Final answer:
Cervical motion tenderness, also known as the chandelier sign, is highly suggestive of pelvic inflammatory disease.
Step-by-step explanation:
The physical exam finding that is highly suggestive of pelvic inflammatory disease (PID) until proven otherwise is a. cervical motion tenderness, also known as the chandelier sign. PID is an infection of the female reproductive organs such as the uterus, cervix, fallopian tubes, and ovaries, commonly caused by sexually transmitted pathogens like Neisseria gonorrhoeae and Chlamydia trachomatis. Cervical motion tenderness is a specific type of pain elicited during a pelvic exam when the cervix is moved, indicating potential inflammation and infection in the pelvic region. It is important to note that rebound tenderness, Murphy's sign, and Kehr's sign are associated with other conditions and are not typical findings in PID.