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Let me try and summarize:

Apparently, Trump used to prank the media 25 years ago by pretending to be a Trump PR man named John Miller.

The first several minutes of the video has FOX News Investigator, John Roberts, reviewing the history of one of these pranks. Roberts goes into detail about an incident with Sue Carswell, a former People Magazine writer, where Trump called her pretending to be "John Miller." You can see part of the transcript from the call in the video. It is basically John Miller talking up Trump's success and subsequent popularity with celebrity women.

Roberts notes that at the time Trumps girlfriend, Marla Maples, and gossip columnist Cindy Adams both identified the caller on the tape as Donald Trump, not "John Miller." He also notes that the inflection, cadence and New York accent of the voice all resemble Trump.

Where you see the image of Trump on the screen, Roberts is playing a tape of Trump denying he has anything to do with being John Miller.

Where you see Megyn stabbing her forehead with pen, she is saying "OMG, OMG, OMG" while her producers guffaw in the background as she is bewildered by what Roberts just reported.

Megyn then interviews Sue Carswell. Sue tells Megyn that Trump admitted to her at the time that he did call her pretending to be John Miller. Sue also springs the surprising news that she did not leak the tape to the Washington Post as she lost it during a move years ago.

Sue then posits that she lost the tape then it must have been Trump who leaked the tape. These leads to Megyn wiping her forehead mimicking her mind being blown while her staff start guffawing again in the background. Megyn is perplexed as to why he would do this. Sue gets a laugh from the production staff when Megyn asks her why and she says “he has done stranger things.” She gets another big laugh when she says in a deadpan, “Hello Donald,” after Megyn realizes it was a clever Donald ploy to dominate the news cycle and she has been lured into it.

Megyn next start off the interview with Howie Kurts by massaging her forehead while bellowing “Ow, Ow, Ow.” and Howie responds “my head is spinning.” They then continue to analyze the cleverness of the ploy:

Take a small non-story but just strange enough to be news worthy.
Also compelling because we have a presidential candidate talking about his love life.
And one that contains an audio recording so it can be broadcast.
Basically, a story that is a cable news gold mine.
At one point, Megyn and Howie still don't seem to get it because they discuss how Trump could have diffused the situation by saying it was him on the tape and just an old joke from a long time ago.
Instead of diffusing, Trump went on the attack and denied it was him on the tape thus pressuring even more coverage as the press is forced to try and prove it is Trump.
They then speculate why he would bother trying to refute the story since it is such a non-issue.
They come to the conclusion that his denial would force the press to refute his denials and ensure that this non-story would continue to give Trump media dominance well into next week.