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Background

Large language models (LLMs) are increasingly applied in medical education, yet their reliability in specialized, high-stakes assessments such as the Chinese Health Professional and Technical Examination remains unclear. DeepSeek-R1, a recently released reasoning-enhanced LLM, has shown promising performance, but empirical evidence within nursing examination contexts is limited.

Recent advances in large language models (LLMs), especially reasoning LLMs have demonstrated impressive reasoning capabilities in specialized domains. The purpose of this study is to evaluate the performance of new open-source reasoning LLM, DeepSeek-R1 and other contemporary LLMs on radiology board examination questions, comparing their accuracy to human radiologists.