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General Surgery · Urology: bladder cancer
Sample itemA smoker has painless visible hematuria without infection. What serious diagnosis must be excluded?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Urothelial carcinoma
Painless visible hematuria is a red flag for urothelial malignancy and needs urologic evaluation, typically including imaging and cystoscopy. Smoking is a major risk factor.
Option by option
A. Uncomplicated cystitis
Cystitis commonly causes dysuria and frequency.
B. Benign prostatic enlargement only
BPH can cause hematuria but does not remove the need to exclude malignancy.
C. Urothelial carcinoma (correct)
Correct. Urothelial cancer must be excluded in painless gross hematuria.
D. Simple renal colic only
Renal colic usually causes severe flank pain.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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