no they have a hospital gown no shoes/socks and just underwear and bras on the ladies. you don't do breast, genital, etc exams but if it is needed as part of the complaint you write it in. when listening to heart in women you ask them to move the bra around if needed you don't touch it..and yes the pt is draped at all times, you only uncover the part you are examining at that time and if possible only half the body..like when examining the legs, you only undrape one of them.

the usmle CD has sample encounters on it

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OBGYN PGY II
I see light at the end of the tunnel!!!...wait a minute its just another freakin tunnel!