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You can buy a Yakima roof basket and the spare tire holder that fits into the basket. The only hard part is lifting the spare tire up into the basket.

https://www.rackattack.com/cargo-luggage-racks/cargo-baskets/yakima-spare-tire-carrier/

I have seen a couple of Q7's with this setup. Both had out-of-state plates and were vacationing on Cape Cod. Q7's do not have any spare tire. Worse yet, if you buy a Q7 with 21" wheels you get regular tires. (not run flats). So then your options are to carry your own spare tire or plan on having roadside assistance flatbed your Q7 to a tire place or Audi dealer.
 
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