When something awkward or unexpected happens it is often hard to decide what to say, so you simple say "What is this?!" in a very offensive manner.
Person1: Hey what's up
Person2: Nothing much, just got back from a carnival and I got a cool stuffed clown!!
Person1: *looks at the ugly stuffed clown* What is this?!?!
And elderly butch lesbian, may be buff.
Person1: Have you seen the new gym teacher?
Perrson2: She's such a rug doctor.
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