This "que" serves as the 2nd "si":
Si tu pouvais avoir un million de dollars americains, mais si tu ne pourraispouvais acheter que des choses commencant par la premiere lettre de ton prenom...qu'acheterais-tu ?
... in order to avoid the repetition of "si", "quand" etc.
This "que" usage also applies to "lorsque", "bien que" etc which already include "que" in their words.