My alternator failed on my Q and I went with a genuine reman from the dealer because these cars can be fussy. I learned that when I installed my DRLs. I didn't need anything better than stock since I have no extras, only the stock sound system. So I don't have any experience with the Q unfortunately.
What I can share with you is my experience with my Mercedes. It came equipped with every power option in the world and then some and only a 65 amp alternator. After installing an alarm system and other goodies, I decided to upgrade the alternator and bought a 150 amp unit from a CL55 AMG which was the highest output factory alternator available at the time. All I had to do was swap my old pulley on to the new alternator and form there it was just plug and play.
I bought an Optima Red Top and 2 battery terminals that can take a zero gauge wire:
I never had a problem with that setup.