One of my fav play exam scenarios is a young woman here for her first appointment. She knows very little about her body, and very little about sex. This makes it natural for me to go very slowly, and make use of a big mirror so I can show off all of her parts and within the contest, show her normal reactions, at least to touch stimulus, and explaining what a typical reaction is like. I also give her a through guided tour of her anatomy, including showing where her clitoris, urethra, and g spot are, and a bit about the clitoris and g spot and nipples being pleasure centers, with small amounts of manual stimulation to prove the point. Or more if the patient wants it. I do not use my mouth or my penis in the exam.
After the exam, if the patient is willing, anything goes.
My exam room (you can see a picture in my profile if you are interested) has an exam table and a chair. I would love to have a patient on each. Best friends going to their first gyno appointment together. I think that would be over the top hot. Each getting to observe the others exam to some extent, and than having to wait for that procedure to be preformed on them.
Not 100% real, but I do try to come very close, but with a lot of erotic overtones. I obviously can adjust the reality to taste, but if it is too vanilla, it is not much fun for me. It has to be at least a little erotic or else a monkey could do it.