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hurt like giving a knife a hand job 

When I got spurned by Cheryl, it hurt like giving a knife a hand job.

why are you giving me a handjob? 

A means of expressing confusion or contempt.

Derived from any cookie-cutter porn situation in which a female character disguised as teacher/friend's hot mom/friend's hot sister/nurse/doctor "unexpectedly" gives the male character a handjob.
Fritz: Dude, I boned your mom last night. Ah yea.
Ben: Dude, Fritz, why are you giving me a handjob?