Question Answering Dataset

We introduce KazQAD -- a Kazakh open-domain question answering (ODQA) dataset -- that can be used in both reading comprehension and full ODQA settings, as well as for information retrieval experiments. KazQAD contains just under 6,000 unique questions with extracted short answers and nearly 12,000 passage-level relevance judgements. We use a combination of machine translation, Wikipedia search, and in-house manual annotation to ensure annotation efficiency and data quality. The questions come from two sources: translated items from the Natural Questions (NQ) dataset (only for training) and the original Kazakh Unified National Testing (UNT) exam (for development and testing). The accompanying text corpus contains more than 800,000 passages from the Kazakh Wikipedia. As a supplementary dataset, we release around 61,000 question-passage-answer triples from the NQ dataset that have been machine-translated into Kazakh. We develop baseline retrievers and readers that achieve reasonable scores in retrieval (NDCG@10 = 0.389 MRR = 0.382), reading comprehension (EM = 38.5 F1 = 54.2), and full ODQA (EM = 17.8 F1 = 28.7) settings. Nevertheless, these results are substantially lower than state-of-the-art results for English QA collections, and we think that there should still be ample room for improvement. We also show that the current OpenAI's ChatGPTv3.5 is not able to answer KazQAD test questions in the closed-book setting with acceptable quality. The dataset is freely available under the Creative Commons licence (CC BY-SA) at https://github.com/IS2AI/KazQAD.

  • 5 authors
·
Apr 5, 2024

Harnessing the Power of Prompt-based Techniques for Generating School-Level Questions using Large Language Models

Designing high-quality educational questions is a challenging and time-consuming task. In this work, we propose a novel approach that utilizes prompt-based techniques to generate descriptive and reasoning-based questions. However, current question-answering (QA) datasets are inadequate for conducting our experiments on prompt-based question generation (QG) in an educational setting. Therefore, we curate a new QG dataset called EduProbe for school-level subjects, by leveraging the rich content of NCERT textbooks. We carefully annotate this dataset as quadruples of 1) Context: a segment upon which the question is formed; 2) Long Prompt: a long textual cue for the question (i.e., a longer sequence of words or phrases, covering the main theme of the context); 3) Short Prompt: a short textual cue for the question (i.e., a condensed representation of the key information or focus of the context); 4) Question: a deep question that aligns with the context and is coherent with the prompts. We investigate several prompt-based QG methods by fine-tuning pre-trained transformer-based large language models (LLMs), namely PEGASUS, T5, MBART, and BART. Moreover, we explore the performance of two general-purpose pre-trained LLMs such as Text-Davinci-003 and GPT-3.5-Turbo without any further training. By performing automatic evaluation, we show that T5 (with long prompt) outperforms all other models, but still falls short of the human baseline. Under human evaluation criteria, TextDavinci-003 usually shows better results than other models under various prompt settings. Even in the case of human evaluation criteria, QG models mostly fall short of the human baseline. Our code and dataset are available at: https://github.com/my625/PromptQG

  • 3 authors
·
Dec 2, 2023

Automatic Generation of Multiple-Choice Questions

Creating multiple-choice questions to assess reading comprehension of a given article involves generating question-answer pairs (QAPs) and adequate distractors. We present two methods to tackle the challenge of QAP generations: (1) A deep-learning-based end-to-end question generation system based on T5 Transformer with Preprocessing and Postprocessing Pipelines (TP3). We use the finetuned T5 model for our downstream task of question generation and improve accuracy using a combination of various NLP tools and algorithms in preprocessing and postprocessing to select appropriate answers and filter undesirable questions. (2) A sequence-learning-based scheme to generate adequate QAPs via meta-sequence representations of sentences. A meta-sequence is a sequence of vectors comprising semantic and syntactic tags. we devise a scheme called MetaQA to learn meta sequences from training data to form pairs of a meta sequence for a declarative sentence and a corresponding interrogative sentence. The TP3 works well on unseen data, which is complemented by MetaQA. Both methods can generate well-formed and grammatically correct questions. Moreover, we present a novel approach to automatically generate adequate distractors for a given QAP. The method is a combination of part-of-speech tagging, named-entity tagging, semantic-role labeling, regular expressions, domain knowledge bases, word embeddings, word edit distance, WordNet, and other algorithms.

