I would prefer a fake exam with as much reality as possible.
Somehow real exams, at a real clinic would be required if
(a) I was ill - meaning that I would be in a physically uncomfortable position and hence would not be in a position to enjoy the experience.
(b) It was a check-up - meaning that anything could emerge: an illness or the need for some other medical intervention. After a certain age, exams become a cause for anxiety. Real anxiety tends to put me off mood and I dont enjoy the experience
(c) Real exams are too 'clinical' and I end up feeling like a piece of meat since the doctor is only concerned with getting a job done - no pleasure, just pain!
But to bring in the bright side: real exams make for huge fantasy fodder! Thinking back on the exams and letting the imagination go wild, both are erotic and pleasurable.
Now fake exams, are exclusively for pleasure!
As the doctor (me) goes about checking the gorgeous patient lying helpless and submissive on the exam table.
The procedures (picked up from umpteen Youtube videos!) of taking the patient;s vitals, inserting fingers and instruments into the patient's various orifices - indeed her most private parts.
Coming up with a diagnosis that requires a course of very painful injections, or,
determining, in a rather annoyed way, that the patient is way behind on her vaccinations.
The doctor (me!), would then start giving the patient her injections, insisting firmly when she objected and cowered from the needle. Then, as the injections are given, pretending to ignore her moans and cries of pain and facial expressions at the various stages of the injection.
Starting with her arms, at least two injections would be given on each arm.
Then proceeding to her bottom, one injection on each butt cheek
And finally her thighs, one injection on each thigh.
Then the doctor would inform the patient when she had to come for her next round of injections.
Oh wow!