When the answers for the TBL questions don't come from the reading or the lecture slides. And actually the book, lecture slides, lecturer and literature all say different things...
These are the 5 types of Student responses:
The "Turtle" : shrinks in to a small ball and moans every 2 mins while rocking back and forth.
The "Learning Opportunity": Still shows unfailing interest and wants to know every detail of why each answer is correct or not.
The " I'm so over it": displays their frustration in the form of sighs and swears.

The "Vocal Student": Points out everything that is wrong with every single question and argues for their answer until the prof folds and gives them the points.
And of course
The "Gunner": knows every answer, pathway, prognosis and treatment even for diseases that were never lectured on and are not clinically significant. Gunner gonna Gun.
Which one do you think is me? Which one would you be?
-G