  • 1 authors
·
Mar 24, 2023

A Comparative Study of Open-Source Large Language Models, GPT-4 and Claude 2: Multiple-Choice Test Taking in Nephrology

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evaluate the ability of LLM models to provide correct answers to nephSAP (Nephrology Self-Assessment Program) multiple-choice questions. The overall success of open-sourced LLMs in answering the 858 nephSAP multiple-choice questions correctly was 17.1% - 25.5%. In contrast, Claude 2 answered 54.4% of the questions correctly, whereas GPT-4 achieved a score of 73.3%. We show that current widely used open-sourced LLMs do poorly in their ability for zero-shot reasoning when compared to GPT-4 and Claude 2. The findings of this study potentially have significant implications for the future of subspecialty medical training and patient care.

  • 7 authors
·
Aug 9, 2023

The Potential of LLMs in Medical Education: Generating Questions and Answers for Qualification Exams

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

  • 4 authors
·
Oct 31, 2024

Large Language Models Encode Clinical Knowledge

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

  • 30 authors
·
Dec 26, 2022

Self-Assessment Tests are Unreliable Measures of LLM Personality

As large language models (LLM) evolve in their capabilities, various recent studies have tried to quantify their behavior using psychological tools created to study human behavior. One such example is the measurement of "personality" of LLMs using self-assessment personality tests developed to measure human personality. Yet almost none of these works verify the applicability of these tests on LLMs. In this paper, we analyze the reliability of LLM personality scores obtained from self-assessment personality tests using two simple experiments. We first introduce the property of prompt sensitivity, where three semantically equivalent prompts representing three intuitive ways of administering self-assessment tests on LLMs are used to measure the personality of the same LLM. We find that all three prompts lead to very different personality scores, a difference that is statistically significant for all traits in a large majority of scenarios. We then introduce the property of option-order symmetry for personality measurement of LLMs. Since most of the self-assessment tests exist in the form of multiple choice question (MCQ) questions, we argue that the scores should also be robust to not just the prompt template but also the order in which the options are presented. This test unsurprisingly reveals that the self-assessment test scores are not robust to the order of the options. These simple tests, done on ChatGPT and three Llama2 models of different sizes, show that self-assessment personality tests created for humans are unreliable measures of personality in LLMs.

  • 3 authors
·
Sep 15, 2023

MHQA: A Diverse, Knowledge Intensive Mental Health Question Answering Challenge for Language Models

Mental health remains a challenging problem all over the world, with issues like depression, anxiety becoming increasingly common. Large Language Models (LLMs) have seen a vast application in healthcare, specifically in answering medical questions. However, there is a lack of standard benchmarking datasets for question answering (QA) in mental health. Our work presents a novel multiple choice dataset, MHQA (Mental Health Question Answering), for benchmarking Language models (LMs). Previous mental health datasets have focused primarily on text classification into specific labels or disorders. MHQA, on the other hand, presents question-answering for mental health focused on four key domains: anxiety, depression, trauma, and obsessive/compulsive issues, with diverse question types, namely, factoid, diagnostic, prognostic, and preventive. We use PubMed abstracts as the primary source for QA. We develop a rigorous pipeline for LLM-based identification of information from abstracts based on various selection criteria and converting it into QA pairs. Further, valid QA pairs are extracted based on post-hoc validation criteria. Overall, our MHQA dataset consists of 2,475 expert-verified gold standard instances called MHQA-gold and ~56.1k pairs pseudo labeled using external medical references. We report F1 scores on different LLMs along with few-shot and supervised fine-tuning experiments, further discussing the insights for the scores.

  • 7 authors
·
Feb 21, 2025

Benchmarking Multimodal Retrieval Augmented Generation with Dynamic VQA Dataset and Self-adaptive Planning Agent

Multimodal Retrieval Augmented Generation (mRAG) plays an important role in mitigating the "hallucination" issue inherent in multimodal large language models (MLLMs). Although promising, existing heuristic mRAGs typically predefined fixed retrieval processes, which causes two issues: (1) Non-adaptive Retrieval Queries. (2) Overloaded Retrieval Queries. However, these flaws cannot be adequately reflected by current knowledge-seeking visual question answering (VQA) datasets, since the most required knowledge can be readily obtained with a standard two-step retrieval. To bridge the dataset gap, we first construct Dyn-VQA dataset, consisting of three types of "dynamic" questions, which require complex knowledge retrieval strategies variable in query, tool, and time: (1) Questions with rapidly changing answers. (2) Questions requiring multi-modal knowledge. (3) Multi-hop questions. Experiments on Dyn-VQA reveal that existing heuristic mRAGs struggle to provide sufficient and precisely relevant knowledge for dynamic questions due to their rigid retrieval processes. Hence, we further propose the first self-adaptive planning agent for multimodal retrieval, OmniSearch. The underlying idea is to emulate the human behavior in question solution which dynamically decomposes complex multimodal questions into sub-question chains with retrieval action. Extensive experiments prove the effectiveness of our OmniSearch, also provide direction for advancing mRAG. The code and dataset will be open-sourced at https://github.com/Alibaba-NLP/OmniSearch.

