Correct option is B
Given - A + B means ‘A is the mother of B’
A – B means ‘A is the brother of B’
A × B means ‘A is the wife of B’ and
A ÷ B means ‘A is the father of B’.
How is M related to Q if ‘M + N × O ÷ P – Q’?


M is Q's Mother's mother.
Option B is correct.