A 54-year-old man with a 30 pack-year smoking history presents with new onset gross painless haematuria. He has no dysuria or flank pain. Which is the...

Question

A 54-year-old man with a 30 pack-year smoking history presents with new onset gross painless haematuria. He has no dysuria or flank pain. Which is the most appropriate next diagnostic step according to Canadian urologic cancer evaluation principles?

Accepted Answer

Cystoscopy and upper tract imaging to evaluate for urothelial carcinoma.

Answer

Empiric treatment for urinary tract infection with antibiotics and repeat urinalysis in 2 weeks.

Answer

Renal and bladder ultrasound only.

Answer

Observation without investigation because haematuria is self-limited.

Answer

Urine cytology alone.

ca-mccqe1 MCQ (SBA): Painless haematuria evaluation

A 54-year-old man with a 30 pack-year smoking history presents with new onset gross painless haematuria. He has no dysuria or flank pain. Which is the most appropriate next diagnostic step according to Canadian urologic cancer evaluation principles?