A 65-year-old woman reports hematuria noted on dipstick. Microscopy shows ≥3 RBCs/hpf on two samples, no infection. She has a 40‑pack‑year smoking his...

Question

A 65-year-old woman reports hematuria noted on dipstick. Microscopy shows ≥3 RBCs/hpf on two samples, no infection. She has a 40‑pack‑year smoking history. What is the next step?

Accepted Answer

Risk‑stratified evaluation including cystoscopy and appropriate upper tract imaging

Answer

Repeat urinalysis in 1 year

Answer

Treat empirically for UTI

Answer

Start antibiotics if RBCs persist

Answer

Reassure; no work‑up needed

us-abim MCQ (SBA): Microhematuria Evaluation

A 65-year-old woman reports hematuria noted on dipstick. Microscopy shows ≥3 RBCs/hpf on two samples, no infection. She has a 40‑pack‑year smoking history. What is the next step?