Ah, yes, Dr. Puthoff --- when he was at TCOM he was known to take a detail off of an * in a figure at the bottom of the page and write a TQ on it. Devious schmuck but you'll look back on this time with pride, knowing that if you can survive, nay, excel in a Puthoff class, you can do anything and will walk without fear through your clinical rotations. I actually pulled a factoid out of my external anal sphincter on an IM round one day and startled both the attending and the PGY2 --- impressed the heck out of them --- to the point that they both started recruiting me for IM at their program and the attending told me I should apply for UTSW IM. It was great.....
And recall that Puthoff is an ex-SF shooter who ran a Mike force out of Nha Trang IIRC who then went back to med school and back into the Army and was the chief pathologist for 8th USAREUR --- knows his stuff and was also involved with the Branch Davidian autopsies, IIRC --- really cool guy but cuts no slack when it comes to his classes.
Also, word to the wise, -- don't try to challenge him or push it too hard when arguing a TQ -- you will lose. If he says he'll consider it, you've managed to get him to see your POV and he may or may not grant the point which is about the best you can hope for.