Hello Frank,
The difference between with Q&A & without Q&A is you can mark whether the question is answered or resolved.
If Q&A is enabled the as shown in this screenshot
http://screencast.com/t/SbxCeCOL2 the moderator menu on the right hand side will display mark resolve as shown in this screen shot
http://screencast.com/t/BG0itkEcBW when is clicked it will mark the discussion or Q&A session as resolved as shown in this screenshot
http://screencast.com/t/ATZJYX7os9.
But if the Q&A is disabled as shown in this screenshot
http://screencast.com/t/6SufQnUIt the mark resolve button did not turn up in the moderator menu as shown in this screens shot
http://screencast.com/t/DTg6ysHGMeH . It is mainly for general discussion.
Hope this answers your question
Regards
Kheng Wei