Q5A, Q5B, Q8, and Q11 form a differential amplifier. What are the voltage levels on the other pins of Q5? And when you say "~18V", do you mean +18V or -18V?
I have some more general questions too that might help:
Is the offset always 200MHz at any frequency? Does the offset change with the band? Is it exactly 200MHz or approximately 200MHz?
Are any of the sweep settings suspiciously set to 200MHz?
Did this just start happening, or was it like this when you got it?
Is it reporting any errors/unlock conditions?
Did you work through the service BD1 checks 33 through 41, page 8-37?
Also, it would help if next time you could provide references where the schematic snippet came from. A little more context was needed. For others, it's from the service manual, page 8-125 (PDF sheet 398):
http://literature.cdn.keysight.com/litweb/pdf/08673-90053.pdf