Surgery – MCQ 33 – 60 year old smoker with painless gross hematuria

A 60 year old smoker came with the history of painless gross hematuria for one day. The investigation of choice would be :
a) Urine routine and microscopy
b) Plain x—ray KUB
c) USG KUB
d) Urine for malignant cytology

Correct answer : d) Urine for malignant cytology

Painless gross hematuria indicates the diagnosis of urinary tract malignancy.