When the school's annual physical exam approached, Tamaki and the rest of the club were determined to keep Haruhi's gender a secret at any cost! Tamaki tried to pose as Haruhi but was instantly recognized by the other students, however Kyoya was able to arrange a separate room for Haruhi's exam to keep her privacy. Meanwhile, word got out that one of the doctors was a pervert, but it turned out that the man was just impersonating a doctor to locate his daughter.