Right, I've finally solved this, and decided to add another answer rather than edit my original one as I've edited it a lot of times and it's getting messy.
From the joint distribution $P(\underline{q})=\frac{q_{1}^{\alpha_{1}-1}q_{2}^{\alpha_{2}-1}q_{3}^{\alpha_{3}-1}q_{4}^{\alpha_{4}-1}}{B(\underline{\alpha})}$
defined for $0 \leq q_{i} \leq 1 \forall i$ and $q_{1}+q_{2}+q_{3}+q_{4}=1$
and we define a new variable $a=\frac{q_{1}}{q_{1}+q_{2}}$ and wish to derive its distribution. We do this by finding an expression for $p(a<A)$ and differentiating w.r.t A. This will give us the pdf for a evaluated at A. Constructing this expression for the joint distribution is the hardest part (and the differentiation process is a little messy and requires care).
In particular, to construct $p(a<A)$, we really have to think about all of the regions in $q$-space for which $a<A$, as we have to integrate over all of this space to find $p(a<A)$. This was the part I was struggling with in my previous answers. We can solve this two ways, they equate to the same:
First
$0 \leq \frac{q_{1}}{q_{1}+q_{2}} \leq A$
We rearrange in terms of $q_{1}$ and find that $q_{1}<q_{2}\left(\frac{A}{1-A}\right)$
We also know that $q_{1}+q_{2} \leq 1$ and thus $q_{1} \leq 1 -q_{2}$. As both of these need to be true, we can write $q_{1} \leq min(1-q_{2}, q_{2}\left(\frac{A}{1-A}\right))$
Looking at this, we see that in general, when $q_{2}$ is large, $1-q_{2}$ is going to be the lesser of the two terms and vice versa when $q_{2}$ is small. The crossover occurs when $1-q_{2}=q_{2}\left(\frac{A}{1-A}\right)$ or $q_{2}=1-A$. Because $0\leq A \leq 1$, we know that this cross-over will occur for $0\leq q_{2} \leq 1$, i.e. in the allowed range, so will be important.
For $q_{2} < 1-A$, $q_{1}<q_{2}\left(\frac{A}{1-A}\right)$ and
for $q_{2}>1-A$, $q_{1}<1-q_{2}$
Thus our $(q_{1},q_{2})$ integration limits have to look like:
$\int_{0}^{1-A}dq_{2}\int _{0}^{q_{2}\left(\frac{A}{1-A}\right)}dq_{1} + \int_{1-A}^{1}dq_{2}\int _{0}^{1-q_{2}}dq_{1}$
Second
(note, these have to end up being equivalent)
We start from the same place, namely
$0 \leq \frac{q_{1}}{q_{1}+q_{2}} \leq A$
but re-arrange in terms of $q_{2}$ such that $q_{2}>\left(\frac{1-A}{A}\right)q_{1}$. Also $q_{1}+q_{2}<1$ and thus $q_{2}<1-q_{1}$, or, put together
$\left(\frac{1-A}{A}\right)q_{1}< q_{2} < 1-q_{1}$
Looking at this, we see that if $q_{1}$ becomes large enough, the upper limit for $q_{2}$ will be smaller than the lower limit, so let's check when that crossover occurs.
$1-q_{1}=\left(\frac{1-A}{A}\right)q_{1}$, which happens at $q_{1}=A$, so yes, it happens in the region we care about. Thus as well as having the above constraint on $q_{2}$, we know $q_{1}<A$. So we can write the integral limits as
$\int_{0}^{A}dq_{1}\int_{\left(\frac{1-A}{A}\right)q_{1}}^{1-q_{1}}dq_{2}$
It's not obvious to me, even when having these two forms in front of me, why they are the same. The latter one is easier to work with however, so I'm going to use the latter.
