A 66-year-old man with hematuria on dipstick has =3 RBC/HPF on microscopic urinalysis and 40-pack-year smoking history. According to the latest guide...

Question

A 66-year-old man with hematuria on dipstick has >=3 RBC/HPF on microscopic urinalysis and 40-pack-year smoking history. According to the latest guideline, what is recommended?

Accepted Answer

Risk-stratified evaluation including cystoscopy and appropriate upper tract imaging

Answer

CT urogram only

Answer

Empiric antibiotics then repeat UA

Answer

No further evaluation if asymptomatic

Answer

Urine cytology alone

us-abfm MCQ (SBA): Microscopic Hematuria

A 66-year-old man with hematuria on dipstick has >=3 RBC/HPF on microscopic urinalysis and 40-pack-year smoking history. According to the latest guideline, what is recommended?