text: Below is an context that describes a sql query, paired with an question that provides further information. Write an answer that appropriately completes the request.  # noqa: E501
  ### Context:
  CREATE TABLE table_name_5 (gold INTEGER, nation VARCHAR, rank VARCHAR)
  ### Question:
  How many gold medals on average were earned by Italy when they held the rank of 4?
  ### Answer:
  SELECT AVG(gold) FROM table_name_5 WHERE nation = "italy" AND rank > 4