A 51-year-old man with new painless gross hematuria. According to risk-based evaluation, which study is indicated?...

Question

A 51-year-old man with new painless gross hematuria. According to risk-based evaluation, which study is indicated?

Accepted Answer

High-risk hematuria features (e.g., older age) warrant cystoscopy and CT urography to evaluate urothelial malignancy. Ultrasound alone may miss upper tract pathology; cytology alone is not sufficient; empiric antibiotics delay diagnosis.

Answer

Cystoscopy and CT urography

Answer

Renal ultrasound only

Answer

Urine cytology only

Answer

Empiric antibiotics and repeat UA

"urology" MCQ (SBA): Gross Hematuria

A 51-year-old man with new painless gross hematuria. According to risk-based evaluation, which study is indicated?