Invariably the
punchline to any joke told by an old
Jewish man.
"So he comes back to his doctor the next day, the doctor says, 'Did you take the pills?' And he says 'Yes.' 'So what happened?'
Youshka, youshka, youshka!"
Devilishly irritating if you don't happen to speak Yiddish, but one more reason to learn.