Evidence map›Paper›PMID 40000063›Full record

ArticleBMJ health & care informatics2025

Benchmarking open-source large language models on Portuguese Revalida multiple-choice questions.

João Victor Bruneti Severino, Pedro Angelo Basei de Paula, Matheus Nespolo Berger, Filipe Silveira Loures, Solano Amadori Todeschini, Eduardo Augusto Roeder, Maria Han Veiga, Murilo Guedes, Gustavo Lenci Marques

Abstract read
In one paragraph

Article in BMJ health & care informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

João Victor Bruneti SeverinoFederal University of Parana, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-8649-6494
Pedro Angelo Basei de PaulaFederal University of Parana, Curitiba, Brazil.
Matheus Nespolo BergerFederal University of Parana, Curitiba, Brazil.
Filipe Silveira LouresVoa Health, Belo Horizonte, Brazil.
Solano Amadori TodeschiniVoa Health, Belo Horizonte, Brazil.
Eduardo Augusto RoederFederal University of Parana, Curitiba, Brazil.
Maria Han VeigaMathematics, Ohio State University, Columbus, Ohio, USA.
Murilo GuedesPontifical Catholic University of Parana, Curitiba, Brazil.
Gustavo Lenci MarquesFederal University of Parana, Curitiba, Brazil gustavomarques@ufpr.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study aimed to evaluate the top large language models (LLMs) in validated medical knowledge tests in Portuguese.

methodsThis study compared 31 LLMs in the context of solving the national Brazilian medical examination test. The research compared the performance of 23 open-source and 8 proprietary models across 399 multiple-choice questions.

resultsAmong the smaller models, Llama 3 8B exhibited the highest success rate, achieving 53.9%, while the medium-sized model Mixtral 8×7B attained a success rate of 63.7%. Conversely, larger models like Llama 3 70B achieved a success rate of 77.5%. Among the proprietary models, GPT-4o and Claude Opus demonstrated superior accuracy, scoring 86.8% and 83.8%, respectively.

conclusions10 out of the 31 LLMs attained better than human level of performance in the Revalida benchmark, with 9 failing to provide coherent answers to the task. Larger models exhibited superior performance overall. However, certain medium-sized LLMs surpassed the performance of some of the larger LLMs.

Indexed as

BenchmarkingEducational MeasurementBrazilHumansLarge Language ModelsArtificial intelligenceHealth EquityMachine LearningMedical Informatics ApplicationsUniversal Health Care

Identifiers

PMID40000063
PMCPMC12082654

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.