When wife goes to real exams she keeps her socks on as she has fungus under her toenails. She thinks they look gross when she puts them up and into the stirrups. For our play exam, I require her to come in high heels as they fit perfectly into my homemade heel holders at the end of my make shift exam table.. I have requested that she wear heels and keep them on at her next exam but she thinks the male doctor might think she is inappropriate. She did bring home her exam vest and lap drape. She modeled it and I was amazed how little it covered. The vest was completely open in the back with no way to secure it. The doctor could view all of her backside including most of her buttocks. She said it didn’t matter as he was going to view, feel and touch everything she had anyway.