I think we can make two simplifications here: 1. we can't draw any inference from the lead, as it could be 3-5 or 5-3 in ♦ either way; 2.I'm not going to worry about pressure plays on LHO with Kx ♥, as that will also put unnecessary pressure on myself when there is a good line available. There are two lines in trumps: A: Ace first then lead towards the QT, losing only to KJx and KJxx with RHO; B: Run the queen. If this loses to the King, play the Ace, losing to KJx and KJxx with LHO, as well as K opposite Jxx. A is better, not only because it picks up all the K opposite Jxx combinations, but also because having to guess on the second round sucks. Even though playing for the drop on the 2nd round in line B is best, it is very close. Beating myself up on later hands about these isn't fun. One final consideration: if LHO has JTxx ♣, then we must lose a trick in clubs (roughly 5%). In this case, we would need to play trumps for no loser, in which case lines A and B are equal. But we would take line B, as vacant spaces suggests J opposite Kxx is more likely than Jxx opposite K. However, given that 4-0 clubs with LHO is only ~5% and K opposite Jxx (the extra losing combo for line B ) is over 6%, line A in trumps is best. Obviously, we play the clubs the correct way as well.