Generally has the same meaning as "omg" or "oh my god/gosh". omfqis also an acceptable form. Can be used positively (1) or negatively (2).
Originally used by the Seattle-area famous Elize Papineau, and has now spread all over the internets via AIM, LJ, myspace, etc.
1) Omq! I love you so bad, child!
2) OMQ WTF IS WRONG WITH YOU, DOUCHEBAG?
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