  • 12 authors
·
Nov 5, 2024

MedHopQA: A Disease-Centered Multi-Hop Reasoning Benchmark and Evaluation Framework for LLM-Based Biomedical Question Answering

Evaluating large language models (LLMs) in the biomedical domain requires benchmarks that can distinguish reasoning from pattern matching and remain discriminative as model capabilities improve. Existing biomedical question answering (QA) benchmarks are limited in this respect. Multiple-choice formats can allow models to succeed through answer elimination rather than inference, while widely circulated exam-style datasets are increasingly vulnerable to performance saturation and training data contamination. Multi-hop reasoning, defined as the ability to integrate information across multiple sources to derive an answer, is central to clinically meaningful tasks such as diagnostic support, literature-based discovery, and hypothesis generation, yet remains underrepresented in current biomedical QA benchmarks. MedHopQA is a disease-centered multi-hop reasoning benchmark consisting of 1,000 expert-curated question-answer pairs introduced as a shared task at BioCreative IX. Each question requires synthesis of information across two distinct Wikipedia articles, and answers are provided in an open-ended free-text format. Gold annotations are augmented with ontology-grounded synonym sets from MONDO, NCBI Gene, and NCBI Taxonomy to support both lexical and concept-level evaluation. MedHopQA was constructed through a structured process combining human annotation, triage, iterative verification, and LLM-as-a-judge validation. To reduce leaderboard gaming and contamination risk, the 1,000 scored questions are embedded within a publicly downloadable set of 10,000 questions, with answers withheld, on a CodaBench leaderboard. MedHopQA provides both a benchmark and a reusable framework for constructing future biomedical QA datasets that prioritize compositional reasoning, saturation resistance, and contamination resistance as core design constraints.

  • 16 authors
·
May 11

Retrieval Helps or Hurts? A Deeper Dive into the Efficacy of Retrieval Augmentation to Language Models

While large language models (LMs) demonstrate remarkable performance, they encounter challenges in providing accurate responses when queried for information beyond their pre-trained memorization. Although augmenting them with relevant external information can mitigate these issues, failure to consider the necessity of retrieval may adversely affect overall performance. Previous research has primarily focused on examining how entities influence retrieval models and knowledge recall in LMs, leaving other aspects relatively unexplored. In this work, our goal is to offer a more detailed, fact-centric analysis by exploring the effects of combinations of entities and relations. To facilitate this, we construct a new question answering (QA) dataset called WiTQA (Wikipedia Triple Question Answers). This dataset includes questions about entities and relations of various popularity levels, each accompanied by a supporting passage. Our extensive experiments with diverse LMs and retrievers reveal when retrieval does not consistently enhance LMs from the viewpoints of fact-centric popularity.Confirming earlier findings, we observe that larger LMs excel in recalling popular facts. However, they notably encounter difficulty with infrequent entity-relation pairs compared to retrievers. Interestingly, they can effectively retain popular relations of less common entities. We demonstrate the efficacy of our finer-grained metric and insights through an adaptive retrieval system that selectively employs retrieval and recall based on the frequencies of entities and relations in the question.

  • 4 authors
·
Feb 20, 2024

Reaching Beyond the Mode: RL for Distributional Reasoning in Language Models

Given a question, a language model (LM) implicitly encodes a distribution over possible answers. In practice, post-training procedures for LMs often collapse this distribution onto a single dominant mode. While this is generally not a problem for benchmark-style evaluations that assume one correct answer, many real-world tasks inherently involve multiple valid answers or irreducible uncertainty. Examples include medical diagnosis, ambiguous question answering, and settings with incomplete information. In these cases, we would like LMs to generate multiple plausible hypotheses, ideally with confidence estimates for each one, and without computationally intensive repeated sampling to generate non-modal answers. This paper describes a multi-answer reinforcement learning approach for training LMs to perform distributional reasoning over multiple answers during inference. We modify the RL objective to enable models to explicitly generate multiple candidate answers in a single forward pass, internalizing aspects of inference-time search into the model's generative process. Across question-answering, medical diagnostic, and coding benchmarks, we observe improved diversity, coverage, and set-level calibration scores compared to single answer trained baselines. Models trained with our approach require fewer tokens to generate multiple answers than competing approaches. On coding tasks, they are also substantially more accurate. These results position multi-answer RL as a principled and compute-efficient alternative to inference-time scaling procedures such as best-of-k. Code and more information can be found at https://multi-answer-rl.github.io/.