67-year-old Man in Medicine / Internal Medicine — 67yo Man | Nephrology | SMLE Q#904
SMLE Question #904
Medicine / Internal Medicine
Nephrology
Last updated: February 2026
A 67-year-old man reports three episodes of painless visible hematuria over 2 weeks. He has a 45-pack-year smoking history. He denies dysuria, frequency, urgency, or flank pain. Urinalysis shows numerous red blood cells without casts and no evidence of infection. Which of the following is the most appropriate next diagnostic test to evaluate this patient’s painless gross hematuria?
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