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A step-by-step guide to bimanual vaginal examination in an OSCE setting, with an Push upwards with the internal fingers whilst simultaneously palpating the. During the exam, a device called a speculum will be inserted into the vagina. The speculum is opened to widen the vagina so that the vagina and cervix can be seen. Perform a Pap smear. Your doctor will place two fingers inside the vagina and uses the other hand to gently press down on the area he or she is feeling.