I'd guess every examiner has their own technique. On my skills test, I was given an engine failure at altitude. I made an approach to a field, and when it was clear that I'd made the field the examiner told me to go around. Within a few seconds of me adding power, he cut the power and told me I had an engine failure after takeoff.
Doing things in this order means that you can continue the EFATO as low as you like (within the boundaries of low-flying rules and safety of course) without having to worry about that biz-jet behind you!
The moral of the story is be ready to handle anything reasonable, even if it's not exactly what you've been practicing before. I doubt there's anything in the syllabus that says you have to be examined on passengers with ear-ache - but if you can't handle a passenger with an ear-ache, I think an examiner would be quite correct in refusing to give you a license which lets you carry passengers who, lets face it, can have ear-aches!
FFF
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