To make the Q like this I used Trajan (what else) as font, using the Polygonal lasso tool I selected the stripe, duplicated it, transformed it and made it look like a wave.
I deleted extra pixels with the eraser tool. Merged and made it blue
For the finished image I took a background img of the pakistan island from:
http://www.thestar.com/content/dam/thestar/news/world/2013/09/25/pakistan_quake_creates_new_island_toll_soars_past_300/pakistan_quake_island.jpg