Used similarily like "smurf". Replace any word with "qiah" and you will get the intended result.
"I just came so hard theres qiah everywhere"
"Get the qiah out"
"You stupid drunk fuck coming into TT and spewing garbarge like qiah"
"That chuck just sucked my qiah so hard it got stuck in her qiah and she had to clean it out with a qiah"
"IT'S RAININ QIAH, HALLELUJAH ITS RAININ QIAH"