| Quarry | community in S Wilkes County. |
| Quarry Branch | rises in N Alamance County and flows SE into Tom's Creek. |
| Quarter Swamp | rises in central Northampton County and flows SE into Urahaw Swamp. |
| Quebec | community in S Transylvania County between Blue Ridge and West Fork French Board River. Alt. 2,530. |
| Queen | See Love Joy. |
| Queen Anne's Creek | rises in S Chowan County and flows SW into the E side of Edenton Bay. Known as Mattacomack Creek prior to about 1712. The present name appears in local records as early as 1712. See also Pembroke Creek. |
| Queen Anne's Town | See Edenton. |
| Queen Branch | rises in N Macon County and flows SW into Little Tennessee River. |
| Queen Creek | rises in S Haywood County and flows E into West Fork Pigeon River. |
| Queen Creek | rises in NW Henderson County and flows SE into South Fork. |