Step 1: Identify the coordinates of the points.
The point M lies on the y-axis and 4 units below the x-axis, so:
\[
M = (0, -4)
\]
The point Q is given as:
\[
Q = (3, 1)
\]
Step 2: Use the distance formula to calculate the distance between M and Q:
\[
\text{Distance} = \sqrt{(x_2 - x_1)^2 + (y_2 - y_1)^2}
\]
Substitute the values \( (x_1, y_1) = (0, -4) \) and \( (x_2, y_2) = (3, 1) \):
\[
\text{Distance} = \sqrt{(3 - 0)^2 + (1 - (-4))^2} = \sqrt{(3)^2 + (5)^2} = \sqrt{9 + 25} = \sqrt{34}
\]
Step 3: Double-check the interpretation.
M is on the y-axis and 4 units below the x-axis, which means its y-coordinate is negative (−4). So M = (0, −4) is correct.
The calculation is also correct:
\[
\sqrt{(3)^2 + (5)^2} = \sqrt{9 + 25} = \sqrt{34}
\]
Step 4: Compare with the given options.
None of the provided options match \( \sqrt{34} \).
Therefore, there might be a misprint in the options.
Final Answer:
\[
\boxed{\sqrt{34}}
\]