Funny, I guess only the +5V lane went bad. Rare case, usually it's the +12V which dies, and the PC won't boot up at all in that case.
I use it to check if there's something preventing the PC from booting. CPU not recognized (00), and I'll check the CPU... DRAM error (35, IIRC?) and I'll check the RAM. Something else and I'll check the VGA. Blah blah.
The USB male-to-male is for powering it as some slots don't send enough power it seems? It could actually work via USB as _some_ motherboards actually send the 07h (or something like that) interrupts over USB as well. Pretty rare, though.
IIRC, the USB male-to-male was only present on my laptop card, not on the desktop ones. That's probably because the PCIe ports don't enough power, when compared to the bigger ones?
Who knows