What exam finding would support the suspected diagnosis in a patient with yellow vaginal discharge and motile organisms on microscopy?

The presence of punctate hemorrhages on the cervix is indicative of cervicitis, often linked to sexually transmitted infections such as gonorrhea or chlamydia. This finding aligns well with a patient presenting with yellow vaginal discharge and motile organisms observed on microscopy, which could suggest an infectious process.

In the context of cervicitis, the inflammation of the cervix can lead to small areas of bleeding, manifesting as punctate hemorrhages during examination. The yellow discharge could be related to the infection causing cervical inflammation.

While other potential findings like fluctuating buboes or ulcerative lesions could suggest different conditions, they do not correspond with the specific symptoms of yellow discharge and motile organisms. A thick and white cottage cheese-like discharge, commonly associated with candidiasis, does not match the description provided for the discharge in the scenario. Hence, punctate hemorrhages offer a clearer correlation with the mood of infection represented in the provided symptoms.