What is a characteristic finding during a speculum examination in a patient with gonorrhea?

A friable cervix with cervical discharge is a characteristic finding in patients infected with gonorrhea. The term "friable" refers to a cervix that is easily bleeding or prone to injury when touched. In the context of gonorrheal infection, the cervix becomes inflamed due to the infection, making it tender and more susceptible to bleeding during a speculum examination.

Additionally, cervical discharge is often observed in these patients. This discharge can be purulent or mucopurulent, and it typically has a yellow or green color, which can help differentiate it from other conditions. Recognizing these signs during examination is crucial for diagnosing gonorrhea and initiating appropriate treatment.

In contrast, a normal cervix without discharge does not align with the clinical findings expected in a gonorrhea infection. Similarly, cervical and vaginal atrophy is more associated with menopause or hormonal changes than with a gonorrheal infection. Enlarged ovaries would suggest different pathologies, such as ovarian cysts or other conditions, rather than being a typical finding in gonorrhea. Thus, friable cervix with discharge is a clear indication of an active infection, making it the correct choice in this scenario.