PAEA Surgery End Of Rotation (EOR) Practice Exam

What is a common symptom of bladder cancer?

1. Painful urination

2. Painless hematuria

3. Weight loss

4. Frequent urination without hematuria

The correct answer is: Painless hematuria

Painless hematuria, or blood in the urine without associated pain, is the most common symptom of bladder cancer. This symptom is particularly significant because it can be a primary indicator of the disease, prompting further evaluation through diagnostic imaging and cystoscopy. In bladder cancer, the presence of blood is often due to tumor growth or irritation within the bladder lining, and patients frequently notice this symptom at an advanced stage of the disease. Other symptoms associated with bladder cancer may include changes in urinary patterns, such as increased frequency or urgency of urination, which may or may not be accompanied by pain. However, the key differentiator for bladder cancer is the asymptomatic nature of hematuria, which distinguishes it from other urinary conditions that might involve pain. Understanding that painless hematuria is a hallmark symptom is crucial for early detection and treatment of bladder cancer.