A 70-year-old with microhematuria (3 RBC/HPF) confirmed on repeat UA has 30 pack-years and no UTI. What evaluation approach is recommended?...

Question

A 70-year-old with microhematuria (>3 RBC/HPF) confirmed on repeat UA has 30 pack-years and no UTI. What evaluation approach is recommended?

Accepted Answer

Risk-stratified evaluation with cystoscopy and upper-tract imaging based on AUA risk categories

Answer

No evaluation; repeat UA in 1 year only

Answer

CT urogram for everyone regardless of risk

Answer

Urine cytology alone is sufficient

Answer

Treat empirically with antibiotics first

ukmla MCQ (SBA): Microhematuria