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1.
Used as expression of extreme exasperation. One is simply unable to express the sheer amount of exasperation any other way.

The pinnacle of rolling eyes at someone. Kind of like an extreme WTF.

Carries even more emphasis if in italics.
Person 1: "I honestly think Sylvester McCoy is the best Doctor Who ever!!!"

Person 2: "Fuck a cunt"

Person 1: "Guns N Roses is the heaviest band in the world. Ain't no one as heavy as them."

Person 2: "Fuck a cunt" (then goes and listens to Strapping Young Lad)
by nikky zero August 15, 2011