If the boy did play with his little dick, or came within last 4 days you dissapointed the nurse and this check-up is over. Go confess and tell why, where, and when, you did touch, played and came the last 4 days.
If not little boy... you may remove shoes, pants, socks and shorts. Remember that touching that little dick of yours still ends the session.
Otherwise you may continue little naugty boy.