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https://steamcommunity.com/sharedfiles/filedetails/?id=1473094779
All you need to use is mousehweel and press e.
Not holding Q.
Go into the options and change it to use items on button press rather than automatically on release.
That said I'm hazy on the interaction with KB+M for that option.. It could very well be screwy.
Honestly use a controller, or get one if you don't have one. PC gaming means having a controller handy for games with trash KB+M controls (even though we deserve better porting)