Use the Pythagorean Theorem twice, unless you recognize the common right triangle in the figure. Since PR = 20 and QR = 16, PQR is a 3x-4x-5x right triangle with x = 4. Then PQ = 12, and PQS is a right angle triangle whose legs are 5 and 12. The hypotenuse, PS, therefore is 13. The answer is (D).