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Dec 10

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

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

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

Setting Standards in Turkish NLP: TR-MMLU for Large Language Model Evaluation

Language models have made remarkable advancements in understanding and generating human language, achieving notable success across a wide array of applications. However, evaluating these models remains a significant challenge, particularly for resource-limited languages such as Turkish. To address this gap, we introduce the Turkish MMLU (TR-MMLU) benchmark, a comprehensive evaluation framework designed to assess the linguistic and conceptual capabilities of large language models (LLMs) in Turkish. TR-MMLU is constructed from a carefully curated dataset comprising 6200 multiple-choice questions across 62 sections, selected from a pool of 280000 questions spanning 67 disciplines and over 800 topics within the Turkish education system. This benchmark provides a transparent, reproducible, and culturally relevant tool for evaluating model performance. It serves as a standard framework for Turkish NLP research, enabling detailed analyses of LLMs' capabilities in processing Turkish text and fostering the development of more robust and accurate language models. In this study, we evaluate state-of-the-art LLMs on TR-MMLU, providing insights into their strengths and limitations for Turkish-specific tasks. Our findings reveal critical challenges, such as the impact of tokenization and fine-tuning strategies, and highlight areas for improvement in model design. By setting a new standard for evaluating Turkish language models, TR-MMLU aims to inspire future innovations and support the advancement of Turkish NLP research.

  • 6 authors
·
Dec 31, 2024

Attentiveness to Answer Choices Doesn't Always Entail High QA Accuracy

When large language models (LMs) are applied in zero- or few-shot settings to discriminative tasks such as multiple-choice questions, their attentiveness (i.e., probability mass) is spread across many vocabulary tokens that are not valid choices. Such a spread across multiple surface forms with identical meaning is thought to cause an underestimation of a model's true performance, referred to as the "surface form competition" (SFC) hypothesis. This has motivated the introduction of various probability normalization methods. However, many core questions remain unanswered. How do we measure SFC or attentiveness? Are there direct ways of increasing attentiveness on valid choices? Does increasing attentiveness always improve task accuracy? We propose a mathematical formalism for studying this phenomenon, provide a metric for quantifying attentiveness, and identify a simple method for increasing it -- namely, in-context learning with even just one example containing answer choices. The formalism allows us to quantify SFC and bound its impact. Our experiments on three diverse datasets and six LMs reveal several surprising findings. For example, encouraging models to generate a valid answer choice can, in fact, be detrimental to task performance for some LMs, and prior probability normalization methods are less effective (sometimes even detrimental) to instruction-tuned LMs. We conclude with practical insights for effectively using prompted LMs for multiple-choice tasks.

  • 5 authors
·
May 23, 2023

Sequential Diagnosis with Language Models

Artificial intelligence holds great promise for expanding access to expert medical knowledge and reasoning. However, most evaluations of language models rely on static vignettes and multiple-choice questions that fail to reflect the complexity and nuance of evidence-based medicine in real-world settings. In clinical practice, physicians iteratively formulate and revise diagnostic hypotheses, adapting each subsequent question and test to what they've just learned, and weigh the evolving evidence before committing to a final diagnosis. To emulate this iterative process, we introduce the Sequential Diagnosis Benchmark, which transforms 304 diagnostically challenging New England Journal of Medicine clinicopathological conference (NEJM-CPC) cases into stepwise diagnostic encounters. A physician or AI begins with a short case abstract and must iteratively request additional details from a gatekeeper model that reveals findings only when explicitly queried. Performance is assessed not just by diagnostic accuracy but also by the cost of physician visits and tests performed. We also present the MAI Diagnostic Orchestrator (MAI-DxO), a model-agnostic orchestrator that simulates a panel of physicians, proposes likely differential diagnoses and strategically selects high-value, cost-effective tests. When paired with OpenAI's o3 model, MAI-DxO achieves 80% diagnostic accuracy--four times higher than the 20% average of generalist physicians. MAI-DxO also reduces diagnostic costs by 20% compared to physicians, and 70% compared to off-the-shelf o3. When configured for maximum accuracy, MAI-DxO achieves 85.5% accuracy. These performance gains with MAI-DxO generalize across models from the OpenAI, Gemini, Claude, Grok, DeepSeek, and Llama families. We highlight how AI systems, when guided to think iteratively and act judiciously, can advance diagnostic precision and cost-effectiveness in clinical care.

  • 15 authors
·
Jun 27

Subset Selection Based On Multiple Rankings in the Presence of Bias: Effectiveness of Fairness Constraints for Multiwinner Voting Score Functions

We consider the problem of subset selection where one is given multiple rankings of items and the goal is to select the highest ``quality'' subset. Score functions from the multiwinner voting literature have been used to aggregate rankings into quality scores for subsets. We study this setting of subset selection problems when, in addition, rankings may contain systemic or unconscious biases toward a group of items. For a general model of input rankings and biases, we show that requiring the selected subset to satisfy group fairness constraints can improve the quality of the selection with respect to unbiased rankings. Importantly, we show that for fairness constraints to be effective, different multiwinner score functions may require a drastically different number of rankings: While for some functions, fairness constraints need an exponential number of rankings to recover a close-to-optimal solution, for others, this dependency is only polynomial. This result relies on a novel notion of ``smoothness'' of submodular functions in this setting that quantifies how well a function can ``correctly'' assess the quality of items in the presence of bias. The results in this paper can be used to guide the choice of multiwinner score functions for the subset selection setting considered here; we additionally provide a tool to empirically enable this.

  • 5 authors
·
Jun 16, 2023

TeleEgo: Benchmarking Egocentric AI Assistants in the Wild

Egocentric AI assistants in real-world settings must process multi-modal inputs (video, audio, text), respond in real time, and retain evolving long-term memory. However, existing benchmarks typically evaluate these abilities in isolation, lack realistic streaming scenarios, or support only short-term tasks. We introduce TeleEgo, a long-duration, streaming, omni-modal benchmark for evaluating egocentric AI assistants in realistic daily contexts. The dataset features over 14 hours per participant of synchronized egocentric video, audio, and text across four domains: work \& study, lifestyle \& routines, social activities, and outings \& culture. All data is aligned on a unified global timeline and includes high-quality visual narrations and speech transcripts, curated through human refinement.TeleEgo defines 12 diagnostic subtasks across three core capabilities: Memory (recalling past events), Understanding (interpreting the current moment), and Cross-Memory Reasoning (linking distant events). It contains 3,291 human-verified QA items spanning multiple question formats (single-choice, binary, multi-choice, and open-ended), evaluated strictly in a streaming setting. We propose two key metrics -- Real-Time Accuracy and Memory Persistence Time -- to jointly assess correctness, temporal responsiveness, and long-term retention. TeleEgo provides a realistic and comprehensive evaluation to advance the development of practical AI assistants.

  • 15 authors
·
Oct 27