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Female Steth Exams Bra on or off?

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Female Steth Exams Bra on or off?

Are there any women here who would to tell something about their heart (or lung) exams with the stethoscope. Do you have to undo your bra or not? I myself sometimes have to be topless and sometimes not. Could anyone explain why there are such differences?

 
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steth
 
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Dr Stethoscope
 
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