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Bladder cancer — MCCQE Part 1 MCQ

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ModerateBlood in UrineBladder cancerMCCQE Part 1

A 38-year-old man with a 15-pack-year smoking history has sudden painless gross haematuria. No dysuria or flank pain. Urine cytology: atypical cells. Most appropriate next investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Cystoscopy

Painless gross haematuria + smoking = bladder cancer until proven otherwise. Cystoscopy is gold standard for lower tract evaluation. Upper tract imaging (CT urogram) also needed.

Reference: CUA Haematuria Guidelines