You are given the first point (2, 3) and a line x = 4. If you go ahead and graph these, it makes it a little more clear when they say that point p is symmetric with point Q with respect to the line x = 4.
Line x = 4 is the line of symmetry, so point Q is reflected across it. Point p has an x value of 2 (2 away from the line of symmetry, so point Q's x value has to be 2 away on the other side... 6. The y value is unchanged so your point is
D. (6, 3)
It's distribution
8(y+9)
8y + 72
The answer is -6x
hope this helped.