A 70-year-old man has 3-10 RBC/hpf on two UAs, no symptoms, never smoker, normal creatinine. According to updated guidance, what is appropriate first ...

Question

A 70-year-old man has 3-10 RBC/hpf on two UAs, no symptoms, never smoker, normal creatinine. According to updated guidance, what is appropriate first step?

Accepted Answer

Repeat urinalysis (negligible-risk microhematuria)

Answer

Immediate CT urogram and cystoscopy

Answer

Empiric antibiotics for 7 days

Answer

Urine cytology and tumor markers for all

Answer

No follow-up needed

us-abim MCQ (SBA): Microscopic Hematuria

A 70-year-old man has 3-10 RBC/hpf on two UAs, no symptoms, never smoker, normal creatinine. According to updated guidance, what is appropriate first step?