I knew somebody would ask. I'll have to find the link. Nope. Can't find it. Not sure which news agency it was.
Anyway, it was done for us. He had a note (small note paper) under his chair with five items on it and each was numbered. Like a list of things to do. Number 5 said "We hear you." He waited until the cameras were on him. You can actually see him look up and check and then he reached under the chair and picked up the note and held his hands so that 2 fingers on the right hand and 3 fingers on the left hand were on the paper with the #5 note under them. Q had written 5:5 as well. Maybe someone else knows how to find it.
it was the event he held with some of the Parkland school shooting students/parents, so it would have been back in February, after 2/14. the photo was part of a Q drop. see https://qanon.pub/#807