67-year-old Man in Surgery — 67yo Man | Urology | SMLE Q#18423
SMLE Question #18423
Surgery
Urology
Objective: OBJ-124
Last updated: February 2026
A 67-year-old man has three episodes of painless visible hematuria over 1 week. He reports urinary frequency and weak stream. He has no fever, dysuria, flank pain, trauma, or recent urologic instrumentation. Digital rectal examination shows a symmetrically enlarged, smooth prostate without nodules. Upper urinary tract imaging shows no renal mass or collecting system abnormality. What is the most appropriate next diagnostic test to evaluate his hematuria?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.