I don't know about how it goes in Maryland, but in my part of Illinois, at two of the
AMPs I occasionally visit, they will ask if you want them to use their finger.
One of the ladies will ask "Finger in here?...or tongue?" I will opt for her tongue.
I don't even care for the once-a-year digital exam by my doctor...and my doctor is a nice-looking woman about fifteen years younger than me.