The act of sticking your penis in a girls vagina and sticking your fist up her ass crack to resemble a quarter pounder from Mac Donalds. The anal sex is the quarter pounder and the penis is the french fries you get in the combo meal to dip in a girls vagina or menstruation which is the fancy ketchup from McDonalds. The coke or drink from the combo meal is done by ejaculating in the asscrack or pussy of the girl to complete the combo meal.
I gave her a quarter pounder with cheese meal. Dude, she never was so pissed in her life.