We then integrate over all $q_{3}$ values for which $q_{1}+q_{2}+q_{3}<1$ and then finally replace $q_{4}$ with $1-q_{1}-q_{2}-q_{3}$ as it's uniquely determined. Thus the term we need to differentiate is given by:
$\int_{0}^{A}dq_{1}\int_{\left(\frac{1-A}{A}\right)q_{1}}^{1-q_{1}}dq_{2}\int_{0}^{1-q_{1}-q_{2}}\frac{dq_{3}}{B(\underline{\alpha})}q_{1}^{\alpha_{1}-1}q_{2}^{\alpha_{2}-1}q_{3}^{\alpha_{3}-1}(1-q_{1}-q_{2}-q_{3})^{\alpha_{4}-1}$
We first write this as $\int_{0}^{A}f(q_{1},A)dq_{1}$, so when we differentiate w.r.t A, we get (using Leibniz rule for differentiating under the integral sign)
$\int_{0}^{A}\frac{d}{dA}f(A,q_{1})dq_{1} + f(A,A)$
because we can write
$f(A,q_{1})=\int_{\left(\frac{1-A}{A}\right)q_{1}}^{1-q_{1}}g(q_{2})dq_{2}$
it turns that that $f(A,A)$ is given by
$\int_{1-A}^{1-A}g(q_{2})dq_{2}=0$
so we get a nice simplification and only have to calculate
$\int_{0}^{A}\frac{d}{dA}f(A,q_{1})dq_{1}$
given by (essentially replace all $q_{2}$ with $q_{1}\left(\frac{1-A}{A}\right)$ and then also take the derivative of $q_{1}\left( \frac{1-A}{A}\right)$ wrt A)
$\int_{0}^{A}q_{1}\cdot -1 \cdot \frac{d}{dA}\left(\frac{1-A}{A}\right)\int_{0}^{1-q_{1}-q_{1}\left(\frac{1-A}{A}\right)}\frac{dq_{3}}{B(\underline{\alpha})}q_{1}^{\alpha_{1}-1}\left(q_{1}\left(\frac{1-A}{A}\right)\right)^{\alpha_{2}-1}q_{3}^{\alpha_{3}-1}(1-q_{1}-q_{1}\left(\frac{1-A}{A}\right)-q_{3})^{\alpha_{4}-1}$
which tidies up to
$\left(\frac{1-A}{A}\right)^{\alpha_{2}-1}\frac{1}{A^{2}}\int_{0}^{A}dq_{1}q_{1}^{\alpha_{1}+\alpha_{2}-1}\int_{0}^{1-\frac{q_{1}}{A}}\frac{dq_{3}}{B(\underline{\alpha})}q_{3}^{\alpha_{3}-1}(1-\frac{q_{1}}{A}-q_{3})^{\alpha_{4}-1}$
if you're still with me, we're now basically there. We do the $q_{3}$ integral with the substitution $u=\frac{q_{3}}{1=\frac{q_{1}}{A}}$, to get $(1-\frac{q_{1}}{A})^{\alpha_{3}+\alpha_{4}-1}B(\alpha_{3}, \alpha_{4})$
That leaves us needing to compute the integral $\int_{0}^{A}dq_{1}q_{1}^{\alpha_{1}+\alpha_{2}-1}(1-\frac{q_{1}}{A})^{\alpha_{3}+\alpha_{4}-1}$, which is done using the substitution $u=\frac{q_{1}}{A}$ to obtain $A^{\alpha_{1}+\alpha_{2}}B(\alpha_{1}+\alpha_{2}, \alpha_{3}+\alpha_{4})$
Putting this together, we have
$(1-A)^{\alpha_{2}-1}A^{\alpha_{1}-1}\frac{B(\alpha_{1}+\alpha_{2}, \alpha_{3}+\alpha_{4})B(\alpha_{3}, \alpha_{4})}{B(\underline{\alpha})}$
and I'll leave to you to verify that the beta functions do indeed cancel to give $\frac{1}{B(\alpha_{1},\alpha_{2})}$, and so the distribution we're left with, we can recognise as normalised.
And thus, somewhat remarkably, the relative prevalence the first event being 0 and 1 does not have any bearing on how likely the second event is, given the first event. In Dirichlet inference, your $\alpha$s will usually be counts of events (combined with prior constants). If you want to know the relative probabilities of all four outcomes, you can use their respective counts and do Dirichlet inference and if you want to know the conditional probabilities, you can throw away the counts relating to first events that didn't go the right way, and then do binomial inference. The two are entirely compatible with one and other.
Now that I've done the analytics, I'd be interested/relieved to see your numerics give the same.