Mine Rescue Field Exam From the 2013 Nevada Mine Rescue Contest, Winnemucca, NV Progress Indicator: Question 8 of 30 8.  A 21 year-old female presents with dysuriOn examination of the urine, many squamous epithelial cells are noteWhich of the following is the next best step in the evaluation or treatment of this patient? Choices: Order urine culture and sensitivity Obtain renal ultrasound Repeat urinalysis with a clean catch sample Refer to a nephrologist